1. Clinical significance of dynamic monitoring of EVI1 gene expression in pediatric acute myeloid leukemia
- Author
-
Lan-Nan Zhang, Jian-Xin Li, Zhuo Wang, Li Yang, Zhi Chen, Fang Tao, Sha Wu, Wen-Jie Lu, Ming Sun, Shan-Shan Qi, Zhong-Zheng Zheng, and Hao Xiong
- Subjects
Ecotropic virus integration site-1 ,Acute myeloid leukemia ,Relapse ,Dynamic monitoring ,Pediatrics ,Allogeneic hematopoietic stem cell transplantation ,RJ1-570 - Abstract
Abstract Objective To investigate the clinical significance of dynamic monitoring ecotropic virus integration site-1 (EVI1) expression in childhood acute myeloid leukemia (AML). Methods A retrospective analysis was conducted on 113 pediatric AML patients of Wuhan Children’s Hospital from 2014 to 2022. The correlation between EVI1 expression levels and clinical indicators including clinical characteristics, first complete remission (CR1), relapse, and overall survival (OS) was analyzed. Receiver operating characteristic (ROC) curve analysis was carried out to comprehend the influence of EVI1 expression on relapse. Results A total of 78 AML children with EVI1 expression at initial diagnosis were eligible, divided into EVI1-positive (EVI1high) and EVI1-negative (EVI1low) groups. FAB classification (P = 0.047) and abnormal karyotype (P = 0.009) showed significant differences between the two groups. The proportion of EVI1high in individuals with complex and/or monomeric karyotypes was significantly higher than in other cases (P = 0.032). When completing the first induction therapy, the EVI1high group showed a significantly lower CR1 rate than the EVI1low group (P = 0.015). Among 51 cases with EVI1 expression dynamically monitored, those with EVI1 overexpression more than twice had significantly shorter OS (P
- Published
- 2024
- Full Text
- View/download PDF