Next-generation sequencing for minimal residual disease monitoring in acute myeloid leukemia patients with FLT3-ITD or NPM1 mutations

Systematic assessment of minimal residual disease (MRD) in acute myeloid leukemia (AML) patients has been hampered by lack of a reliable, uniform MRD marker applicable to all patients. We evaluated next‐generation sequencing (NGS) for MRD assessment in AML patients (n = 80 samples). The ability of N...

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Veröffentlicht in:Genes chromosomes & cancer 2012-07, Vol.51 (7), p.689-695
Hauptverfasser: Thol, Felicitas, Kölking, Britta, Damm, Frederik, Reinhardt, Katarina, Klusmann, Jan-Henning, Reinhardt, Dirk, von Neuhoff, Nils, Brugman, Martijn H., Schlegelberger, Brigitte, Suerbaum, Sebastian, Krauter, Jürgen, Ganser, Arnold, Heuser, Michael
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container_end_page 695
container_issue 7
container_start_page 689
container_title Genes chromosomes & cancer
container_volume 51
creator Thol, Felicitas
Kölking, Britta
Damm, Frederik
Reinhardt, Katarina
Klusmann, Jan-Henning
Reinhardt, Dirk
von Neuhoff, Nils
Brugman, Martijn H.
Schlegelberger, Brigitte
Suerbaum, Sebastian
Krauter, Jürgen
Ganser, Arnold
Heuser, Michael
description Systematic assessment of minimal residual disease (MRD) in acute myeloid leukemia (AML) patients has been hampered by lack of a reliable, uniform MRD marker applicable to all patients. We evaluated next‐generation sequencing (NGS) for MRD assessment in AML patients (n = 80 samples). The ability of NGS technologies to generate thousands of clonal sequences makes it possible to determine the allelic ratio of sequence variants. Using NGS, we were able to determine the allelic ratio of different FLT3‐internal tandem duplication (ITD) clones within one patient sample, in addition to resolution of FLT3‐ITD insertion site, length, and sequence in a single analysis. Furthermore, NGS allowed us to study emergence of clonal dominance. Parallel assessment of MRD by NGS and quantitative real‐time polymerase chain reaction in NPM1 mutated patients was concordant in 95% of analyzed samples (n = 38). The frequency of mutated alleles was linearly quantified by NGS. As NGS sensitivity is scalable depending on sequence coverage, it reflects a highly flexible and reliable tool to assess MRD in leukemia patients. © 2012 Wiley Periodicals, Inc.
doi_str_mv 10.1002/gcc.21955
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subjects Adult
Alleles
Child
fms-Like Tyrosine Kinase 3 - genetics
Humans
Leukemia, Myeloid, Acute - genetics
Leukemia, Myeloid, Acute - pathology
Mutation
Neoplasm, Residual - genetics
Nuclear Proteins - genetics
Sensitivity and Specificity
Sequence Analysis, DNA - methods
Tandem Repeat Sequences
title Next-generation sequencing for minimal residual disease monitoring in acute myeloid leukemia patients with FLT3-ITD or NPM1 mutations
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