CEBPA methylation as a prognostic biomarker in patients with de novo acute myeloid leukemia

Hypermethylation of the distal CEBPA promoter region has been reported to result in the downregulation of CEBPA expression in several malignancies. However, the clinical implication of CEBPA hypermethylation in acute myeloid leukemia (AML) remains unclear. To investigate the correlation between CEBP...

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Veröffentlicht in:Leukemia 2011-01, Vol.25 (1), p.32-40
Hauptverfasser: Lin, T-C, Hou, H-A, Chou, W-C, Ou, D-L, Yu, S-L, Tien, H-F, Lin, L-I
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container_start_page 32
container_title Leukemia
container_volume 25
creator Lin, T-C
Hou, H-A
Chou, W-C
Ou, D-L
Yu, S-L
Tien, H-F
Lin, L-I
description Hypermethylation of the distal CEBPA promoter region has been reported to result in the downregulation of CEBPA expression in several malignancies. However, the clinical implication of CEBPA hypermethylation in acute myeloid leukemia (AML) remains unclear. To investigate the correlation between CEBPA hypermethylation and clinical features in AML, quantitative MassARRAY analyses for CEBPA methylation status were performed on a cohort of 193 patients. High CEBPA methylation group ( CEBPA high-meth , n =28) and low methylation group ( CEBPA low-meth , n =165) were defined by using two-way hierarchical clustering. With a median follow-up of 48 months, among the 125 patients receiving standard induction therapy, CEBPA high-meth was associated with better treatment response (complete remission rate 93.3% versus 73.6%, P =0.116). In patients with normal karyotype and without CEBPA and NPM1 mutations, the CEBPA high-meth had longer overall survival (OS) than the CEBPA low-meth ( P =0.028). Multivariate analysis further supported that the CEBPA methylation was an independent prognostic factor for disease free-survival (hazard ratio=0.416; 95% confidence interval, 0.223–0.777, P =0.006) and OS (hazard ratio=0.406; 95% confidence interval, 0.166–0.996, P =0.050). We conclude that CEBPA methylation status is a useful prognostic biomarker for AML patients.
doi_str_mv 10.1038/leu.2010.222
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However, the clinical implication of CEBPA hypermethylation in acute myeloid leukemia (AML) remains unclear. To investigate the correlation between CEBPA hypermethylation and clinical features in AML, quantitative MassARRAY analyses for CEBPA methylation status were performed on a cohort of 193 patients. High CEBPA methylation group ( CEBPA high-meth , n =28) and low methylation group ( CEBPA low-meth , n =165) were defined by using two-way hierarchical clustering. With a median follow-up of 48 months, among the 125 patients receiving standard induction therapy, CEBPA high-meth was associated with better treatment response (complete remission rate 93.3% versus 73.6%, P =0.116). In patients with normal karyotype and without CEBPA and NPM1 mutations, the CEBPA high-meth had longer overall survival (OS) than the CEBPA low-meth ( P =0.028). Multivariate analysis further supported that the CEBPA methylation was an independent prognostic factor for disease free-survival (hazard ratio=0.416; 95% confidence interval, 0.223–0.777, P =0.006) and OS (hazard ratio=0.406; 95% confidence interval, 0.166–0.996, P =0.050). We conclude that CEBPA methylation status is a useful prognostic biomarker for AML patients.</description><identifier>ISSN: 0887-6924</identifier><identifier>EISSN: 1476-5551</identifier><identifier>DOI: 10.1038/leu.2010.222</identifier><identifier>PMID: 20927134</identifier><identifier>CODEN: LEUKED</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/53/2422 ; 692/699/67/1990/283/1897 ; Analysis ; Biological and medical sciences ; Biomarkers ; Bone marrow ; Cancer Research ; CCAAT-Enhancer-Binding Proteins - genetics ; Chemotherapy ; Critical Care Medicine ; Disease-Free Survival ; DNA Methylation ; Drug dosages ; Epigenetics ; Genetic aspects ; Granulocytes ; Hematologic and hematopoietic diseases ; Hematology ; Hospitals ; Humans ; Intensive ; Internal Medicine ; Leukemia ; Leukemia, Myeloid, Acute - drug therapy ; Leukemia, Myeloid, Acute - genetics ; Leukemia, Myeloid, Acute - mortality ; Leukemias. Malignant lymphomas. 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Myelofibrosis ; Medical laboratories ; Medical prognosis ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Methylation ; Mutation ; Nuclear Proteins - genetics ; Oncology ; original-article ; Physiological aspects ; Prognosis ; Promoter Regions, Genetic ; Remission (Medicine) ; Translocation, Genetic ; Tumor markers</subject><ispartof>Leukemia, 2011-01, Vol.25 (1), p.32-40</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-d1ccfa7a3c84beb4ee450c40ae8d95045df379d813b239dad2bfc4f842917d0b3</citedby><cites>FETCH-LOGICAL-c515t-d1ccfa7a3c84beb4ee450c40ae8d95045df379d813b239dad2bfc4f842917d0b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/leu.2010.222$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/leu.2010.222$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=23955647$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20927134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, T-C</creatorcontrib><creatorcontrib>Hou, H-A</creatorcontrib><creatorcontrib>Chou, W-C</creatorcontrib><creatorcontrib>Ou, D-L</creatorcontrib><creatorcontrib>Yu, S-L</creatorcontrib><creatorcontrib>Tien, H-F</creatorcontrib><creatorcontrib>Lin, L-I</creatorcontrib><title>CEBPA methylation as a prognostic biomarker in patients with de novo acute myeloid leukemia</title><title>Leukemia</title><addtitle>Leukemia</addtitle><addtitle>Leukemia</addtitle><description>Hypermethylation of the distal CEBPA promoter region has been reported to result in the downregulation of CEBPA expression in several malignancies. 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However, the clinical implication of CEBPA hypermethylation in acute myeloid leukemia (AML) remains unclear. To investigate the correlation between CEBPA hypermethylation and clinical features in AML, quantitative MassARRAY analyses for CEBPA methylation status were performed on a cohort of 193 patients. High CEBPA methylation group ( CEBPA high-meth , n =28) and low methylation group ( CEBPA low-meth , n =165) were defined by using two-way hierarchical clustering. With a median follow-up of 48 months, among the 125 patients receiving standard induction therapy, CEBPA high-meth was associated with better treatment response (complete remission rate 93.3% versus 73.6%, P =0.116). In patients with normal karyotype and without CEBPA and NPM1 mutations, the CEBPA high-meth had longer overall survival (OS) than the CEBPA low-meth ( P =0.028). Multivariate analysis further supported that the CEBPA methylation was an independent prognostic factor for disease free-survival (hazard ratio=0.416; 95% confidence interval, 0.223–0.777, P =0.006) and OS (hazard ratio=0.406; 95% confidence interval, 0.166–0.996, P =0.050). We conclude that CEBPA methylation status is a useful prognostic biomarker for AML patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20927134</pmid><doi>10.1038/leu.2010.222</doi><tpages>9</tpages></addata></record>
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subjects 692/53/2422
692/699/67/1990/283/1897
Analysis
Biological and medical sciences
Biomarkers
Bone marrow
Cancer Research
CCAAT-Enhancer-Binding Proteins - genetics
Chemotherapy
Critical Care Medicine
Disease-Free Survival
DNA Methylation
Drug dosages
Epigenetics
Genetic aspects
Granulocytes
Hematologic and hematopoietic diseases
Hematology
Hospitals
Humans
Intensive
Internal Medicine
Leukemia
Leukemia, Myeloid, Acute - drug therapy
Leukemia, Myeloid, Acute - genetics
Leukemia, Myeloid, Acute - mortality
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical laboratories
Medical prognosis
Medical sciences
Medicine
Medicine & Public Health
Methylation
Mutation
Nuclear Proteins - genetics
Oncology
original-article
Physiological aspects
Prognosis
Promoter Regions, Genetic
Remission (Medicine)
Translocation, Genetic
Tumor markers
title CEBPA methylation as a prognostic biomarker in patients with de novo acute myeloid leukemia
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