In:
Radiology and Oncology, Walter de Gruyter GmbH, Vol. 50, No. 4 ( 2016-12-1), p. 385-393
Kurzfassung:
Mutations in the isocitrate dehydrogenase 1 and 2 ( IDH1 and IDH2 ) genes are frequent molecular lesions in acute myeloid leukaemia with normal karyotype (AML-NK). The effects of IDH mutations on clinical features and treatment outcome in AML-NK have been widely investigated, but only a few studies monitored these mutations during follow-up. Patients and methods In our study samples from 110 adult de novo AML-NK were studied for the presence of IDH1 and IDH2 mutations, their associations with other prognostic markers and disease outcome. We also analyzed the stability of these mutations during the course of the disease in complete remission (CR) and relapse. Results IDH mutations were found in 25 (23%) patients. IDH + patients tend to have lower CR rate compared to IDH -patients (44% vs 62.2%, p = 0.152), and had slightly lower disease free survival (12 months vs 17 months; p = 0.091). On the other hand, the presence of IDH mutations had significant impact on overall survival (2 vs 7 months; p = 0.039). The stability of IDH mutations were studied sequentially in 19 IDH + patients. All of them lost the mutation in CR, and the same IDH mutations were detected in relapsed samples. Conclusions Our study shows that the presence of IDH mutations confer an adverse effect in AML-NK patients, which in combination with other molecular markers can lead to an improved risk stratification and better treatment. Also, IDH mutations are very stable during the course of the disease and can be potentially used as markers for minimal residual disease detection.
Materialart:
Online-Ressource
ISSN:
1581-3207
DOI:
10.1515/raon-2016-0044
Sprache:
Englisch
Verlag:
Walter de Gruyter GmbH
Publikationsdatum:
2016
ZDB Id:
2134813-3