Increased c-kit intensity is a poor prognostic factor for progression-free and overall survival in patients with newly diagnosed AML

被引:29
作者
Advani, Anjali S. [1 ]
Rodriguez, Cristina [1 ]
Jin, Tao [1 ]
Abou Jawde, Rony [1 ]
Saber, Wael [1 ]
Baz, Rachid [1 ]
Kalaycio, Matt [1 ]
Sobecks, Ronald [1 ]
Sekeres, Mikkael [1 ]
Tripp, Barbara [1 ]
Hsi, Eric [1 ]
机构
[1] Cleveland Clin CCF, Leukemia Program, Taussig Canc Ctr, Cleveland, OH 44195 USA
关键词
c-kit; acute myelogenous leukemia; prognosis; MFI; tyrosine kinase;
D O I
10.1016/j.leukres.2007.08.019
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
C-kit, a tyrosine kinase receptor, is expressed on most myeloid blasts and is thought to be important in the pathogenesis of AML. Activation of the c-kit receptor leads to phosphorylation and activation of downstream signaling proteins, which are important for cell survival and proliferation. Here, we discuss the prognostic impact of c-kit intensity, measured using the mean fluorescent index (MFI) in patients with newly diagnosed AML. On multivariate analysis, c-kit MFI > 20.3 correlated with a decreased progression-free survival and overall survival, independent of known prognostic factors (age, white blood count at diagnosis and cytogenetics). Whether inhibiting c-kit in patients with AML will after prognosis is the basis of ongoing clinical trials. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:913 / 918
页数:6
相关论文
共 30 条
[1]
FLT3 and acute myelogenous leukemia: Biology, clinical significance and therapeutic applications [J].
Advani, AS .
CURRENT PHARMACEUTICAL DESIGN, 2005, 11 (26) :3449-3457
[2]
EXPRESSION OF A 150-KD CELL-SURFACE ANTIGEN IDENTIFIED BY MONOCLONAL-ANTIBODY YB5.B8 IS ASSOCIATED WITH POOR PROGNOSIS IN ACUTE NON-LYMPHOBLASTIC LEUKEMIA [J].
ASHMAN, LK ;
ROBERTS, MM ;
GADD, SJ ;
COOPER, SJ ;
JUTTNER, CA .
LEUKEMIA RESEARCH, 1988, 12 (11-12) :923-928
[3]
BUHRING HJ, 1993, CANCER RES, V53, P4424
[4]
Pretreatment cytogenetic abnormalities are predictive of induction success, cumulative incidence of relapse, and overall survival in adult patients with de novo acute myeloid leukemia:: results from Cancer and Leukemia Group B (CALGB 8461) [J].
Byrd, JC ;
Mrózek, K ;
Dodge, RK ;
Carroll, AJ ;
Edwards, CG ;
Arthur, DC ;
Pettenati, MJ ;
Patil, SR ;
Rao, KW ;
Watson, MS ;
Koduru, PRK ;
Moore, JO ;
Stone, RM ;
Mayer, RJ ;
Feldman, EJ ;
Davey, FR ;
Schiffer, CA ;
Larson, RA ;
Bloomfield, CD .
BLOOD, 2002, 100 (13) :4325-4336
[5]
THE C-KIT LIGAND SUPPRESSES APOPTOSIS OF HUMAN NATURAL-KILLER-CELLS THROUGH THE UP-REGULATION OF BCL-2 [J].
CARSON, WE ;
HALDAR, S ;
BAIOCCHI, RA ;
CROCE, CM ;
CALIGIURI, MA .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1994, 91 (16) :7553-7557
[6]
HLA-DR ANTIGEN EXPRESSION ON PERIPHERAL-BLOOD MONOCYTES CORRELATES WITH SURGICAL INFECTION [J].
CHEADLE, WG ;
HERSHMAN, MJ ;
WELLHAUSEN, SR ;
POLK, HC .
AMERICAN JOURNAL OF SURGERY, 1991, 161 (06) :639-645
[7]
Amount of spontaneous apoptosis detected by Bax/Bcl-2 ratio predicts outcome in acute myeloid leukemia (AML) [J].
Del Poeta, G ;
Venditti, A ;
Del Principe, MI ;
Maurillo, L ;
Buccisano, F ;
Tamburini, A ;
Cox, MC ;
Franchi, A ;
Bruno, A ;
Mazzone, C ;
Panetta, P ;
Suppo, G ;
Masi, M ;
Amadori, S .
BLOOD, 2003, 101 (06) :2125-2131
[8]
Hematopoietic stem cells need two signals to prevent apoptosis; BCL-2 can provide one of these, Kitl/c-Kit signaling the other [J].
Domen, J ;
Weissman, IL .
JOURNAL OF EXPERIMENTAL MEDICINE, 2000, 192 (12) :1707-1718
[9]
High expression of urokinase plasminogen activator receptor (UPA-R) in acute myeloid leukemia (AML) is associated with worse prognosis [J].
Graf, M ;
Reif, S ;
Hecht, K ;
Pelka-Fleischer, R ;
Pfister, K ;
Schmetzer, H .
AMERICAN JOURNAL OF HEMATOLOGY, 2005, 79 (01) :26-35
[10]
Timed-sequential chemotherapy with concomitant granulocyte colony-stimulating factor for newly diagnosed de novo acute myelogenous leukemia [J].
He, XY ;
Pohlman, B ;
Lichtin, A ;
Rybicki, L ;
Kalaycio, M .
LEUKEMIA, 2003, 17 (06) :1078-1084