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Type and location of isocitrate dehydrogenase mutations influence clinical characteristics and disease outcome of acute myeloid leukemia

Abstract Mutations of isocitrate dehydrogenase 1 and 2 (IDH1/2) are genetic alterations in acute myeloid leukemia (AML). The aim of our study was to investigate the frequency and prognostic effect of IDH1/2 mutations together followed by an individual analysis of each substitution in a Hungarian coh...

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Published in:Leukemia & lymphoma 2013-05, Vol.54 (5), p.1028-1035
Main Authors: Koszarska, Magdalena, Bors, Andras, Feczko, Angela, Meggyesi, Nora, Batai, Arpad, Csomor, Judit, Adam, Emma, Kozma, Andras, Orban, Tamas I., Lovas, Nora, Sipos, Andrea, Karaszi, Eva, Dolgos, Janos, Fekete, Sandor, Reichardt, Judit, Lehoczky, Eniko, Masszi, Tamas, Tordai, Attila, Andrikovics, Hajnalka
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cited_by cdi_FETCH-LOGICAL-c418t-fcfbce9c5562f08c53f218c47df679f46f67a192197c712608f4ef0c5032e2843
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creator Koszarska, Magdalena
Bors, Andras
Feczko, Angela
Meggyesi, Nora
Batai, Arpad
Csomor, Judit
Adam, Emma
Kozma, Andras
Orban, Tamas I.
Lovas, Nora
Sipos, Andrea
Karaszi, Eva
Dolgos, Janos
Fekete, Sandor
Reichardt, Judit
Lehoczky, Eniko
Masszi, Tamas
Tordai, Attila
Andrikovics, Hajnalka
description Abstract Mutations of isocitrate dehydrogenase 1 and 2 (IDH1/2) are genetic alterations in acute myeloid leukemia (AML). The aim of our study was to investigate the frequency and prognostic effect of IDH1/2 mutations together followed by an individual analysis of each substitution in a Hungarian cohort consisting of 376 patients with AML. IDH1mut and IDH2mut were mutually exclusive, detected in 8.5% and 7.5% of cases, respectively. IDH1/2mut was associated with: older age (p = 0.001), higher average platelet count (p = 0.001), intermediate karyotype (p < 0.0001), NPM1mut (p = 0.022) and lower mRNA expression level of ABCG2 gene (p = 0.006). Overall survival (OS), remission and relapse rates were not different in IDH1mut or IDH2mut vs. IDHneg. IDH1mut and IDH2mut were associated differently with NPM1mut; co-occurrence was observed in 14.3% of IDH1 R132C vs. 70% of R132H carriers (p = 0.02) and in 47.4% of IDH2 R140Q vs. 0% of R172K carriers (p = 0.02). IDH1 R132H negatively influenced OS compared to IDHneg (p = 0.02) or R132C (p = 0.019). Particular amino acid changes affecting the same IDH1 codon influence the clinical characteristics and treatment outcome in AML.
doi_str_mv 10.3109/10428194.2012.736981
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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects Acute myeloid leukemia
Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Isocitrate Dehydrogenase - genetics
isocitrate dehydrogenase 1 and 2
Leukemia, Myeloid, Acute - drug therapy
Leukemia, Myeloid, Acute - genetics
Leukemia, Myeloid, Acute - mortality
Male
Middle Aged
molecular genetics
Mutation
Prognosis
Recurrence
Treatment Outcome
Young Adult
title Type and location of isocitrate dehydrogenase mutations influence clinical characteristics and disease outcome of acute myeloid leukemia
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