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The influence of BCL2, BAX, and ABCB1 gene expression on prognosis of adult de novo acute myeloid leukemia with normal karyotype patients Cover

The influence of BCL2, BAX, and ABCB1 gene expression on prognosis of adult de novo acute myeloid leukemia with normal karyotype patients

Open Access
|Apr 2023

Figures & Tables

Clinical characteristics for de novo acute myeloid leukemia with normal karyotype (AML-NK) patients stratified by the level of BCL2, BAX gene expression and BAX/BCL2 ratio

ParameterBCL2BAXBAX/BCL2

Total n=51BCL2+ n=25BCL2− n=26PBAX+ n=25BAX− n=26PBAX/BCL2high n=25BAX/BCL2low n=26P
Sex
  Male (%)26 (51)10 (38)16 (62)0.16516 (62)10 (38)0.09516 (62)10 (38)0.095
  Female (%)25 (49)15 (60)10 (40) 9 (36)16 (64) 9 (36)16 (64)
Age* (years)51 (23–62)53 (27–62)49 (23–62)0.13749 (27–62)52.5 (23–62)0.59748 (23–62)54 (27–62)0.111
WBC count* (×109/L)22 (1–349)7 (1–184)22.5 (2–349)0.15922 (1–184)22 (0.2–349)0.80829 (1–349)6 (1–184)0.041
HB* (g/L)99 (66–131)103 (82–131)98 (66–128) 97 (66–131)105 (78–128) 98 (66–128)103 (82–131)
  > 80 (g/L)45 (88)25 (56)20 (44)0.02322 (49)23 (51)1.00019 (53)26 (47)
  < 80 (g/L)6 (12)06 (100) 3 (50)3 (50) 06 (100)0.010
Plts* (×109/L)55 (8–422)60 (8–422)53.5 (8–169)0.52855 (17–169)54.5 (8–422)0.49752 (8–169)60 (8–422)0.685
LDH *(U/L)321 (1–2904)175 (153–1992)590.5 (1–2904)0.010386 (153–1992)306.5 (1–2904)0.816605 (1–2904)75 (153–1992)0.002
PB blast* (%)14 (0–98)15 (0–98)11 (0–97)0.73711 (0–92)16 (0–98)0.62311 (0–97)15 (0–98)0.865
BM blasts* (%)62 (30–97)57 (30–90)66.5 (32–90)0.53163 (30–97)61 (31–90)0.75670 (30–90)57 (31–97)0.341
CD34 (%) 0.095 0.404 0.050
  present24 (47)15 (63)9 (38) 10 (42)14 (58) 8 (33)16 (67)
  absent27 (53)10 (37)17 (363) 15 (56)12 (44) 17 (63)10 (37)
FAB (%) 0.006 0.239 0.002
  M04 (8)4 (100)0 1 (25)3 (75) 04 (100)
  M15 (10)4 (80)1 (20) 3 (60)2 (40) 1 (20)4 (80)
  M218 (35)10 (56)8 (44) 7 (39)11 (62) 6 (33)12 (67)
  M417 (33)3 (18)14 (82) 8 (47)9 (53) 14 (82)3 (18)
  M57 (14)4 (57)3 (43) 6 (86)1 (14) 4 (57)3 (43)
CR (%) 0.404 0.264 0.577
  success28(55)12 (43)16 (57) 16 (57)12 (43) 15 (54)13 (46)
  failure23(45)13 (57)10 (43) 9 (39)14 (61) 10 (43)13 (57)
Resistance (%) 0.024 0.703 0.044
  yes8 (16)7 (88)1 (12) 3 (38)5 (62) 1 (13)7 (87)
  no43 (84)18 (42)25 (58) 22 (51)21 (49) 24 (56)19 (44)
Relapse (%) 1.000 0.047 0.137
  yes17 (61)7 (41)10 (59) 7 (41)10 (59) 7 (41)10 (59)
  no11 (39)5 (45)6 (55) 9 (82)2 (18) 8 (73)3 (27)
FLT3-ITD mutations (%) 0.324 1.000 0.199
  present12 (24)4 (33)8 (67) 6 (50)6(50) 8 (67)4 (33)
  absent39 (76)21 (54)18 (46) 19 (49)20 (51) 17 (44)22 (56)
NPM1 mutations (%) 0.237 0.144 0.144
  present17 (33)6 (35)11 (65) 11 (65)6 (35) 11 (65)6 (35)
  absent34 (67)19 (56)15 (44) 14 (41)20 (59) 14 (41)20 (59)

Clinical characteristics for de novo acute myeloid leukemia with normal karyotype (AML-NK) patients stratified by the level of MDR1 gene expression

ParameterTotal n=51MDR1+ n=26MDR1 n=25P
Sex 0.051
  Male (%)26 (51)17 (65)9 (35)
  Female (%)25 (49)9 (36)16 (64)
Age* (years)51 (23–62)53 (23–62)49 (23–62)0.396
WBC count* (×109/L)22 (1–349)7 (1–184)26 (0–349)0.071
Hemoglobin* (g/L)99 (66–131)106 (78–124)96 (66–131)0.191
  > 80 (g/L)45 (88)24 (53)21 (47)
  < 80 (g/L)6 (12)1 (17)5 (83)
Platelets* (×109/L)55 (8–422)42 (8–422)69.5 (16–169)0.129
LDH *(U/L)321 (1–2904)175 (1–2904)553.5 (175–1992)0.028
PB blast* (%)14 (0–98)14 (0–98)13.5 (0–87)0.900
BM blasts* (%)62 (30–97)57 (30–90)65 (33–97)0.565
CD34 (%) 0.025
  present24 (47)16 (67)8 (33)
  absent27 (53)9 (33)18 (67)
FAB (%) <0.001
  M04 (8)4 (100)0
  M15 (10)5 (100)0
  M218 (35)11 (61)7 (39)
  M417 (33)3 (18)14 (82)
  M57 (14)2 (29)5 (71)
Complete remission (%) 0.781
  success28(55)13 (46)15 (54)
  failure23(45)12 (52)11 (48)
Resistance (%) 1.000
  yes8 (16)4 (50)4 (50)
  no43 (84)21 (49)22 (51)
Relapse (%) 0.460
  yes17 (61)9 (53)8 (47)
  no11 (39)4 (36)7 (64)
FLT3-ITD mutations (%) 0.019
  present12 (24)2 (17)10 (83)
  absent39 (76)23 (59)16 (41)
NPM1 mutations (%) 0.075
  present17 (33)5 (29)12 (71)
  absent34 (67)20 (59)14 (41)
BCL2+25 (49)20 (80)5 (20)<0.001
BCL226 (51)5 (24)21 (76)
BAX/BCL2high25(49)5 (20)20 (80)
BAX/BCL2low26 (51)20 (77)6 (23)<0.001
DOI: https://doi.org/10.2478/raon-2023-0017 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 239 - 248
Submitted on: Jan 12, 2023
Accepted on: Mar 30, 2023
Published on: Apr 20, 2023
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2023 Zlatko Pravdic, Nada Suvajdzic Vukovic, Vladimir Gasic, Irena Marjanovic, Teodora Karan-Djurasevic, Sonja Pavlovic, Natasa Tosic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.