P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL

Background: Acute Myeloid Leukemia (AML) a cancer of the white blood cells, characterized by infiltration of leukemic blasts in the bone marrow (BM), affects the proliferation and maturation of the cells in the BM. Genetic variants are related in the AML, as in the gene encodes a tumor suppressor pr...

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Main Authors: GSP Braz, TCD Santos, MOD Santos, VC Costa, LPS Mourão, WO Azevedo, ROD Santos, AM Tarragô, GAV Silva
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Hematology, Transfusion and Cell Therapy
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137923007010
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author GSP Braz
TCD Santos
MOD Santos
VC Costa
LPS Mourão
WO Azevedo
ROD Santos
AM Tarragô
GAV Silva
author_facet GSP Braz
TCD Santos
MOD Santos
VC Costa
LPS Mourão
WO Azevedo
ROD Santos
AM Tarragô
GAV Silva
author_sort GSP Braz
collection DOAJ
description Background: Acute Myeloid Leukemia (AML) a cancer of the white blood cells, characterized by infiltration of leukemic blasts in the bone marrow (BM), affects the proliferation and maturation of the cells in the BM. Genetic variants are related in the AML, as in the gene encodes a tumor suppressor protein TP53, associated with adverse prognostic of the disease, related with lower survival of the AML patients. Objective: We evaluated the presence of genetic variants in the TP53 exome in patients with AML, also investigated possible association of the TP53 variants with clinical and laboratory data. Methods: Study population was composed of 10 AML patients, the nucleotide sequencing was performed in BM samples, the presence of variants was investigated in the TP53 2 – 11 exons. Results: Among the patients, three (30%) are male and seven (70%) females, being six patients with primary AML, one secondary AML and three patients with relapsed. Variants different were observed in the TP53 exome, as more prevalent those located in the 4 exon, as P72R. Variants missense identified: L32K (exon 3), M44K, P72R, W91G and A119D (exon 4), E271D and P278L (exon 8), K357M (exon 10) and no sense variant c.1069 A>T* (exon 10). According to number of variants identified in each patient, we define as Group 1 that with 1-2 variants, >2 variants as Group 2. The white blood cell count was higher in the group 2 when compared to group 1 [10.680 (1.1215 - 86.030) vs 9.770 (4.760 - 149.900)]. As well as the red blood cell count was high in the group 2 [3.21 (2.89 - 3.59) vs 2.95 (2.57 - 3.09)], also to platelet count [44.000 (16.000 - 71.000) vs 35.000 (16.000 - 44.000)]. Discussion: Previous studies have shown low frequency of variants in the TP53 gene, approximately 5-10% of the AML cases and 30% related in the AML-t, the variants are prevalent in the 4 to exon, however, we identified variants in all patients. The P72R variant was common between patients, most variants occur mainly in the exon 4. Conclusion: Variants in the TP53 are frequently observed in AML patients, the number of variants may be associated with change hematological. We highlight the P72R variant as possible marker for disease, however, further studies are needed to evaluate the effect of this variants with outcome of the disease.
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spelling doaj.art-25ea1688c64f4d86b626f6578bfa36de2023-10-20T06:42:03ZengElsevierHematology, Transfusion and Cell Therapy2531-13792023-10-0145S261S262P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZILGSP Braz0TCD Santos1MOD Santos2VC Costa3LPS Mourão4WO Azevedo5ROD Santos6AM Tarragô7GAV Silva8Programa de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, BrazilPrograma de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, BrazilPrograma de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, BrazilFundação Hospitalar de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, BrazilPrograma de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, Brazil; Universidade do Estado do Amazonas (UEA), Manaus, BrazilFundação Hospitalar de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, BrazilFundação Hospitalar de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, BrazilPrograma de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, Brazil; Fundação Hospitalar de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, BrazilPrograma de Pós-Graduação em Ciências Aplicadas à Hematologia (PPGH), Universidade do Estado do Amazonas (UEA), Manaus, Brazil; Fundação Hospitalar de Hematologia e Hemoterapia do Amazonas (HEMOAM), Manaus, BrazilBackground: Acute Myeloid Leukemia (AML) a cancer of the white blood cells, characterized by infiltration of leukemic blasts in the bone marrow (BM), affects the proliferation and maturation of the cells in the BM. Genetic variants are related in the AML, as in the gene encodes a tumor suppressor protein TP53, associated with adverse prognostic of the disease, related with lower survival of the AML patients. Objective: We evaluated the presence of genetic variants in the TP53 exome in patients with AML, also investigated possible association of the TP53 variants with clinical and laboratory data. Methods: Study population was composed of 10 AML patients, the nucleotide sequencing was performed in BM samples, the presence of variants was investigated in the TP53 2 – 11 exons. Results: Among the patients, three (30%) are male and seven (70%) females, being six patients with primary AML, one secondary AML and three patients with relapsed. Variants different were observed in the TP53 exome, as more prevalent those located in the 4 exon, as P72R. Variants missense identified: L32K (exon 3), M44K, P72R, W91G and A119D (exon 4), E271D and P278L (exon 8), K357M (exon 10) and no sense variant c.1069 A>T* (exon 10). According to number of variants identified in each patient, we define as Group 1 that with 1-2 variants, >2 variants as Group 2. The white blood cell count was higher in the group 2 when compared to group 1 [10.680 (1.1215 - 86.030) vs 9.770 (4.760 - 149.900)]. As well as the red blood cell count was high in the group 2 [3.21 (2.89 - 3.59) vs 2.95 (2.57 - 3.09)], also to platelet count [44.000 (16.000 - 71.000) vs 35.000 (16.000 - 44.000)]. Discussion: Previous studies have shown low frequency of variants in the TP53 gene, approximately 5-10% of the AML cases and 30% related in the AML-t, the variants are prevalent in the 4 to exon, however, we identified variants in all patients. The P72R variant was common between patients, most variants occur mainly in the exon 4. Conclusion: Variants in the TP53 are frequently observed in AML patients, the number of variants may be associated with change hematological. We highlight the P72R variant as possible marker for disease, however, further studies are needed to evaluate the effect of this variants with outcome of the disease.http://www.sciencedirect.com/science/article/pii/S2531137923007010
spellingShingle GSP Braz
TCD Santos
MOD Santos
VC Costa
LPS Mourão
WO Azevedo
ROD Santos
AM Tarragô
GAV Silva
P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
Hematology, Transfusion and Cell Therapy
title P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
title_full P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
title_fullStr P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
title_full_unstemmed P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
title_short P72R TP53 VARIANT AS A POTENTIAL MARKER FOR ACUTE MYELOID LEUKEMIA FROM AMAZONAS STATE, BRAZIL
title_sort p72r tp53 variant as a potential marker for acute myeloid leukemia from amazonas state brazil
url http://www.sciencedirect.com/science/article/pii/S2531137923007010
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