Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies

Objective: To study the frequency of mutations that may lead to a good or bad prognosis, as well as their relation with the karyotype and immunophenotype in patients with acute myeloid leukemia. Methods: Thirty samples of patients with acute myeloid leukemia were studied, in which FLT3-ITD, FLT3-TK...

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Main Authors: Elvira Deolinda Rodrigues Pereira Velloso, Carlos Henrique Ares Silveira da Motta, Juliana Braga Furtado, Nydia Strachman Bacal, Paulo Augusto Achucarro Silveira, Cynthia Bachir Moyses, Roberta Sitnik, João Renato Rebello Pinho
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2011-06-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000200184&tlng=en
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author Elvira Deolinda Rodrigues Pereira Velloso
Carlos Henrique Ares Silveira da Motta
Juliana Braga Furtado
Nydia Strachman Bacal
Paulo Augusto Achucarro Silveira
Cynthia Bachir Moyses
Roberta Sitnik
João Renato Rebello Pinho
author_facet Elvira Deolinda Rodrigues Pereira Velloso
Carlos Henrique Ares Silveira da Motta
Juliana Braga Furtado
Nydia Strachman Bacal
Paulo Augusto Achucarro Silveira
Cynthia Bachir Moyses
Roberta Sitnik
João Renato Rebello Pinho
author_sort Elvira Deolinda Rodrigues Pereira Velloso
collection DOAJ
description Objective: To study the frequency of mutations that may lead to a good or bad prognosis, as well as their relation with the karyotype and immunophenotype in patients with acute myeloid leukemia. Methods: Thirty samples of patients with acute myeloid leukemia were studied, in which FLT3-ITD, FLT3-TKD and NPM1 mutations were investigated. All samples were submitted to immunophenotyping and 25 to karyotyping. Results: An occurrence of 33.3% NPM1 mutation and an equal number of FLT3-ITD mutation were observed. When only the cases with normal karyotype were studied, this figures increased to 50 and 40%, respectively. Eight percent of cases with normal karyotype and genotype NPM1+/FLT3- were included in the group of acute myeloid leukemia with good prognosis. The typical phenotype of acute myeloid leukemia with normal karyotype and mutated NPM1 (HLA-DR and CD34 negative) was not observed in this small series. Conclusion: Good prognosis cases were identified in this series, emphasizing the need to include new genetic markers in the diagnostic routine for the correct classification of acute myeloid leukemia, to more properly estimate prognosis and determine treatment.
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spelling doaj.art-56e0bc200ee74f3da09800dfaf3e90c62022-12-21T20:13:10ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852011-06-019218418910.1590/s1679-45082011ao2041Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studiesElvira Deolinda Rodrigues Pereira VellosoCarlos Henrique Ares Silveira da MottaJuliana Braga FurtadoNydia Strachman BacalPaulo Augusto Achucarro SilveiraCynthia Bachir MoysesRoberta SitnikJoão Renato Rebello PinhoObjective: To study the frequency of mutations that may lead to a good or bad prognosis, as well as their relation with the karyotype and immunophenotype in patients with acute myeloid leukemia. Methods: Thirty samples of patients with acute myeloid leukemia were studied, in which FLT3-ITD, FLT3-TKD and NPM1 mutations were investigated. All samples were submitted to immunophenotyping and 25 to karyotyping. Results: An occurrence of 33.3% NPM1 mutation and an equal number of FLT3-ITD mutation were observed. When only the cases with normal karyotype were studied, this figures increased to 50 and 40%, respectively. Eight percent of cases with normal karyotype and genotype NPM1+/FLT3- were included in the group of acute myeloid leukemia with good prognosis. The typical phenotype of acute myeloid leukemia with normal karyotype and mutated NPM1 (HLA-DR and CD34 negative) was not observed in this small series. Conclusion: Good prognosis cases were identified in this series, emphasizing the need to include new genetic markers in the diagnostic routine for the correct classification of acute myeloid leukemia, to more properly estimate prognosis and determine treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000200184&tlng=enLeukemia, myeloid, acute/geneticsCytogeneticsGenetic makersChromosome aberrations
spellingShingle Elvira Deolinda Rodrigues Pereira Velloso
Carlos Henrique Ares Silveira da Motta
Juliana Braga Furtado
Nydia Strachman Bacal
Paulo Augusto Achucarro Silveira
Cynthia Bachir Moyses
Roberta Sitnik
João Renato Rebello Pinho
Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
Einstein (São Paulo)
Leukemia, myeloid, acute/genetics
Cytogenetics
Genetic makers
Chromosome aberrations
title Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
title_full Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
title_fullStr Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
title_full_unstemmed Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
title_short Molecular and cytogenetic abnormalities in acute myeloid leukemia: review and case studies
title_sort molecular and cytogenetic abnormalities in acute myeloid leukemia review and case studies
topic Leukemia, myeloid, acute/genetics
Cytogenetics
Genetic makers
Chromosome aberrations
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000200184&tlng=en
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