High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia

In solid tumours, high expression of the glycolytic enzyme, α-enolase (ENO1), predicts for poor patient overall survival (OS), and circulating autoantibodies to ENO1 correlate positively with diagnosis and negatively with advanced disease. Although ENO1 is one of the most highly expressed genes in a...

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Main Authors: Lisa F. Lincz, Danielle Z. Theron, Daniel L. Barry, Fiona E. Scorgie, Jonathan Sillar, Opelo Sefhore, Anoop K. Enjeti, Kathryn A. Skelding
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/5/884
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author Lisa F. Lincz
Danielle Z. Theron
Daniel L. Barry
Fiona E. Scorgie
Jonathan Sillar
Opelo Sefhore
Anoop K. Enjeti
Kathryn A. Skelding
author_facet Lisa F. Lincz
Danielle Z. Theron
Daniel L. Barry
Fiona E. Scorgie
Jonathan Sillar
Opelo Sefhore
Anoop K. Enjeti
Kathryn A. Skelding
author_sort Lisa F. Lincz
collection DOAJ
description In solid tumours, high expression of the glycolytic enzyme, α-enolase (ENO1), predicts for poor patient overall survival (OS), and circulating autoantibodies to ENO1 correlate positively with diagnosis and negatively with advanced disease. Although ENO1 is one of the most highly expressed genes in acute myeloid leukaemia (AML), its potential role as a biomarker in AML or its precursor, myelodysplastic neoplasms (MDS), has not been investigated. A meta-analysis of nine AML online datasets (n = 1419 patients) revealed that high ENO1 expression predicts for poor OS (HR = 1.22, 95% CI: 1.10–1.34, <i>p</i> < 0.001). Additionally, when compared to AML in remission (n = 5), ENO1 protein detected by immunohistochemistry was significantly higher at diagnosis in bone marrow from both AML (n = 5, <i>p</i> < 0.01) and MDS patients (n = 12, <i>p</i> < 0.05), and did not correlate with percentage of blasts (<i>r</i> = 0.28, <i>p</i> = 0.21). AML patients (n = 34) had lower circulating levels of ENO1 autoantibodies detected by ELISA compared to 26 MDS and 18 controls (<i>p</i> = 0.003). However, there was no difference in OS between AML patients with high vs. low levels of anti-ENO1 autoantibodies (<i>p</i> = 0.77). BM immunostaining for ENO1 and patient monitoring of anti-ENO1 autoantibody levels may be useful biomarkers for MDS and AML.
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spelling doaj.art-736e64450e1b482897b42102a288f3832024-03-12T16:40:42ZengMDPI AGCancers2072-66942024-02-0116588410.3390/cancers16050884High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid LeukaemiaLisa F. Lincz0Danielle Z. Theron1Daniel L. Barry2Fiona E. Scorgie3Jonathan Sillar4Opelo Sefhore5Anoop K. Enjeti6Kathryn A. Skelding7Haematology Department, Calvary Mater Newcastle, Waratah, NSW 2298, AustraliaUniversity of Newcastle, University Drive, Callaghan, NSW 2308, AustraliaUniversity of Newcastle, University Drive, Callaghan, NSW 2308, AustraliaHaematology Department, Calvary Mater Newcastle, Waratah, NSW 2298, AustraliaHaematology Department, Calvary Mater Newcastle, Waratah, NSW 2298, AustraliaHaematology Department, Calvary Mater Newcastle, Waratah, NSW 2298, AustraliaHaematology Department, Calvary Mater Newcastle, Waratah, NSW 2298, AustraliaUniversity of Newcastle, University Drive, Callaghan, NSW 2308, AustraliaIn solid tumours, high expression of the glycolytic enzyme, α-enolase (ENO1), predicts for poor patient overall survival (OS), and circulating autoantibodies to ENO1 correlate positively with diagnosis and negatively with advanced disease. Although ENO1 is one of the most highly expressed genes in acute myeloid leukaemia (AML), its potential role as a biomarker in AML or its precursor, myelodysplastic neoplasms (MDS), has not been investigated. A meta-analysis of nine AML online datasets (n = 1419 patients) revealed that high ENO1 expression predicts for poor OS (HR = 1.22, 95% CI: 1.10–1.34, <i>p</i> < 0.001). Additionally, when compared to AML in remission (n = 5), ENO1 protein detected by immunohistochemistry was significantly higher at diagnosis in bone marrow from both AML (n = 5, <i>p</i> < 0.01) and MDS patients (n = 12, <i>p</i> < 0.05), and did not correlate with percentage of blasts (<i>r</i> = 0.28, <i>p</i> = 0.21). AML patients (n = 34) had lower circulating levels of ENO1 autoantibodies detected by ELISA compared to 26 MDS and 18 controls (<i>p</i> = 0.003). However, there was no difference in OS between AML patients with high vs. low levels of anti-ENO1 autoantibodies (<i>p</i> = 0.77). BM immunostaining for ENO1 and patient monitoring of anti-ENO1 autoantibody levels may be useful biomarkers for MDS and AML.https://www.mdpi.com/2072-6694/16/5/884alpha-enolaseENO1autoantibodiesacute myeloid leukaemiamyelodysplastic neoplasmsbone marrow
spellingShingle Lisa F. Lincz
Danielle Z. Theron
Daniel L. Barry
Fiona E. Scorgie
Jonathan Sillar
Opelo Sefhore
Anoop K. Enjeti
Kathryn A. Skelding
High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
Cancers
alpha-enolase
ENO1
autoantibodies
acute myeloid leukaemia
myelodysplastic neoplasms
bone marrow
title High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
title_full High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
title_fullStr High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
title_full_unstemmed High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
title_short High Expression of ENO1 and Low Levels of Circulating Anti-ENO1 Autoantibodies in Patients with Myelodysplastic Neoplasms and Acute Myeloid Leukaemia
title_sort high expression of eno1 and low levels of circulating anti eno1 autoantibodies in patients with myelodysplastic neoplasms and acute myeloid leukaemia
topic alpha-enolase
ENO1
autoantibodies
acute myeloid leukaemia
myelodysplastic neoplasms
bone marrow
url https://www.mdpi.com/2072-6694/16/5/884
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