The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China

Abstract Background The clinical significance of protein tyrosine phosphatase nonreceptor type 11 mutation (PTPN11mut) in acute myeloid leukemia (AML) is underestimated. Methods We collected the data of AML patients with mutated PTPN11 and wild‐type PTPN11 (PTPN11wt) treated at our hospital and anal...

Full description

Bibliographic Details
Main Authors: Jinjun Yang, Lei Zhao, Yu Wu, Ting Niu, Yuping Gong, Xinchuan Chen, Xiaoou Huang, Jiazhuo Liu, Yang Dai, Hongbing Ma
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6669
_version_ 1797387125045329920
author Jinjun Yang
Lei Zhao
Yu Wu
Ting Niu
Yuping Gong
Xinchuan Chen
Xiaoou Huang
Jiazhuo Liu
Yang Dai
Hongbing Ma
author_facet Jinjun Yang
Lei Zhao
Yu Wu
Ting Niu
Yuping Gong
Xinchuan Chen
Xiaoou Huang
Jiazhuo Liu
Yang Dai
Hongbing Ma
author_sort Jinjun Yang
collection DOAJ
description Abstract Background The clinical significance of protein tyrosine phosphatase nonreceptor type 11 mutation (PTPN11mut) in acute myeloid leukemia (AML) is underestimated. Methods We collected the data of AML patients with mutated PTPN11 and wild‐type PTPN11 (PTPN11wt) treated at our hospital and analyzed their clinical characteristics and prognosis. Results Fifty‐nine PTPN11mut and 124 PTPN11wt AML patients were included. PTPN11mut was more common in myelomonocytic and monocytic leukemia, and was more likely to co‐mutate with KRAS, KMT2C, NRAS, U2AF1, NOTCH1, IKZF1, and USH2A mutations than PTPN11wt. The overall survival for AML patients with PTPN11mut was significantly shorter than that for those with PTPN11wt (p = 0.03). The negative impact of PTPN11mut on overall survival was pronounced in the “favorable” and “intermediate” groups of ELN2017 risk stratification, as well as in the wild‐type NPM1 group (p = 0.01, p = 0.01, and p = 0.04). Conclusion PTPN11mut is associated with distinct clinical and molecular characteristics, and adverse prognosis in AML patients.
first_indexed 2024-03-08T22:19:21Z
format Article
id doaj.art-7ab46c18738b46b6953282996115ea69
institution Directory Open Access Journal
issn 2045-7634
language English
last_indexed 2024-03-08T22:19:21Z
publishDate 2023-12-01
publisher Wiley
record_format Article
series Cancer Medicine
spelling doaj.art-7ab46c18738b46b6953282996115ea692023-12-18T14:43:07ZengWileyCancer Medicine2045-76342023-12-011223211112111710.1002/cam4.6669The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in ChinaJinjun Yang0Lei Zhao1Yu Wu2Ting Niu3Yuping Gong4Xinchuan Chen5Xiaoou Huang6Jiazhuo Liu7Yang Dai8Hongbing Ma9Department of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaDepartment of Hematology and Institute of Hematology, West China Hospital Sichuan University Chengdu ChinaAbstract Background The clinical significance of protein tyrosine phosphatase nonreceptor type 11 mutation (PTPN11mut) in acute myeloid leukemia (AML) is underestimated. Methods We collected the data of AML patients with mutated PTPN11 and wild‐type PTPN11 (PTPN11wt) treated at our hospital and analyzed their clinical characteristics and prognosis. Results Fifty‐nine PTPN11mut and 124 PTPN11wt AML patients were included. PTPN11mut was more common in myelomonocytic and monocytic leukemia, and was more likely to co‐mutate with KRAS, KMT2C, NRAS, U2AF1, NOTCH1, IKZF1, and USH2A mutations than PTPN11wt. The overall survival for AML patients with PTPN11mut was significantly shorter than that for those with PTPN11wt (p = 0.03). The negative impact of PTPN11mut on overall survival was pronounced in the “favorable” and “intermediate” groups of ELN2017 risk stratification, as well as in the wild‐type NPM1 group (p = 0.01, p = 0.01, and p = 0.04). Conclusion PTPN11mut is associated with distinct clinical and molecular characteristics, and adverse prognosis in AML patients.https://doi.org/10.1002/cam4.6669acute myeloid leukemiaevent‐free survivaloverall survivalPTPN11
spellingShingle Jinjun Yang
Lei Zhao
Yu Wu
Ting Niu
Yuping Gong
Xinchuan Chen
Xiaoou Huang
Jiazhuo Liu
Yang Dai
Hongbing Ma
The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
Cancer Medicine
acute myeloid leukemia
event‐free survival
overall survival
PTPN11
title The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
title_full The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
title_fullStr The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
title_full_unstemmed The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
title_short The clinical features and prognostic implications of PTPN11 mutation in adult patients with acute myeloid leukemia in China
title_sort clinical features and prognostic implications of ptpn11 mutation in adult patients with acute myeloid leukemia in china
topic acute myeloid leukemia
event‐free survival
overall survival
PTPN11
url https://doi.org/10.1002/cam4.6669
work_keys_str_mv AT jinjunyang theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT leizhao theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yuwu theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT tingniu theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yupinggong theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT xinchuanchen theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT xiaoouhuang theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT jiazhuoliu theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yangdai theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT hongbingma theclinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT jinjunyang clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT leizhao clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yuwu clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT tingniu clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yupinggong clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT xinchuanchen clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT xiaoouhuang clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT jiazhuoliu clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT yangdai clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina
AT hongbingma clinicalfeaturesandprognosticimplicationsofptpn11mutationinadultpatientswithacutemyeloidleukemiainchina