Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission

Acute myeloid leukemia (AML) is an aggressive, heterogeneous group of malignancies with different clinical behaviors and different responses to therapy. For many types of cancer, finding cancer early makes it easier to treat. Identifying prognostic molecular markers and understanding their biology a...

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Main Authors: Veronika Borutinskaitė, Andrius Žučenka, Aida Vitkevičienė, Mindaugas Stoškus, Algirdas Kaupinis, Mindaugas Valius, Eglė Gineikienė, Rūta Navakauskienė
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.821676/full
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author Veronika Borutinskaitė
Andrius Žučenka
Aida Vitkevičienė
Mindaugas Stoškus
Algirdas Kaupinis
Mindaugas Valius
Eglė Gineikienė
Rūta Navakauskienė
author_facet Veronika Borutinskaitė
Andrius Žučenka
Aida Vitkevičienė
Mindaugas Stoškus
Algirdas Kaupinis
Mindaugas Valius
Eglė Gineikienė
Rūta Navakauskienė
author_sort Veronika Borutinskaitė
collection DOAJ
description Acute myeloid leukemia (AML) is an aggressive, heterogeneous group of malignancies with different clinical behaviors and different responses to therapy. For many types of cancer, finding cancer early makes it easier to treat. Identifying prognostic molecular markers and understanding their biology are the first steps toward developing novel diagnostic tools or therapies for patients with AML. In this study, we defined proteins and genes that can be used in the prognosis of different acute leukemia cases and found possible uses in diagnostics and therapy. We analyzed newly diagnosed acute leukemia cases positive for t (15; 17) (q22; q21) PML-RAR alpha, acute promyelocytic leukemia (APL). The samples of bone marrow cells were collected from patients at the diagnosis stage, as follow-up samples during standard treatment with all-trans retinoic acid, idarubicin, and mitoxantrone, and at the molecular remission. We determined changes in the expression of genes involved in leukemia cell growth, apoptosis, and differentiation. We observed that WT1, CALR, CAV1, and MYC genes’ expression in all APL patients with no relapse history was downregulated after treatment and could be potential markers associated with the pathology, thereby revealing the potential value of this approach for a better characterization of the prediction of APL outcomes.
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spelling doaj.art-9d6e913bff764d9fa6f634dd555645692022-12-21T19:00:40ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-04-011310.3389/fgene.2022.821676821676Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular RemissionVeronika Borutinskaitė0Andrius Žučenka1Aida Vitkevičienė2Mindaugas Stoškus3Algirdas Kaupinis4Mindaugas Valius5Eglė Gineikienė6Rūta Navakauskienė7Department of Molecular Cell Biology, Life Sciences Center, Institute of Biochemistry, Vilnius University, Vilnius, LithuaniaHematology, Oncology, and Transfusion Medicine Centre, Vilnius University Hospital Santaros Klinikos, Vilnius, LithuaniaDepartment of Molecular Cell Biology, Life Sciences Center, Institute of Biochemistry, Vilnius University, Vilnius, LithuaniaHematology, Oncology, and Transfusion Medicine Centre, Vilnius University Hospital Santaros Klinikos, Vilnius, LithuaniaProteomic Center, Life Sciences Center, Institute of Biochemistry, Vilnius University, Vilnius, LithuaniaProteomic Center, Life Sciences Center, Institute of Biochemistry, Vilnius University, Vilnius, LithuaniaHematology, Oncology, and Transfusion Medicine Centre, Vilnius University Hospital Santaros Klinikos, Vilnius, LithuaniaDepartment of Molecular Cell Biology, Life Sciences Center, Institute of Biochemistry, Vilnius University, Vilnius, LithuaniaAcute myeloid leukemia (AML) is an aggressive, heterogeneous group of malignancies with different clinical behaviors and different responses to therapy. For many types of cancer, finding cancer early makes it easier to treat. Identifying prognostic molecular markers and understanding their biology are the first steps toward developing novel diagnostic tools or therapies for patients with AML. In this study, we defined proteins and genes that can be used in the prognosis of different acute leukemia cases and found possible uses in diagnostics and therapy. We analyzed newly diagnosed acute leukemia cases positive for t (15; 17) (q22; q21) PML-RAR alpha, acute promyelocytic leukemia (APL). The samples of bone marrow cells were collected from patients at the diagnosis stage, as follow-up samples during standard treatment with all-trans retinoic acid, idarubicin, and mitoxantrone, and at the molecular remission. We determined changes in the expression of genes involved in leukemia cell growth, apoptosis, and differentiation. We observed that WT1, CALR, CAV1, and MYC genes’ expression in all APL patients with no relapse history was downregulated after treatment and could be potential markers associated with the pathology, thereby revealing the potential value of this approach for a better characterization of the prediction of APL outcomes.https://www.frontiersin.org/articles/10.3389/fgene.2022.821676/fullblastrelapsemolecular remissionepigeneticsacute promyelocytic leukemia
spellingShingle Veronika Borutinskaitė
Andrius Žučenka
Aida Vitkevičienė
Mindaugas Stoškus
Algirdas Kaupinis
Mindaugas Valius
Eglė Gineikienė
Rūta Navakauskienė
Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
Frontiers in Genetics
blast
relapse
molecular remission
epigenetics
acute promyelocytic leukemia
title Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
title_full Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
title_fullStr Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
title_full_unstemmed Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
title_short Genetic and Epigenetic Signatures in Acute Promyelocytic Leukemia Treatment and Molecular Remission
title_sort genetic and epigenetic signatures in acute promyelocytic leukemia treatment and molecular remission
topic blast
relapse
molecular remission
epigenetics
acute promyelocytic leukemia
url https://www.frontiersin.org/articles/10.3389/fgene.2022.821676/full
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