Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia

Abstract Atypical chronic myeloid leukemia (aCML) and chronic myelomonocytic leukemia (CMML) represent two histologically and clinically overlapping myelodysplastic/myeloproliferative neoplasms. Also the mutational landscapes of both entities show congruencies. We analyzed and compared an aCML cohor...

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Main Authors: Muhammad Faisal, Helge Stark, Guntram Büsche, Jerome Schlue, Kristin Teiken, Hans H. Kreipe, Ulrich Lehmann, Stephan Bartels
Format: Article
Language:English
Published: Wiley 2019-02-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.1946
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author Muhammad Faisal
Helge Stark
Guntram Büsche
Jerome Schlue
Kristin Teiken
Hans H. Kreipe
Ulrich Lehmann
Stephan Bartels
author_facet Muhammad Faisal
Helge Stark
Guntram Büsche
Jerome Schlue
Kristin Teiken
Hans H. Kreipe
Ulrich Lehmann
Stephan Bartels
author_sort Muhammad Faisal
collection DOAJ
description Abstract Atypical chronic myeloid leukemia (aCML) and chronic myelomonocytic leukemia (CMML) represent two histologically and clinically overlapping myelodysplastic/myeloproliferative neoplasms. Also the mutational landscapes of both entities show congruencies. We analyzed and compared an aCML cohort (n = 26) and a CMML cohort (n = 59) by next‐generation sequencing of 25 genes and by an nCounter approach for differential expression in 107 genes. Significant differences were found with regard to the mutation frequency of TET2, SETBP1, and CSF3R. Blast content of the bone marrow revealed an inverse correlation with the mutation status of SETBP1 in aCML and TET2 in CMML, respectively. By linear discriminant analysis, a mutation‐based machine learning algorithm was generated which placed 19/26 aCML cases (73%) and 54/59 (92%) CMML cases into the correct category. After multiple correction, differential mRNA expression could be detected between both cohorts in a subset of genes (FLT3, CSF3R, and SETBP1 showed the strongest correlation). However, due to high variances in the mRNA expression, the potential utility for the clinic is limited. We conclude that a medium‐sized NGS panel provides a valuable assistance for the correct classification of aCML and CMML.
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spelling doaj.art-bb068ec494524e49bb8551bef0ef8ed22023-07-13T12:30:56ZengWileyCancer Medicine2045-76342019-02-018274275010.1002/cam4.1946Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemiaMuhammad Faisal0Helge Stark1Guntram Büsche2Jerome Schlue3Kristin Teiken4Hans H. Kreipe5Ulrich Lehmann6Stephan Bartels7Institute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyInstitute of Pathology Hannover Medical School Hannover GermanyAbstract Atypical chronic myeloid leukemia (aCML) and chronic myelomonocytic leukemia (CMML) represent two histologically and clinically overlapping myelodysplastic/myeloproliferative neoplasms. Also the mutational landscapes of both entities show congruencies. We analyzed and compared an aCML cohort (n = 26) and a CMML cohort (n = 59) by next‐generation sequencing of 25 genes and by an nCounter approach for differential expression in 107 genes. Significant differences were found with regard to the mutation frequency of TET2, SETBP1, and CSF3R. Blast content of the bone marrow revealed an inverse correlation with the mutation status of SETBP1 in aCML and TET2 in CMML, respectively. By linear discriminant analysis, a mutation‐based machine learning algorithm was generated which placed 19/26 aCML cases (73%) and 54/59 (92%) CMML cases into the correct category. After multiple correction, differential mRNA expression could be detected between both cohorts in a subset of genes (FLT3, CSF3R, and SETBP1 showed the strongest correlation). However, due to high variances in the mRNA expression, the potential utility for the clinic is limited. We conclude that a medium‐sized NGS panel provides a valuable assistance for the correct classification of aCML and CMML.https://doi.org/10.1002/cam4.1946aCMLCMMLmachine learning algorithmnCounterNGS
spellingShingle Muhammad Faisal
Helge Stark
Guntram Büsche
Jerome Schlue
Kristin Teiken
Hans H. Kreipe
Ulrich Lehmann
Stephan Bartels
Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
Cancer Medicine
aCML
CMML
machine learning algorithm
nCounter
NGS
title Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
title_full Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
title_fullStr Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
title_full_unstemmed Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
title_short Comprehensive mutation profiling and mRNA expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
title_sort comprehensive mutation profiling and mrna expression analysis in atypical chronic myeloid leukemia in comparison with chronic myelomonocytic leukemia
topic aCML
CMML
machine learning algorithm
nCounter
NGS
url https://doi.org/10.1002/cam4.1946
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