The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.

<h4>Objectives</h4>Chronic lymphocytic leukemia (CLL) is a lymphoproliferative disease with heterogeneous clinical course. Recent studies revealed a link between NOTCH1 mutation and the overexpression of MYC and MYC-related genes involved in ribosome biogenesis and protein biosynthesis,...

Full description

Bibliographic Details
Main Authors: Monika Szelest, Marta Masternak, Małgorzata Zając, Michał Chojnacki, Katarzyna Skórka, Joanna Zaleska, Agnieszka Karczmarczyk, Grażyna Stasiak, Ewa Wawrzyniak, Aleksandra Kotkowska, Monika Siemieniuk-Ryś, Joanna Purkot, Edyta Subocz, Edyta Cichocka, Waldemar Tomczak, Daria Zawirska, Krzysztof Giannopoulos
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0276674
_version_ 1811192485474467840
author Monika Szelest
Marta Masternak
Małgorzata Zając
Michał Chojnacki
Katarzyna Skórka
Joanna Zaleska
Agnieszka Karczmarczyk
Grażyna Stasiak
Ewa Wawrzyniak
Aleksandra Kotkowska
Monika Siemieniuk-Ryś
Joanna Purkot
Edyta Subocz
Edyta Cichocka
Waldemar Tomczak
Daria Zawirska
Krzysztof Giannopoulos
author_facet Monika Szelest
Marta Masternak
Małgorzata Zając
Michał Chojnacki
Katarzyna Skórka
Joanna Zaleska
Agnieszka Karczmarczyk
Grażyna Stasiak
Ewa Wawrzyniak
Aleksandra Kotkowska
Monika Siemieniuk-Ryś
Joanna Purkot
Edyta Subocz
Edyta Cichocka
Waldemar Tomczak
Daria Zawirska
Krzysztof Giannopoulos
author_sort Monika Szelest
collection DOAJ
description <h4>Objectives</h4>Chronic lymphocytic leukemia (CLL) is a lymphoproliferative disease with heterogeneous clinical course. Recent studies revealed a link between NOTCH1 mutation and the overexpression of MYC and MYC-related genes involved in ribosome biogenesis and protein biosynthesis, such as nucleophosmin-1 (NPM1), in CLL cells. In the present study, we aim to evaluate the impact of the NOTCH1 mutation on the MYC and MYC induced NPM1 expression in CLL cells via quantification of their transcripts.<h4>Methods</h4>Using qRT-PCR, we analyzed the levels of MYC and three main NPM1 splice variants in 214 samples collected from CLL patients. We assessed the impact of each splice variant on CLL prognostic markers, including the IGHV, TP53, NOTCH1, SF3B1, and MYD88 mutational status, cytogenetic aberrations, and laboratory features.<h4>Results</h4>Significantly higher levels of NPM1.R1 transcripts in patients with unmutated compared to mutated IGHV status were found. The median time to first treatment (TTFT) in patients with a high level of NPM1.R1 was significantly shorter compared to the group with low NPM1.R1 levels (1.5 vs 33 months, p = 0.0002). Moreover, in Multivariate Cox Proportional Hazard Regression Model NPM1.R1 splice variant provided an independent prognostic value for TTFT.<h4>Conclusion</h4>In conclusion, our study indicates the prognostic significance of the level of NPM1.R1 expression and suggests the importance of splicing alterations in the pathogenesis of CLL.
first_indexed 2024-04-11T23:53:22Z
format Article
id doaj.art-c090ad7b145c4387b17bc511ab417c17
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-11T23:53:22Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-c090ad7b145c4387b17bc511ab417c172022-12-22T03:56:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011710e027667410.1371/journal.pone.0276674The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.Monika SzelestMarta MasternakMałgorzata ZającMichał ChojnackiKatarzyna SkórkaJoanna ZaleskaAgnieszka KarczmarczykGrażyna StasiakEwa WawrzyniakAleksandra KotkowskaMonika Siemieniuk-RyśJoanna PurkotEdyta SuboczEdyta CichockaWaldemar TomczakDaria ZawirskaKrzysztof Giannopoulos<h4>Objectives</h4>Chronic lymphocytic leukemia (CLL) is a lymphoproliferative disease with heterogeneous clinical course. Recent studies revealed a link between NOTCH1 mutation and the overexpression of MYC and MYC-related genes involved in ribosome biogenesis and protein biosynthesis, such as nucleophosmin-1 (NPM1), in CLL cells. In the present study, we aim to evaluate the impact of the NOTCH1 mutation on the MYC and MYC induced NPM1 expression in CLL cells via quantification of their transcripts.<h4>Methods</h4>Using qRT-PCR, we analyzed the levels of MYC and three main NPM1 splice variants in 214 samples collected from CLL patients. We assessed the impact of each splice variant on CLL prognostic markers, including the IGHV, TP53, NOTCH1, SF3B1, and MYD88 mutational status, cytogenetic aberrations, and laboratory features.<h4>Results</h4>Significantly higher levels of NPM1.R1 transcripts in patients with unmutated compared to mutated IGHV status were found. The median time to first treatment (TTFT) in patients with a high level of NPM1.R1 was significantly shorter compared to the group with low NPM1.R1 levels (1.5 vs 33 months, p = 0.0002). Moreover, in Multivariate Cox Proportional Hazard Regression Model NPM1.R1 splice variant provided an independent prognostic value for TTFT.<h4>Conclusion</h4>In conclusion, our study indicates the prognostic significance of the level of NPM1.R1 expression and suggests the importance of splicing alterations in the pathogenesis of CLL.https://doi.org/10.1371/journal.pone.0276674
spellingShingle Monika Szelest
Marta Masternak
Małgorzata Zając
Michał Chojnacki
Katarzyna Skórka
Joanna Zaleska
Agnieszka Karczmarczyk
Grażyna Stasiak
Ewa Wawrzyniak
Aleksandra Kotkowska
Monika Siemieniuk-Ryś
Joanna Purkot
Edyta Subocz
Edyta Cichocka
Waldemar Tomczak
Daria Zawirska
Krzysztof Giannopoulos
The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
PLoS ONE
title The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
title_full The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
title_fullStr The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
title_full_unstemmed The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
title_short The role of NPM1 alternative splicing in patients with chronic lymphocytic leukemia.
title_sort role of npm1 alternative splicing in patients with chronic lymphocytic leukemia
url https://doi.org/10.1371/journal.pone.0276674
work_keys_str_mv AT monikaszelest theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT martamasternak theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT małgorzatazajac theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT michałchojnacki theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT katarzynaskorka theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT joannazaleska theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT agnieszkakarczmarczyk theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT grazynastasiak theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT ewawawrzyniak theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT aleksandrakotkowska theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT monikasiemieniukrys theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT joannapurkot theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT edytasubocz theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT edytacichocka theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT waldemartomczak theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT dariazawirska theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT krzysztofgiannopoulos theroleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT monikaszelest roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT martamasternak roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT małgorzatazajac roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT michałchojnacki roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT katarzynaskorka roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT joannazaleska roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT agnieszkakarczmarczyk roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT grazynastasiak roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT ewawawrzyniak roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT aleksandrakotkowska roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT monikasiemieniukrys roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT joannapurkot roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT edytasubocz roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT edytacichocka roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT waldemartomczak roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT dariazawirska roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia
AT krzysztofgiannopoulos roleofnpm1alternativesplicinginpatientswithchroniclymphocyticleukemia