High IGSF4 expression in pediatric M5 acute myeloid leukemia with t(9;11)(p22;q23)

Jenny E Kuipers, Eva A Coenen, Brian V Balgobind, Jan Stary, Andre Baruchel, Valerie de Haas, Eveline S J M de Bont, Dirk Reinhardt, Gertjan J L Kaspers, Jacqueline Cloos, Astrid A Danen-van Oorschot, Monique L den Boer, Rolf Marschalek, Claus Meyer, Rob Pieters, C Michel Zwaan, Marry M van den Heuvel-Eibrink

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Pediatric mixed-lineage leukemia (MLL)-rearranged acute monoblastic leukemia with t(9;11)(p22;q23) has a favorable outcome compared with other MLL-rearranged AML. The biologic background for this difference remains unknown. Therefore, we compared gene expression profiles (GEPs; Affymetrix HGU133 + 2.0) of 26 t(9;11)(p22;q23) patients with 42 other MLL-rearranged AML patients to identify differentially expressed genes. IGSF4, a cell-cell adhesion molecule, was found to be highly expressed in t(9;11)(p22;q23) patients, which was confirmed by real-time quantitative polymerase chain reaction and Western blot. IGSF4 expression within t(9;11)(p22;q23) patients was 4.9 times greater in French-American-British morphology classification (FAB)-M5 versus other FAB-types (P = .001). Methylation status investigation showed that high IGSF4-expressing t(9;11)(p22;q23) patients with FAB-M5 have no promoter hypermethylation, whereas all other cases do. Cell-line incubation with demethylating agent decitabine resulted in promoter demethylation and increased expression of IGSF4. Down-regulation of IGSF4 by siRNA did not affect proliferation or drug sensitivity. In a cohort of 79 MLL-rearranged AML cases, we show significant better overall survival for cases with high IGSF4 expression (5-year overall survival 0.70 vs 0.37, P = .03) In conclusion, we identified IGSF4 overexpression to be discriminative for t(9;11)(p22;q23) patients with FAB-M5, regulated partially by promoter methylation and resulting in survival benefit.

Original languageEnglish
Pages (from-to)928-35
Number of pages8
JournalBlood
Volume117
Issue number3
DOIs
Publication statusPublished - 20 Jan 2011
Externally publishedYes

Keywords

  • Adolescent
  • Azacitidine/analogs & derivatives
  • Blotting, Western
  • Cell Adhesion Molecule-1
  • Cell Adhesion Molecules/genetics
  • Cell Line, Tumor
  • Child
  • Child, Preschool
  • Chromosomes, Human, Pair 11/genetics
  • Chromosomes, Human, Pair 9/genetics
  • DNA Methylation/drug effects
  • Decitabine
  • Enzyme Inhibitors/pharmacology
  • Female
  • Gene Expression Profiling
  • Gene Expression Regulation, Leukemic/drug effects
  • HL-60 Cells
  • Humans
  • Immunoglobulins/genetics
  • Infant
  • Infant, Newborn
  • Leukemia, Monocytic, Acute/genetics
  • Male
  • Oligonucleotide Array Sequence Analysis
  • RNA Interference
  • Reverse Transcriptase Polymerase Chain Reaction
  • Survival Analysis
  • Translocation, Genetic

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