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 language | English |
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Pages (from-to) | 928-35 |
Number of pages | 8 |
Journal | Blood |
Volume | 117 |
Issue number | 3 |
DOIs | |
Publication status | Published - 20 Jan 2011 |
Externally published | Yes |
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