Hypoxia-inducible factor-1α protein expression is associated with poor survival in normal karyotype adult acute myeloid leukemia

被引:63
作者
Deeb, George [2 ]
Vaughan, Mary M. [2 ]
McInnis, Ian [1 ]
Ford, Laurie Ann [1 ]
Sait, Sheila N. J. [2 ]
Starostik, Petr [2 ]
Wetzler, Meir [1 ]
Mashtare, Terry [3 ,4 ]
Wang, Eunice S. [1 ]
机构
[1] Roswell Pk Canc Inst, Dept Med, Leukemia Serv, Buffalo, NY 14263 USA
[2] Roswell Pk Canc Inst, Dept Pathol & Lab Med, Buffalo, NY 14263 USA
[3] Roswell Pk Canc Inst, Dept Biostat, Buffalo, NY 14263 USA
[4] SUNY Buffalo, Dept Biostat, Buffalo, NY 14260 USA
关键词
Acute myeloid leukemia; Hypoxia; HIF-1; alpha; VEGF; Marrow immunohistochemistry; ENDOTHELIAL GROWTH-FACTOR; HISTONE DEACETYLASE INHIBITORS; CIRCULATING ANGIOGENIC CELLS; INTERNAL TANDEM DUPLICATION; FACTOR-C EXPRESSION; BONE-MARROW; VEGF-C; TRANSCRIPTIONAL ACTIVITY; PROGNOSTIC-SIGNIFICANCE; TUMOR ANGIOGENESIS;
D O I
10.1016/j.leukres.2010.10.020
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We examined the predictive impact of HIF-1 alpha protein expression on clinical outcome of 84 normal karyotype acute myeloid leukemia (NK-AML) patients (median age 66.5 years) at our institute. Thirty percent of NK-AML cells expressed cytoplasmic HIF-1 alpha. In univariate analysis, low HIF-1 alpha (<= 5%, n = 66) was associated with improved event-free survival (p = 0.0453, HR = 0.22). Multivariate analysis incorporating age, complete remission, FLT3-ITD mutation, and marrow blast percentage demonstrated that HIF-1 alpha was independently associated with poorer overall and event-free survival. HIF-1 alpha expression correlated with VEGF-C but not VEGF-A, marrow angiogenesis, FLT3 ITD or NPM1 mutations. These results support HIF-1 alpha as an outcome marker for NK-AML. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:579 / 584
页数:6
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