Prognostic value of inhibitor of apoptosis protein family expression in patients with acute myeloid leukemia

被引:14
作者
Pluta, Agnieszka [1 ]
Wierzbowska, Agnieszka [1 ]
Cebula-Obrzut, Barbara [2 ]
Pluta, Piotr [3 ]
Stepka, Konrad [1 ]
Szmigielska-Kaplon, Anna [1 ]
Grzybowska-Izydorczyk, Olga [2 ]
Czemerska, Magdalena [1 ]
Smolewski, Piotr [2 ]
Wrzesien-Kus, Agata [1 ]
Robak, Tadeusz [1 ]
机构
[1] Med Univ Lodz, Dept Hematol, Ciolkowskiego 2, PL-93510 Lodz, Poland
[2] Med Univ Lodz, Dept Expt Hematol, PL-93510 Lodz, Poland
[3] Med Univ Lodz, Dept Surg Oncol, PL-93510 Lodz, Poland
关键词
Acute myeloid leukemia; apoptosis; IAP; prognosis; X-LINKED INHIBITOR; CELL-DEATH; SURVIVIN; XIAP; MECHANISMS; AML;
D O I
10.3109/10428194.2014.1003052
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The inhibitor of apoptosis protein (IAP) family acts as an inhibitor of apoptosis pathways. The potential prognostic value of the expression of selected IAP family members, XIAP, cIAP-1, cIAP-2 and survivin protein, was evaluated with regard to treatment response and survival of 56 newly diagnosed adult patients with acute myeloid leukemia (AML). The presence of these IAP members influenced the achievement of a complete response (CR). In addition, overall survival (OS) was influenced by low survivin expression in univariate and multivariate analysis (p = 0.014 and p = 0.013, respectively). A strong correlation was observed between members of the IAP family (XIAP and cIAP-1, XIAP and cIAP-2, cIAP-1 and cIAP-2, p < 0.001 for all comparisons), while Smac/DIABLO demonstrated an inverse correlation with XIAP, cIAP-1 and cIAP-2 (p < 0.001 for all comparisons). Further studies should be undertaken to better demonstrate the mode of action of IAP members, as well as their prognostic and therapeutic potentials.
引用
收藏
页码:2529 / 2535
页数:7
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