Yin Jia-Yu, Tang Qin, Qian Wei, Qian Jun, Lin Jiang, Wen Xiang-Mei, Zhou Jing-Dong, Zhang Ying-Ying, Zhu Xiao-Wen, Deng Zhao-Qun
Affiliated People's Hospital of Jiangsu University Zhenjiang, Jiangsu, China.
Int J Clin Exp Pathol. 2014 Oct 15;7(11):8032-8. eCollection 2014.
This study was designed to learn the expression status of miR-24 and its clinical relevance in patients with acute myeloid leukemia (AML). We detected the miR-24 expression levels using real-time quantitative PCR in 84 AML patients and investigated the clinical significance of miR-24 expression in AML. There was no difference in clinical parameters between cases with miR-24 high expression and with miR-24 low expression. The frequency of miR-24 high expression was higher in patients with t(8;21) than in others (82% (9/11) versus 44% (32/72), P=0.026). The levels of miR-24 expression had no correlation with the mutations of nine genes (FLT3-ITD, NPM1, C-KIT, IDH1/IDH2, DNMT3A, N/K-RAS and C/EBPA). Meanwhile, among the group who obtained CR, the cases with miR-24 high expression had no difference in overall survival (OS) and relapse-free survival (RFS) than those with miR-24 low expression (P=0.612 and 0.665, respectively). These findings implicated that miR-24 high regulation is a common event in AML with t(8;21), and it might serve as a novel and selective therapeutic target for the treatment of AML with t(8;21).
本研究旨在了解miR-24在急性髓系白血病(AML)患者中的表达状况及其临床相关性。我们采用实时定量PCR检测了84例AML患者的miR-24表达水平,并探讨了miR-24表达在AML中的临床意义。miR-24高表达组与低表达组的临床参数无差异。t(8;21)患者中miR-24高表达的频率高于其他患者(82%(9/11)对44%(32/72),P=0.026)。miR-24表达水平与9个基因(FLT3-ITD、NPM1、C-KIT、IDH1/IDH2、DNMT3A、N/K-RAS和C/EBPA)的突变无相关性。同时,在获得完全缓解(CR)的组中,miR-24高表达组与低表达组在总生存期(OS)和无复发生存期(RFS)方面无差异(分别为P=0.612和0.665)。这些发现表明,miR-24的高调控在伴有t(8;21)的AML中是常见事件,它可能成为治疗伴有t(8;21)的AML的新型选择性治疗靶点。