Selheim Frode, Aasebø Elise, Bruserud Øystein, Hernandez-Valladares Maria
Proteomics Unit of University of Bergen (PROBE), University of Bergen, Jonas Lies vei 91, 5009 Bergen, Norway.
Acute Leukemia Research Group, Department of Clinical Science, University of Bergen, Jonas Lies vei 91, 5009 Bergen, Norway.
Cancers (Basel). 2023 Dec 19;16(1):8. doi: 10.3390/cancers16010008.
AML is a highly aggressive and heterogeneous form of hematological cancer. Proteomics-based stratification of patients into more refined subgroups may contribute to a more precise characterization of the patient-derived AML cells. Here, we reanalyzed liquid chromatography-tandem mass spectrometry (LC-MS/MS) generated proteomic and phosphoproteomic data from 26 FAB-M4/M5 patients. The patients achieved complete hematological remission after induction therapy. Twelve of them later developed chemoresistant relapse (RELAPSE), and 14 patients were relapse-free (REL_FREE) long-term survivors. We considered not only the RELAPSE and REL_FREE characteristics but also integrated the French-American-British (FAB) classification, along with considering the presence of nucleophosmin 1 () mutation and cytogenetically normal AML. We found a significant number of differentially enriched proteins (911) and phosphoproteins (257) between the various FAB subtypes in RELAPSE patients. Patients with the myeloblastic M1/M2 subtype showed higher levels of RNA processing-related routes and lower levels of signaling related to terms like translation and degranulation when compared with the M4/M5 subtype. Moreover, we found that a high abundance of proteins associated with mitochondrial translation and oxidative phosphorylation, particularly observed in the RELAPSE M4/M5 mutated subgroup, distinguishes relapsing from non-relapsing AML patient cells with the FAB subtype M4/M5. Thus, the discovery of subtype-specific biomarkers through proteomic profiling may complement the existing classification system for AML and potentially aid in selecting personalized treatment strategies for individual patients.
急性髓系白血病(AML)是一种侵袭性很强且异质性的血液系统癌症。基于蛋白质组学将患者分层为更精细的亚组,可能有助于更精确地表征源自患者的AML细胞。在此,我们重新分析了通过液相色谱-串联质谱(LC-MS/MS)生成的26例FAB-M4/M5患者的蛋白质组学和磷酸化蛋白质组学数据。这些患者在诱导治疗后实现了完全血液学缓解。其中12例后来出现化疗耐药性复发(复发),14例患者为无复发生存(无复发)的长期幸存者。我们不仅考虑了复发和无复发特征,还整合了法美英(FAB)分类,同时考虑了核磷蛋白1()突变的存在以及细胞遗传学正常的AML。我们发现复发患者的不同FAB亚型之间存在大量差异富集的蛋白质(911种)和磷酸化蛋白质(257种)。与M4/M5亚型相比,髓母细胞性M1/M2亚型的患者显示出较高水平的RNA加工相关途径,以及较低水平的与翻译和脱颗粒等术语相关的信号传导。此外,我们发现与线粒体翻译和氧化磷酸化相关的蛋白质丰度很高,特别是在复发的M4/M5突变亚组中观察到,这区分了FAB亚型为M4/M5的复发和未复发AML患者细胞。因此,通过蛋白质组学分析发现亚型特异性生物标志物可能会补充现有的AML分类系统,并可能有助于为个体患者选择个性化的治疗策略。
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