文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

急性髓系白血病患者中通过纠错测序评估的多靶点可测量残留病:一项ALFA研究。

Multi-target measurable residual disease assessed by error-corrected sequencing in patients with acute myeloid leukemia: An ALFA study.

作者信息

Hirsch Pierre, Lambert Jérôme, Bucci Maxime, Deswarte Caroline, Boudry Augustin, Lambert Juliette, Fenwarth Laurene, Micol Jean-Baptiste, Terré Christine, Celli-Lebras Karine, Thomas Xavier, Dombret Hervé, Duployez Nicolas, Preudhomme Claude, Itzykson Raphael, Delhommeau Francois

机构信息

Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, CRSA, AP-HP, SIRIC CURAMUS, Hôpital Saint-Antoine, Service d'Hématologie Biologique, 75012, Paris, France.

Biostatistics and Medical Information Department, Hôpital Saint Louis, Paris, France.

出版信息

Blood Cancer J. 2024 Jun 13;14(1):97. doi: 10.1038/s41408-024-01078-8.


DOI:10.1038/s41408-024-01078-8
PMID:38871702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11176326/
Abstract

The evaluation of measurable residual disease (MRD) in acute myeloid leukemia (AML) using comprehensive mutation analysis by next-generation sequencing (NGS) has been investigated in several studies. However controversial results exist regarding the detection of persisting mutations in DNMT3A, TET2, and ASXL1 (DTA). Benchmarking of NGS-MRD taking into account other molecular MRD strategies has to be done. Here, we performed error-corrected-NGS-MRD in 189 patients homogeneously treated in the ALFA-0702 study (NCT00932412). Persistence of non-DTA mutations (HR = 2.23 for RFS and 2.26 for OS), and DTA mutations (HR = 2.16 for OS) were associated with poorer prognosis in multivariate analysis. Persistence of at least two mutations in complete remission (CR) was associated with a higher cumulative incidence of relapse (CIR) (HR = 3.71, p < 0.0001), lower RFS (HR = 3.36, p < 0.0001) and OS (HR = 3.81, p = 0.00023) whereas persistence of only one mutation was not. In 100 analyzable patients, WT1-MRD, but not NGS-MRD, was an independent factor for RFS and OS. In the subset of 67 NPM1 mutated patients, both NPM1 mutation detection (p = 0.0059) and NGS-MRD (p = 0.035) status were associated with CIR. We conclude that detectable NGS-MRD including DTA mutations correlates with unfavorable prognosis in AML. Its integration with alternative MRD strategies in AML management warrants further investigations.

摘要

多项研究对采用下一代测序(NGS)进行全面突变分析来评估急性髓系白血病(AML)中的微小残留病(MRD)展开了调查。然而,在检测DNA甲基转移酶3A(DNMT3A)、TET2和ASXL1(DTA)中持续存在的突变方面,存在有争议的结果。必须对考虑了其他分子MRD策略的NGS-MRD进行基准测试。在此,我们对在ALFA-0702研究(NCT00932412)中接受同质化治疗的189例患者进行了纠错NGS-MRD检测。在多变量分析中,非DTA突变的持续存在(无复发生存期[RFS]的风险比[HR] = 2.23,总生存期[OS]的HR = 2.26)以及DTA突变(OS的HR = 2.16)与较差的预后相关。完全缓解(CR)时至少两个突变的持续存在与更高的复发累积发生率(CIR)相关(HR = 3.71,p < 0.0001),RFS较低(HR = 3.36,p < 0.0001)以及OS较低(HR = 3.81,p = 0.00023),而仅一个突变的持续存在则不然。在100例可分析的患者中,WT1-MRD而非NGS-MRD是RFS和OS的独立因素。在67例核磷蛋白1(NPM1)突变的患者亚组中,NPM1突变检测状态(p = 0.0059)和NGS-MRD状态(p = 0.035)均与CIR相关。我们得出结论,可检测到的包括DTA突变在内的NGS-MRD与AML的不良预后相关。在AML管理中将其与替代MRD策略相结合值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/552fd3340ace/41408_2024_1078_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/a46a3b3c7e19/41408_2024_1078_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/05733e021b5e/41408_2024_1078_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/9479115ca7d6/41408_2024_1078_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/552fd3340ace/41408_2024_1078_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/a46a3b3c7e19/41408_2024_1078_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/05733e021b5e/41408_2024_1078_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/9479115ca7d6/41408_2024_1078_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce8/11176326/552fd3340ace/41408_2024_1078_Fig4_HTML.jpg

相似文献

[1]
Multi-target measurable residual disease assessed by error-corrected sequencing in patients with acute myeloid leukemia: An ALFA study.

Blood Cancer J. 2024-6-13

[2]
IDH1/2 but not DNMT3A mutations are suitable targets for minimal residual disease monitoring in acute myeloid leukemia patients: a study by the Acute Leukemia French Association.

Oncotarget. 2015-12-8

[3]
Molecular, clinical, and therapeutic determinants of outcome in NPM1-mutated AML.

Blood. 2024-8-15

[4]
Only FLT3-ITD co-mutation did not have a deleterious effect on acute myeloid leukemia patients with NPM1 mutation, but concomitant with DNMT3A co-mutation or a < 3log reduction of MRD2 predicted poor survival.

Ann Hematol. 2024-11

[5]
Measurable residual disease monitoring by NGS before allogeneic hematopoietic cell transplantation in AML.

Blood. 2018-9-6

[6]
Measurable residual disease detected by flow cytometry independently predicts prognoses of NPM1-mutated acute myeloid leukemia.

Ann Hematol. 2023-2

[7]
Posttransplantation MRD monitoring in patients with AML by next-generation sequencing using DTA and non-DTA mutations.

Blood Adv. 2021-5-11

[8]
Measurable residual disease monitoring by ddPCR in the early posttransplant period complements the traditional MFC method to predict relapse after HSCT in AML/MDS: a multicenter retrospective study.

J Transl Med. 2024-4-30

[9]
Detection of measurable residual disease may better predict outcomes than mutations based on next-generation sequencing in acute myeloid leukaemia with biallelic mutations of CEBPA.

Br J Haematol. 2020-8

[10]
[Prognostic significance of early assessment of minimal residual disease in acute myeloid leukemia with mutated NPM1 patients].

Zhonghua Xue Ye Xue Za Zhi. 2017-1-14

引用本文的文献

[1]
Genomic Evaluation of AML-Main Techniques and Novel Approaches.

J Clin Med. 2025-8-11

[2]
Measurable residual disease in hematologic malignancies: a biomarker in search of a standard.

EClinicalMedicine. 2025-7-10

[3]
mutation subtype switch in acute myeloid leukemia.

Haematologica. 2025-8-1

[4]
Decitabine with etoposide is effective in TP53 mutated myeloid tumors via overcoming differentiation block.

Blood Cancer J. 2025-2-13

本文引用的文献

[1]
Prediction of risk for myeloid malignancy in clonal hematopoiesis.

NEJM Evid. 2023-5

[2]
DNA Sequencing in Adults With Acute Myeloid Leukemia to Detect Residual Disease Prior to Hematopoietic Cell Transplant.

JAMA. 2023-7-11

[3]
Evolutionary landscape of clonal hematopoiesis in 3,359 individuals from the general population.

Cancer Cell. 2023-6-12

[4]
DNA Sequencing to Detect Residual Disease in Adults With Acute Myeloid Leukemia Prior to Hematopoietic Cell Transplant.

JAMA. 2023-3-7

[5]
Diagnosis and management of AML in adults: 2022 recommendations from an international expert panel on behalf of the ELN.

Blood. 2022-9-22

[6]
International Consensus Classification of Myeloid Neoplasms and Acute Leukemias: integrating morphologic, clinical, and genomic data.

Blood. 2022-9-15

[7]
The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours: Myeloid and Histiocytic/Dendritic Neoplasms.

Leukemia. 2022-7

[8]
2021 Update on MRD in acute myeloid leukemia: a consensus document from the European LeukemiaNet MRD Working Party.

Blood. 2021-12-30

[9]
Early detection of WT1 measurable residual disease identifies high-risk patients, independent of transplantation in AML.

Blood Adv. 2021-12-14

[10]
Clinical implications of sequential MRD monitoring by NGS at 2 time points after chemotherapy in patients with AML.

Blood Adv. 2021-5-25

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索