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

急性髓系白血病异基因移植前可测量的残留突变型异柠檬酸脱氢酶1

Measurable residual mutated IDH1 before allogeneic transplant for acute myeloid leukemia.

作者信息

Gui Gege, Ravindra Niveditha, Hegde Pranay S, Andrew Georgia, Mukherjee Devdeep, Wong Zoë, Auletta Jeffery J, El Chaer Firas, Chen Evan C, Chen Yi-Bin, Corner Adam, Devine Steven M, Iyer Sunil G, Jimenez Jimenez Antonio Martin, De Lima Marcos J G, Litzow Mark R, Kebriaei Partow, Saber Wael, Spellman Stephen R, Zeger Scott L, Page Kristin M, Dillon Laura W, Hourigan Christopher S

机构信息

Fralin Biomedical Research Institute, Virginia Tech FBRI Cancer Research Center, Washington, DC, USA.

Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

出版信息

Bone Marrow Transplant. 2025 Feb;60(2):154-160. doi: 10.1038/s41409-024-02447-4. Epub 2024 Nov 6.


DOI:10.1038/s41409-024-02447-4
PMID:39506075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810766/
Abstract

Measurable residual disease (MRD) in adults with acute myeloid leukemia (AML) in complete remission is an important prognostic marker, but detection methodology requires optimization. Persistence of mutated NPM1 or FLT3-ITD in the blood of adult patients with AML in first complete remission (CR1) prior to allogeneic hematopoietic cell transplant (alloHCT) associates with increased relapse and death after transplant. The prognostic implications of persistence of other common AML-associated mutations, such as IDH1, at this treatment landmark however remain incompletely defined. We performed testing for residual IDH1 variants (IDH1m) in pre-transplant CR1 blood of 148 adult patients undergoing alloHCT for IDH1-mutated AML at a CIBMTR reporting site between 2013 and 2019. No statistically significant post-transplant differences were observed between those testing IDH1m positive (n = 53, 36%) and negative pre-transplant (overall survival (OS): p = 0.4; relapse: p = 0.5). For patients with IDH1 mutated AML co-mutated with NPM1 and/or FLT3-ITD, only detection of persistent mutated NPM1 and/or FLT3-ITD was associated with significantly higher rates of relapse (p = 0.01). These data, from the largest study to date, do not support the detection of IDH1 mutation in CR1 blood prior to alloHCT as evidence of AML MRD for increased post-transplant relapse risk.

摘要

成人急性髓系白血病(AML)完全缓解期的可测量残留病(MRD)是一个重要的预后标志物,但检测方法需要优化。在异基因造血细胞移植(alloHCT)前,首次完全缓解(CR1)的成年AML患者血液中持续存在突变的NPM1或FLT3-ITD与移植后复发和死亡风险增加相关。然而,在这一治疗节点,其他常见的AML相关突变(如IDH1)持续存在的预后意义仍未完全明确。我们对2013年至2019年间在一个CIBMTR报告点接受alloHCT治疗的148例IDH1突变型AML成年患者移植前CR1期血液中的残留IDH1变异体(IDH1m)进行了检测。移植前IDH1m检测呈阳性(n = 53,36%)和阴性的患者之间,未观察到移植后有统计学意义的差异(总生存期(OS):p = 0.4;复发:p = 0.5)。对于IDH1突变型AML合并NPM1和/或FLT3-ITD突变的患者,只有持续检测到突变的NPM1和/或FLT3-ITD与显著更高的复发率相关(p = 0.01)。这项来自迄今为止最大规模研究的数据不支持将alloHCT前CR1期血液中IDH1突变的检测作为AML-MRD的证据,以证明移植后复发风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/18f1a718a763/41409_2024_2447_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/50f1aaba4610/41409_2024_2447_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/d7a2497adbd2/41409_2024_2447_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/a8323dabcb6d/41409_2024_2447_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/18f1a718a763/41409_2024_2447_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/50f1aaba4610/41409_2024_2447_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/d7a2497adbd2/41409_2024_2447_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/a8323dabcb6d/41409_2024_2447_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33e0/11810766/18f1a718a763/41409_2024_2447_Fig4_HTML.jpg

相似文献

[1]
Measurable residual mutated IDH1 before allogeneic transplant for acute myeloid leukemia.

Bone Marrow Transplant. 2025-2

[2]
Measurable Residual before Allogeneic Transplant for Acute Myeloid Leukemia.

medRxiv. 2023-8-1

[3]
Measurable residual mutated IDH2 before allogeneic transplant for acute myeloid leukemia.

Bone Marrow Transplant. 2025-2

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

JAMA. 2023-3-7

[5]
The effect of the detection of minimal residual disease for the prognosis and the choice of post-remission therapy of intermediate-risk acute myeloid leukemia without FLT3-ITD, NPM1 and biallelic CEBPA mutations.

Hematology. 2021-12

[6]
Nucleophosmin1 and isocitrate dehydrogenase 1 and 2 as measurable residual disease markers in acute myeloid leukemia.

PLoS One. 2021

[7]
Measurable residual disease, FLT3-ITD mutation, and disease status have independent prognostic influence on outcome of allogeneic stem cell transplantation in NPM1-mutated acute myeloid leukemia.

Cancer Med. 2022-2

[8]
Post-Relapse Outcomes of Older Patients With NPM1-Mutated AML Are Favorable With Allo Transplant in Second Remission.

Eur J Haematol. 2025-4

[9]
IDH1 and IDH2 mutations are frequent genetic alterations in acute myeloid leukemia and confer adverse prognosis in cytogenetically normal acute myeloid leukemia with NPM1 mutation without FLT3 internal tandem duplication.

J Clin Oncol. 2010-6-21

[10]
Measurable Residual FLT3 Internal Tandem Duplication Before Allogeneic Transplant for Acute Myeloid Leukemia.

JAMA Oncol. 2024-8-1

引用本文的文献

[1]
Disease characteristics and monitoring of IDH1/IDH2-mutated acute myeloid leukemia.

Blood Cancer J. 2025-5-23

[2]
Significance of Measurable Residual Disease in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation for Acute Myeloid Leukemia.

Cells. 2025-2-15

本文引用的文献

[1]
Measurable residual mutated IDH2 before allogeneic transplant for acute myeloid leukemia.

Bone Marrow Transplant. 2025-2

[2]
Measurable residual FLT3 tyrosine kinase domain mutations before allogeneic transplant for acute myeloid leukemia.

Bone Marrow Transplant. 2025-2

[3]
Measurable Residual FLT3 Internal Tandem Duplication Before Allogeneic Transplant for Acute Myeloid Leukemia.

JAMA Oncol. 2024-8-1

[4]
Persistent IDH mutations are not associated with increased relapse or death in patients with IDH-mutated acute myeloid leukemia undergoing allogeneic hematopoietic cell transplant with post-transplant cyclophosphamide.

Bone Marrow Transplant. 2024-3

[5]
Test Then Erase? Current Status and Future Opportunities for Measurable Residual Disease Testing in Acute Myeloid Leukemia.

Acta Haematol. 2024

[6]
DNA Sequencing in Adults With Acute Myeloid Leukemia to Detect Residual Disease Prior to Hematopoietic Cell Transplant.

JAMA. 2023-7-11

[7]
DNA Sequencing in Adults With Acute Myeloid Leukemia to Detect Residual Disease Prior to Hematopoietic Cell Transplant-Reply.

JAMA. 2023-7-11

[8]
Multicenter Phase I Trial of Ivosidenib as Maintenance Treatment Following Allogeneic Hematopoietic Cell Transplantation for IDH1-Mutated Acute Myeloid Leukemia.

Clin Cancer Res. 2023-6-1

[9]
DNA Sequencing to Detect Residual Disease in Adults With Acute Myeloid Leukemia Prior to Hematopoietic Cell Transplant.

JAMA. 2023-3-7

[10]
How I treat AML incorporating the updated classifications and guidelines.

Blood. 2023-6-8

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