BCL11A and MDR1 expressions have prognostic impact in patients with acute myeloid leukemia treated with chemotherapy

Author:

Xutao Guo1,PengCheng Shi1,Yin Li1,Huijuan Dong1,Yan Wang1,Haiqing Zheng1,Bing Xu2

Affiliation:

1. Department of Hematology, Nanfang Hospital, Southern Medical University, 510515, Guan Zhou City, PR China

2. Department of hematology The First Affiliated Hospital of Xiamen University, 361001, XiaMen City, PR China

Abstract

Acute myeloid leukemia (AML) is a heterogeneous malignant disease. Many different genetic factors can affect a patient’s clinical outcome. Aim: The aim of this study was to assess the expression of BCL11A and MDR1 in AML patients, and its relation to clinical outcome. Materials & methods: We grouped the 142 patients by the levels of BCL11A and MDR1 and identified three different subgroups: high BCL11A and high MDR1 (n = 47), low BCL11A and low MDR1 (n = 47) and high BCL11A alone or high MDR1 alone (n = 48). Results: The results showed that AML patients with high BCL11A and MDR1 expression had the lowest complete remission and highest relapse rate. The median overall survival of the high BCL11A and high MDR1 group was the shortest among the three groups. With regards to overall survival, there were also significant differences among the groups (p < 0.001). Conclusion: High BCL11A and MDR1 expression was associated with a poor response to chemotherapy, and identified a subset of AML patients with a very poor prognosis.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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