Old and new prognostic factors in acute myeloid leukemia with deranged core-binding factor beta

Am J Hematol. 2013 Jul;88(7):594-600. doi: 10.1002/ajh.23461. Epub 2013 Jun 5.

Abstract

Acute myeloid leukemia (AML) with deranged core-binding factor beta (CBFβ) is usually associated with a favorable prognosis with 50-70% of patients cured using contemporary treatments. We analyzed the prognostic significance of clinical features on 58 patients with CBFβ-AML aged ≤60 years. Increasing age was the only predictor for survival (P <0.001), with an optimal cut-point at 43 years. White blood cells (WBCs) at diagnosis emerged as an independent risk factor for relapse incidence (P = 0.017), with 1.1% increase of hazard for each 1.0 × 10(9) /L WBC increment. KIT mutations lacked prognostic value for survival and showed only a trend for relapse incidence (P = 0.069).

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Antineoplastic Agents / therapeutic use*
  • Core Binding Factor beta Subunit / blood*
  • Core Binding Factor beta Subunit / genetics
  • Female
  • Follow-Up Studies
  • Gene Expression
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Leukemia, Myeloid, Acute / diagnosis*
  • Leukemia, Myeloid, Acute / genetics
  • Leukemia, Myeloid, Acute / mortality
  • Leukemia, Myeloid, Acute / therapy
  • Leukocyte Count
  • Leukocytes / pathology
  • Male
  • Middle Aged
  • Mutation
  • Prognosis
  • Proto-Oncogene Proteins c-kit / blood
  • Proto-Oncogene Proteins c-kit / genetics
  • Sex Factors
  • Survival Analysis

Substances

  • Antineoplastic Agents
  • CBFB protein, human
  • Core Binding Factor beta Subunit
  • Proto-Oncogene Proteins c-kit