Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia

Abstract Leukemia cell-intrinsic somatic mutations and cytogenetic abnormalities have been used to define risk categories in acute myeloid leukemia (AML). In addition, since the immune microenvironment might influence prognosis and somatic mutations have been demonstrated to modulate the immune micr...

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Autores principales: Feng-Ting Dao, Jun Wang, Lu Yang, Ya-Zhen Qin
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:a500ffad68044c92bba0e233c3e35f842021-12-02T13:30:51ZDevelopment of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia10.1038/s41598-021-84190-02045-2322https://doaj.org/article/a500ffad68044c92bba0e233c3e35f842021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84190-0https://doaj.org/toc/2045-2322Abstract Leukemia cell-intrinsic somatic mutations and cytogenetic abnormalities have been used to define risk categories in acute myeloid leukemia (AML). In addition, since the immune microenvironment might influence prognosis and somatic mutations have been demonstrated to modulate the immune microenvironment in AML, there is need for developing and evaluating an immune prognostic model (IPM) derived from mutations associated with poor prognosis. Based on AML cases with intermediate and adverse-cytogenetic risk in the Cancer Genome Atlas (TCGA) database, 64 immune-related differentially expressed genes (DEGs) among patients with RUNX1, TP53, or ASXL1 mutations and patients without these mutations were identified. After Cox proportional hazards analysis, an IPM composed of PYCARD and PEAR1 genes was constructed. IPM defined high-risk (IPM-HR) independently predicted lower 2-year overall survival (OS) rates in both patients with intermediate and adverse-cytogenetic risks and non-M3 patients in the TCGA AML cohort. The poor prognostic impact of IPM-HR on OS was further validated by GSE71014, 37642, and 10358 downloaded from the Gene Expression Omnibus (GEO) database. Furthermore, IPM-HR was remarkably associated with higher proportions of CD8+ T cells and regulatory T cells (Tregs), lower proportions of eosinophils, and higher expression of the checkpoint molecules CTLA-4, PD-1, and LAG3 in the TCGA non-M3 AML cohort. In summary, we developed and validated an IPM derived from mutations related with poor prognosis in AML, which would provide new biomarkers for patient stratification and personalized immunotherapy.Feng-Ting DaoJun WangLu YangYa-Zhen QinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Feng-Ting Dao
Jun Wang
Lu Yang
Ya-Zhen Qin
Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
description Abstract Leukemia cell-intrinsic somatic mutations and cytogenetic abnormalities have been used to define risk categories in acute myeloid leukemia (AML). In addition, since the immune microenvironment might influence prognosis and somatic mutations have been demonstrated to modulate the immune microenvironment in AML, there is need for developing and evaluating an immune prognostic model (IPM) derived from mutations associated with poor prognosis. Based on AML cases with intermediate and adverse-cytogenetic risk in the Cancer Genome Atlas (TCGA) database, 64 immune-related differentially expressed genes (DEGs) among patients with RUNX1, TP53, or ASXL1 mutations and patients without these mutations were identified. After Cox proportional hazards analysis, an IPM composed of PYCARD and PEAR1 genes was constructed. IPM defined high-risk (IPM-HR) independently predicted lower 2-year overall survival (OS) rates in both patients with intermediate and adverse-cytogenetic risks and non-M3 patients in the TCGA AML cohort. The poor prognostic impact of IPM-HR on OS was further validated by GSE71014, 37642, and 10358 downloaded from the Gene Expression Omnibus (GEO) database. Furthermore, IPM-HR was remarkably associated with higher proportions of CD8+ T cells and regulatory T cells (Tregs), lower proportions of eosinophils, and higher expression of the checkpoint molecules CTLA-4, PD-1, and LAG3 in the TCGA non-M3 AML cohort. In summary, we developed and validated an IPM derived from mutations related with poor prognosis in AML, which would provide new biomarkers for patient stratification and personalized immunotherapy.
format article
author Feng-Ting Dao
Jun Wang
Lu Yang
Ya-Zhen Qin
author_facet Feng-Ting Dao
Jun Wang
Lu Yang
Ya-Zhen Qin
author_sort Feng-Ting Dao
title Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
title_short Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
title_full Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
title_fullStr Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
title_full_unstemmed Development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
title_sort development of a poor-prognostic-mutations derived immune prognostic model for acute myeloid leukemia
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a500ffad68044c92bba0e233c3e35f84
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