Association of gene mutations with time-to-first treatment in 384 treatment-naive chronic lymphocytic leukaemia patients.


Journal

British journal of haematology
ISSN: 1365-2141
Titre abrégé: Br J Haematol
Pays: England
ID NLM: 0372544

Informations de publication

Date de publication:
11 2019
Historique:
received: 08 02 2019
revised: 10 04 2019
accepted: 18 04 2019
pubmed: 28 6 2019
medline: 17 6 2020
entrez: 28 6 2019
Statut: ppublish

Résumé

This study correlated somatic mutation results and known prognostic factors with time-to-first treatment (TTFT) in 384 treatment-naïve (TN) chronic lymphocytic leukaemia (CLL) patients to help determine disease-specific drivers of early untreated CLL. CLL DNA from either peripheral blood or bone marrow underwent next generation targeted sequencing with a 29-gene panel. Gene mutation data and concurrent clinical characteristics, such as Rai/Binet stage, fluorescence in situ hybridisation (FISH), ZAP70/CD38, karyotype and IGHV mutation, status were analysed in univariable and multivariable analyses to identify associations with TTFT. TTFT was defined as time from diagnosis to initial treatment. In univariable analyses, mutated ATM (P < 0·001), NOTCH1 (P < 0·001) and SF3B1 (P = 0·002) as well as unmutated IGHV (P < 0·001), del(11q) (P < 0·001) and trisomy 12 (P < 0·001) by hierarchal FISH and advanced Rai (P = 0·05) and Binet (P < 0·001) stages were associated with shorter TTFT. Importantly, del(17p), mutated TP53 and complex karyotype were not associated with shorter TTFT. In a reduced multivariable analysis, mutated ATM (P < 0·001) and unmutated IGHV status (P < 0·001) remained significant, showing their importance in early leukaemogenesis. High-risk prognostic markers such as del(17p), mutated TP53 and complex karyotype, were not correlated with TTFT, suggesting that these abnormalities have limited roles in early disease progression but are more important in relapsed CLL.

Identifiants

pubmed: 31243771
doi: 10.1111/bjh.16042
doi:

Substances chimiques

Neoplasm Proteins 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

307-318

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2019 British Society for Haematology and John Wiley & Sons Ltd.

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Auteurs

Boyu Hu (B)

Division of Hematology/Hematologic Malignancies, Huntsman Cancer Institute, Salt Lake City, UT, USA.

Keyur P Patel (KP)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Hsiang-Chun Chen (HC)

Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Xuemei Wang (X)

Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Rajyalakshmi Luthra (R)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Mark J Routbort (MJ)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Rashmi Kanagal-Shamanna (R)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

L Jeffrey Medeiros (LJ)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

C Cameron Yin (CC)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Zhuang Zuo (Z)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Chi Y Ok (CY)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Sanam Loghavi (S)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Guilin Tang (G)

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Francesco P Tambaro (FP)

S.S.D. TMO - AORN Santobono-Pausilipon, Napoli, Italy.

Philip Thompson (P)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Jan Burger (J)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Nitin Jain (N)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Alessandra Ferrajoli (A)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Prithviraj Bose (P)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Zeev Estrov (Z)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Michael Keating (M)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

William G Wierda (WG)

Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

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