Clinico-biological features of T-cell acute lymphoblastic leukemia with fusion proteins.


Journal

Blood cancer journal
ISSN: 2044-5385
Titre abrégé: Blood Cancer J
Pays: United States
ID NLM: 101568469

Informations de publication

Date de publication:
26 01 2022
Historique:
received: 02 09 2021
accepted: 06 01 2022
revised: 01 01 2022
entrez: 27 1 2022
pubmed: 28 1 2022
medline: 23 2 2022
Statut: epublish

Résumé

T-cell acute lymphoblastic leukemias (T-ALL) represent 15% of pediatric and 25% of adult ALL. Since they have a particularly poor outcome in relapsed/refractory cases, identifying prognosis factors at diagnosis is crucial to adapting treatment for high-risk patients. Unlike acute myeloid leukemia and BCP ALL, chromosomal rearrangements leading to chimeric fusion-proteins with strong prognosis impact are sparsely reported in T-ALL. To address this issue an RT-MPLA assay was applied to a consecutive series of 522 adult and pediatric T-ALLs and identified a fusion transcript in 20% of cases. PICALM-MLLT10 (4%, n = 23), NUP214-ABL1 (3%, n = 19) and SET-NUP214 (3%, n = 18) were the most frequent. The clinico-biological characteristics linked to fusion transcripts in a subset of 235 patients (138 adults in the GRAALL2003/05 trials and 97 children from the FRALLE2000 trial) were analyzed to identify their prognosis impact. Patients with HOXA trans-deregulated T-ALLs with MLLT10, KMT2A and SET fusion transcripts (17%, 39/235) had a worse prognosis with a 5-year EFS of 35.7% vs 63.7% (HR = 1.63; p = 0.04) and a trend for a higher cumulative incidence of relapse (5-year CIR = 45.7% vs 25.2%, HR = 1.6; p = 0.11). Fusion transcripts status in T-ALL can be robustly identified by RT-MLPA, facilitating risk adapted treatment strategies for high-risk patients.

Identifiants

pubmed: 35082269
doi: 10.1038/s41408-022-00613-9
pii: 10.1038/s41408-022-00613-9
pmc: PMC8791998
doi:

Substances chimiques

NUP214-ABL1 fusion protein, human 0
Oncogene Proteins, Fusion 0
PICALM-MLLT10 fusion protein, human 0
SET-NUP214 fusion protein, human 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

14

Informations de copyright

© 2022. The Author(s).

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Auteurs

Thomas Steimlé (T)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.

Marie-Emilie Dourthe (ME)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.
Department of Pediatric Hematology and Immunology, Robert Debré University Hospital (AP-HP), Université de Paris, Paris, France.

Marion Alcantara (M)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.
Department of Pediatric Hematology and Immunology, Robert Debré University Hospital (AP-HP), Université de Paris, Paris, France.
Center for Cancer Immunotherapy, INSERM U932, Institut Curie, PSL Research University, Paris, France.

Aurore Touzart (A)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.

Mathieu Simonin (M)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.
Department of Pediatric Hematology and Immunology, Robert Debré University Hospital (AP-HP), Université de Paris, Paris, France.
Center for Cancer Immunotherapy, INSERM U932, Institut Curie, PSL Research University, Paris, France.
Department of Pediatric Hematology and Oncology, Assistance Publique-Hôpitaux de Paris (AP-HP), GH HUEP, Armand Trousseau Hospital, Paris, France.
Sorbonne Universités, UPMC Univ Paris 06, UMRS 938, CDR Saint-Antoine, GRC n°07, GRC MyPAC, Paris, France.

Johanna Mondesir (J)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.

Ludovic Lhermitte (L)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.

Jonathan Bond (J)

Systems Biology Ireland, School of Medicine, University College Dublin, Dublin, Ireland.

Carlos Graux (C)

Department of Hematology, Université catholique de Louvain, CHU UCL Namur - site Godinne, Yvoir, Belgium.

Nathalie Grardel (N)

Laboratory of Hematology, CHRU Lille, Lille, France and U1172, INSERM, Lille, France.

Jean-Michel Cayuela (JM)

Laboratory of Hematology and EA 3518 University Hospital Saint-Louis, AP-HP and Université de Paris, Paris, France.

Isabelle Arnoux (I)

Hematology Laboratory, Marseille University Hospital Timone, Marseille, France.

Virginie Gandemer (V)

Department of Pediatric Hematology and Oncology, University Hospital of Rennes, Rennes, France.

Marie Balsat (M)

Service d'hématologie clinique, Hôpital Lyon Sud, Marseille, France.

Norbert Vey (N)

Aix-Marseille Univ, Inserm, CNRS, Institut Paoli-Calmettes, CRCM, Marseille, France.

Elizabeth Macintyre (E)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France.

Norbert Ifrah (N)

PRES LUNAM, CHU Angers service des Maladies du Sang et CRCINA INSERM, Angers, France.

Hervé Dombret (H)

Institut de Recherche Saint-Louis, Université de Paris, EA-3518, Paris, France.

Arnaud Petit (A)

Department of Pediatric Hematology and Oncology, Assistance Publique-Hôpitaux de Paris (AP-HP), GH HUEP, Armand Trousseau Hospital, Paris, France.
Sorbonne Universités, UPMC Univ Paris 06, UMRS 938, CDR Saint-Antoine, GRC n°07, GRC MyPAC, Paris, France.

André Baruchel (A)

Department of Pediatric Hematology and Immunology, Robert Debré University Hospital (AP-HP), Université de Paris, Paris, France.
Institut de Recherche Saint-Louis, Université de Paris, EA-3518, Paris, France.

Philippe Ruminy (P)

Inserm U1245, Centre Henri Becquerel, Université de Rouen, IRIB, Rouen, France.

Nicolas Boissel (N)

Institut de Recherche Saint-Louis, Université de Paris, EA-3518, Paris, France.
Inserm U1245, Centre Henri Becquerel, Université de Rouen, IRIB, Rouen, France.
AP-HP, Hôpital Saint Louis, Unité d'Hématologie Adolescents et Jeunes Adultes, Paris, France.

Vahid Asnafi (V)

Université de Paris (Descartes), Institut Necker-Enfants Malades (INEM), Institut national de la santé et de la recherche médicale (Inserm) U1151, and Laboratory of Onco-Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants-Malades, Paris, France. vahid.asnafi@aphp.fr.

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