Frequency and clinical impact of CDKN2A/ARF/CDKN2B gene deletions as assessed by in-depth genetic analyses in adult T cell acute lymphoblastic leukemia

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Genesca, E
  • Lazarenkov, A
  • Morgades, M
  • Berbis, G
  • Ruiz-Xiville, N
  • Gomez-Marzo, P
  • Ribera, J
  • Junca, J
  • Gonzalez-Perez, A
  • Mercadal, S
  • Guardia, R
  • Artola, MT
  • Martinez-Lopez, J
  • Zamora, L
  • Barba, P
  • Gil, C
  • Tormo, M
  • Cladera, A
  • Novo, A
  • Pratcorona, M
  • Nomdedeu, J
  • Gonzalez-Campos, J
  • Almeida, M
  • Batlle, M
  • Vives, S
  • Esteve, J
  • Feliu, E
  • Sole, F
  • Orfao, A
  • Ribera, JM

Grupos

Abstract

Recurrent deletions of the CDKN2A/ARF/CDKN2B genes encoded at chromosome 9p21 have been described in both pediatric and adult acute lymphoblastic leukemia (ALL), but their prognostic value remains controversial, with limited data on adult T-ALL. Here, we investigated the presence of homozygous and heterozygous deletions of the CDKN2A/ARF and CDKN2B genes in 64 adult T-ALL patients enrolled in two consecutive trials from the Spanish PETHEMA group. Alterations in CDKN2A/ARF/CDKN2B were detected in 35/64 patients (55%). Most of them consisted of 9p21 losses involving homozygous deletions of the CDKNA/ARF gene (26/64), as confirmed by single nucleotide polymorphism (SNP) arrays and interphase fluorescence in situ hybridization (iFISH). Deletions involving the CDKN2A/ARF/CDKN2B locus correlated with a higher frequency of cortical T cell phenotype and a better clearance of minimal residual disease (MRD) after induction therapy. Moreover, the combination of an altered copy-number-value (CNV) involving the CDKN2A/ARF/CDKN2B gene locus and undetectable MRD (<= 0.01%) values allowed the identification of a subset of T-ALL with better overall survival in the absence of hematopoietic stem cell transplantation.

Datos de la publicación

ISSN/ISSNe:
1756-8722, 1756-8722

Journal of Hematology & Oncology  BMC

Tipo:
Article
Páginas:
96-96
PubMed:
30041662
Factor de Impacto:
2,960 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 27

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Keywords

  • T-ALL; CDKN2A/ARF; CDKN2B; Prognosis; MRD

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