Incidence and prognostic impact of c-kit, flt3, and ras gene mutations in core binding factor acute myeloid leukemia (cbf-aml)

Incidence and prognostic impact of c-kit, flt3, and ras gene mutations in core binding factor acute myeloid leukemia (cbf-aml)

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ABSTRACT In core binding factors (CBF) acute myeloid leukemia (AML), the disruption of CBF_α_/_β_ genes impairs normal hematopoietic differentiation and is supposed to cooperate with


additional mutations promoting proliferation. The incidence and the prognosis of receptor tyrosine kinase (RTK) _c-Kit_ and _FLT3_ mutations and _Ras_ mutations were evaluated in 103


pediatric and adult patients with CBF-AML. _c-Kit_ mutations were present in 17% patients. _c-Kit_ exon 8 mutations were more frequent in inv(16) than in t(8;21) subset (20 versus 6%). Only


one patient had _FLT3_-ITD but _FLT3_-D835 was as frequent as reported in AML population (7%). _Ras_ mutations were significantly more frequent in inv(16) than in t(8;21) subset (36 versus


8%, _P_=0.001). RTK mutations were associated with a higher white blood cell count (WBC) (36 versus 21 G/L, _P_=0.05). _FLT3_ mutations were significantly associated with a shorter EFS and


survival (_P_<0.0001 and _P_=0.0002) owing to an excess of early events. _c-Kit_ mutations were associated with a shorter EFS and RFS (_P_=0.002 and _P_=0.003) in t(8;21) but not inv(16)


patients. As previously observed, _Ras_ mutations did not affect prognosis. Screening for RTK mutations may help to identify patients with a more adverse outcome and thus susceptible to


benefit from intensified protocols or RTK inhibitors. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS


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institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS GENOMIC LANDSCAPE OF PATIENTS WITH _FLT3_-MUTATED ACUTE MYELOID LEUKEMIA (AML)


TREATED WITHIN THE CALGB 10603/RATIFY TRIAL Article Open access 03 August 2022 CHARACTERISTICS AND OUTCOMES OF NEWLY DIAGNOSED ACUTE MYELOID LEUKEMIA WITH _KMT2A_ REARRANGEMENTS Article 09


May 2025 DISTINCT CLINICO-BIOLOGICAL FEATURES IN AML PATIENTS WITH LOW ALLELIC RATIO _FLT3_-ITD: ROLE OF ALLOGENEIC STEM CELL TRANSPLANTATION IN FIRST REMISSION Article 20 October 2021


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the Canceropole Nord-ouest (Axe onco-hématologie) and by The STIC 2005. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Service d'Hématologie Adulte, Hôpital Saint-Louis, Paris, France N


Boissel, E Raffoux & H Dombret * Laboratoire d'Hématologie A, Hôpital Calmettes, Lille, France H Leroy, N Philippe & C Preudhomme * Service d'Hématologie Pédiatrique,


Hôpital Saint-Louis, Paris, France B Brethon, T Leblanc & A Baruchel * Service des Maladies du Sang, CHU de Lille, Lille, France S de Botton & B Quesnel * Service


d'Onco-hématologie pédiatrique, Hôpital Trousseau, Paris, France A Auvrignon & G Leverger * Service d'Hématologie Clinique, Hôpital Edouard Herriot, Lyon, France X Thomas *


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for this author inPubMed Google Scholar CONSORTIA FOR THE ACUTE LEUKEMIA FRENCH ASSOCIATION (ALFA) AND THE LEUCÉMIES AIGUËS MYÉLOBLASTIQUES DE L'ENFANT (LAME) COOPERATIVE GROUPS


CORRESPONDING AUTHOR Correspondence to C Preudhomme. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Boissel, N., Leroy, H., Brethon, B. _et al._


Incidence and prognostic impact of _c-Kit_, _FLT3_, and _Ras_ gene mutations in core binding factor acute myeloid leukemia (CBF-AML). _Leukemia_ 20, 965–970 (2006).


https://doi.org/10.1038/sj.leu.2404188 Download citation * Received: 24 September 2005 * Revised: 03 February 2006 * Accepted: 14 February 2006 * Published: 06 April 2006 * Issue Date: 01


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link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * acute myeloid leukemia * gene mutations *


prognosis