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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
REFERENCES * Bloomfield CD, Lawrence D, Byrd JC, Carroll A, Pettenati MJ, Tantravahi R _et al_. Frequency of prolonged remission duration after high-dose cytarabine intensification in acute
myeloid leukemia varies by cytogenetic subtype. _Cancer Res_ 1998; 58: 4173–4179. CAS PubMed Google Scholar * Marcucci G, Caligiuri MA, Bloomfield CD . Molecular and clinical advances in
core binding factor primary acute myeloid leukemia: a paradigm for translational research in malignant hematology. _Cancer Invest_ 2000; 18: 768–780. Article CAS PubMed Google Scholar *
Byrd JC, Mrozek K, Dodge RK, Carroll AJ, Edwards CG, Arthur DC _et al_. Pretreatment cytogenetic abnormalities are predictive of induction success, cumulative incidence of relapse, and
overall survival in adult patients with _de novo_ acute myeloid leukemia: results from Cancer and Leukemia Group B (CALGB 8461). _Blood_ 2002; 100: 4325–4336. Article CAS PubMed Google
Scholar * Nguyen S, Leblanc T, Fenaux P, Witz F, Blaise D, Pigneux A _et al_. A white blood cell index as the main prognostic factor in t(8;21) acute myeloid leukemia (AML): a survey of 161
cases from the French AML Intergroup. _Blood_ 2002; 99: 3517–3523. Article CAS PubMed Google Scholar * Delaunay J, Vey N, Leblanc T, Fenaux P, Rigal-Huguet F, Witz F _et al_. Prognosis
of inv(16)/t(16;16) acute myeloid leukemia (AML): a survey of 110 cases from the French AML Intergroup. _Blood_ 2003; 102: 462–469. Article CAS PubMed Google Scholar * Schlenk RF, Benner
A, Krauter J, Buchner T, Sauerland C, Ehninger G _et al_. Individual patient data-based meta-analysis of patients aged 16–60 years with core binding factor acute myeloid leukemia: a survey
of the German Acute Myeloid Leukemia Intergroup. _J Clin Oncol_ 2004; 22: 3741–3750. Article CAS PubMed Google Scholar * Burnett AK, Wheatley K, Goldstone AH, Stevens RF, Hann IM, Rees
JH _et al_. The value of allogeneic bone marrow transplant in patients with acute myeloid leukaemia at differing risk of relapse: results of the UK MRC AML 10 trial. _Br J Haematol_ 2002;
118: 385–400. Article PubMed Google Scholar * Suciu S, Mandelli F, de Witte T, Zittoun R, Gallo E, Labar B _et al_. Allogeneic compared with autologous stem cell transplantation in the
treatment of patients younger than 46 years with acute myeloid leukemia (AML) in first complete remission (CR1): an intention-to-treat analysis of the EORTC/GIMEMAAML-10 trial. _Blood_ 2003;
102: 1232–1240. Article CAS PubMed Google Scholar * Jourdan E, Boiron JM, Dastugue N, Vey N, Marit G, Rigal-Huguet F _et al_. Early allogeneic stem-cell transplantation for young adults
with acute myeloblastic leukemia in first complete remission: an intent-to-treat long-term analysis of the BGMT experience. _J Clin Oncol_ 2005; 23: 7676–7684. Article PubMed Google
Scholar * Kelly LM, Gilliland DG . Genetics of myeloid leukemias. _Annu Rev Genomics Hum Genet_ 2002; 3: 179–198. Article CAS PubMed Google Scholar * Bowen DT, Frew ME, Hills R, Gale
RE, Wheatley K, Groves MJ _et al_. RAS mutation in acute myeloid leukemia is associated with distinct cytogenetic subgroups but does not influence outcome in patients younger than 60 years.
_Blood_ 2005; 106: 2113–2119. Article CAS PubMed Google Scholar * Gari M, Goodeve A, Wilson G, Winship P, Langabeer S, Linch D _et al_. c-kit protooncogene exon 8 in-frame deletion plus
insertion mutations in acute myeloid leukaemia. _Br J Haematol_ 1999; 105: 894–900. Article CAS PubMed Google Scholar * Care RS, Valk PJ, Goodeve AC, Abu-Duhier FM, Geertsma-Kleinekoort
WM, Wilson GA _et al_. Incidence and prognosis of c-KIT and FLT3 mutations in core binding factor (CBF) acute myeloid leukaemias. _Br J Haematol_ 2003; 121: 775–777. Article CAS PubMed
Google Scholar * Beghini A, Ripamonti CB, Cairoli R, Cazzaniga G, Colapietro P, Elice F _et al_. KIT activating mutations: incidence in adult and pediatric acute myeloid leukemia, and
identification of an internal tandem duplication. _Haematologica_ 2004; 89: 920–925. CAS PubMed Google Scholar * Nanri T, Matsuno N, Kawakita T, Suzushima H, Kawano F, Mitsuya H _et al_.
Mutations in the receptor tyrosine kinase pathway are associated with clinical outcome in patients with acute myeloblastic leukemia harboring t(8;21)(q22;q22). _Leukemia_ 2005; 19:
1361–1366. Article CAS PubMed Google Scholar * Wang YY, Zhou GB, Yin T, Chen B, Shi JY, Liang WX _et al_. AML1-ETO and C-KIT mutation/overexpression in t(8;21) leukemia: implication in
stepwise leukemogenesis and response to Gleevec. _Proc Natl Acad Sci USA_ 2005; 102: 1104–1109. Article CAS PubMed PubMed Central Google Scholar * Goemans BF, Zwaan Ch M, Miller M,
Zimmermann M, Harlow A, Meshinchi S _et al_. Mutations in KIT and RAS are frequent events in pediatric core-binding factor acute myeloid leukemia. _Leukemia_ 2005; 19: 1536–1542. Article
CAS PubMed Google Scholar * Schnittger S, Kohl TM, Haferlach T, Kern W, Hiddemann W, Spiekermann K _et al_. KIT-D816 mutations in AML1-ETO positive AML are associated with impaired
event-free and overall survival. _Blood_ 2006; 107: 1791–1799. Article CAS PubMed Google Scholar * Shimada A, Taki T, Tabuchi K, Tawa A, Horibe K, Tsuchida M _et al_. KIT mutations, and
not FLT3 internal tandem duplication, are strongly associated with a poor prognosis in pediatric acute myeloid leukemia with t(8;21): a study of the Japanese Childhood AML Cooperative Study
Group. _Blood_ 2006; 107: 1806–1809. Article CAS PubMed Google Scholar * Cairoli R, Beghini A, Grillo G, Nadali G, Elice F, Ripamonti CB _et al_. Prognostic impact of c-KIT mutations in
core binding factor leukemias. An Italian retrospective study. _Blood_ 2005, doi:10.1182/blood-2005-1109-3640. * Perel Y, Auvrignon A, Leblanc T, Michel G, Reguerre Y, Vannier JP _et al_.
Treatment of childhood acute myeloblastic leukemia: dose intensification improves outcome and maintenance therapy is of no benefit – multicenter studies of the French LAME (Leucemie Aigue
Myeloblastique Enfant) Cooperative Group. _Leukemia_ 2005; 19: 2082–2089. Article CAS PubMed Google Scholar * Castaigne S, Chevret S, Archimbaud E, Fenaux P, Bordessoule D, Tilly H _et
al_. Randomized comparison of double induction and timed-sequential induction to a ‘3+7’ induction in adults with AML: long-term analysis of the Acute Leukemia French Association (ALFA) 9000
study. _Blood_ 2004; 104: 2467–2474. Article CAS PubMed Google Scholar * Boissel N, Cayuela JM, Preudhomme C, Thomas X, Grardel N, Fund X _et al_. Prognostic significance of FLT3
internal tandem repeat in patients with _de novo_ acute myeloid leukemia treated with reinforced courses of chemotherapy. _Leukemia_ 2002; 16: 1699–1704. Article CAS PubMed Google Scholar
* Kiyoi H, Naoe T, Nakano Y, Yokota S, Minami S, Miyawaki S _et al_. Prognostic implication of FLT3 and N-RAS gene mutations in acute myeloid leukemia. _Blood_ 1999; 93: 3074–3080. CAS
PubMed Google Scholar * Callens C, Chevret S, Cayuela JM, Cassinat B, Raffoux E, de Botton S _et al_. Prognostic implication of FLT3 and Ras gene mutations in patients with acute
promyelocytic leukemia (APL): a retrospective study from the European APL Group. _Leukemia_ 2005; 19: 1153–1160. Article CAS PubMed Google Scholar * Kottaridis PD, Gale RE, Linch DC .
Flt3 mutations and leukaemia. _Br J Haematol_ 2003; 122: 523–538. Article CAS PubMed Google Scholar * Yanada M, Matsuo K, Suzuki T, Kiyoi H, Naoe T . Prognostic significance of FLT3
internal tandem duplication and tyrosine kinase domain mutations for acute myeloid leukemia: a meta-analysis. _Leukemia_ 2005; 19: 1345–1349. Article CAS PubMed Google Scholar * Cairoli
R, Beghini A, Morello E, Grillo G, Montillo M, Larizza L _et al_. Imatinib mesylate in the treatment of core binding factor leukemias with KIT mutations. A report of three cases. _Leuk Res_
2005; 29: 397–400. Article CAS PubMed Google Scholar * Nanri T, Matsuno N, Kawakita T, Mitsuya H, Asou N . Imatinib mesylate for refractory acute myeloblastic leukemia harboring inv(16)
and a C-KIT exon 8 mutation. _Leukemia_ 2005; 19: 1673–1675. Article CAS PubMed Google Scholar * Cammenga J, Horn S, Bergholz U, Sommer G, Besmer P, Fiedler W _et al_. Extracellular KIT
receptor mutants, commonly found in core binding factor AML, are constitutively active and respond to imatinib mesylate. _Blood_ 2005; 106: 3958–3961. Article CAS PubMed Google Scholar *
Leroy H, de Botton S, Grardel-Duflos N, Darre S, Leleu X, Roumier C _et al_. Prognostic value of real-time quantitative PCR (RQ-PCR) in AML with t(8;21). _Leukemia_ 2005; 19: 367–372.
Article CAS PubMed Google Scholar * Krauter J, Gorlich K, Ottmann O, Lubbert M, Dohner H, Heit W _et al_. Prognostic value of minimal residual disease quantification by real-time reverse
transcriptase polymerase chain reaction in patients with core binding factor leukemias. _J Clin Oncol_ 2003; 21: 4413–4422. Article CAS PubMed Google Scholar * Buonamici S, Ottaviani E,
Testoni N, Montefusco V, Visani G, Bonifazi F _et al_. Real-time quantitation of minimal residual disease in inv(16)-positive acute myeloid leukemia may indicate risk for clinical relapse
and may identify patients in a curable state. _Blood_ 2002; 99: 443–449. Article CAS PubMed Google Scholar * Tobal K, Newton J, Macheta M, Chang J, Morgenstern G, Evans PA _et al_.
Molecular quantitation of minimal residual disease in acute myeloid leukemia with t(8;21) can identify patients in durable remission and predict clinical relapse. _Blood_ 2000; 95: 815–819.
CAS PubMed Google Scholar * Schnittger S, Weisser M, Schoch C, Hiddemann W, Haferlach T, Kern W . New score predicting for prognosis in PML-RARA+, AML1-ETO+, or CBFBMYH11+ acute myeloid
leukemia based on quantification of fusion transcripts. _Blood_ 2003; 102: 2746–2755. Article CAS PubMed Google Scholar Download references ACKNOWLEDGEMENTS This work was supported by
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 *
Service d'Hématologie, Hôpital Necker, Paris, France O Hermine Authors * N Boissel View author publications You can also search for this author inPubMed Google Scholar * H Leroy View
author publications You can also search for this author inPubMed Google Scholar * B Brethon View author publications You can also search for this author inPubMed Google Scholar * N Philippe
View author publications You can also search for this author inPubMed Google Scholar * S de Botton View author publications You can also search for this author inPubMed Google Scholar * A
Auvrignon View author publications You can also search for this author inPubMed Google Scholar * E Raffoux View author publications You can also search for this author inPubMed Google
Scholar * T Leblanc View author publications You can also search for this author inPubMed Google Scholar * X Thomas View author publications You can also search for this author inPubMed
Google Scholar * O Hermine View author publications You can also search for this author inPubMed Google Scholar * B Quesnel View author publications You can also search for this author
inPubMed Google Scholar * A Baruchel View author publications You can also search for this author inPubMed Google Scholar * G Leverger View author publications You can also search for this
author inPubMed Google Scholar * H Dombret View author publications You can also search for this author inPubMed Google Scholar * C Preudhomme View author publications You can also search
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
June 2006 * DOI: https://doi.org/10.1038/sj.leu.2404188 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable
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