IDH1 and IDH2 Mutations Are Frequent Genetic Alterations in Acute Myeloid Leukemia and Confer Adverse Prognosis in Cytogenetically Normal Acute Myeloid Leukemia With NPM1 Mutation Without FLT3 Internal Tandem Duplication
Heidelberg University · University Hospital Heidelberg · +3 more institutions
Abstract
PURPOSE: To analyze the frequency and prognostic impact of isocitrate dehydrogenase 1 (IDH1) and isocitrate dehydrogenase 2 (IDH2) mutations in acute myeloid leukemia (AML). PATIENTS AND METHODS: We studied 805 adults (age range, 16 to 60 years) with AML enrolled on German-Austrian AML Study Group (AMLSG) treatment trials AML HD98A and APL HD95 for mutations in exon 4 of IDH1 and IDH2. Patients were also studied for NPM1, FLT3, MLL, and CEBPA mutations. The median follow-up for survival was 6.3 years. RESULTS: IDH mutations were found in 129 patients (16.0%) -IDH1 in 61 patients (7.6%), and IDH2 in 70 patients (8.7%). Two patients had both IDH1 and IDH2 mutations. All but one IDH1 mutation caused substitutions…
Citation impact
- FWCI
- 36.90
- Percentile
- 100%
- References
- 51
Authors
14- PPPeter PaschkaCorresponding
Heidelberg University, University Hospital Heidelberg, Düsseldorf University Hospital, University Hospital Ulm, Heinrich Heine University Düsseldorf
- RFRichard F. Schlenk
Heidelberg University, University Hospital Heidelberg, Düsseldorf University Hospital, University Hospital Ulm, Heinrich Heine University Düsseldorf
- VIVerena I. Gaidzik
Heidelberg University, University Hospital Heidelberg, Düsseldorf University Hospital, University Hospital Ulm, Heinrich Heine University Düsseldorf
- MHMarianne Habdank
Heidelberg University, University Hospital Heidelberg, Düsseldorf University Hospital, University Hospital Ulm, Heinrich Heine University Düsseldorf
- JKJan Krönke
Heidelberg University, University Hospital Heidelberg, Düsseldorf University Hospital, University Hospital Ulm, Heinrich Heine University Düsseldorf
Topics & keywords
- NPM1
- IDH2
- CEBPA
- Myeloid leukemia
- Medicine
- IDH1
- Isocitrate dehydrogenase
- Internal medicine
- Good health and well-being