TY - JOUR
T1 - TET2 mutations in secondary acute myeloid leukemias
T2 - A French retrospective study
AU - Kosmider, Olivier
AU - Delabesse, Eric
AU - Mansat-De Mas, Véronique
AU - Cornillet-Lefebvre, Pascale
AU - Blanchet, Odile
AU - Delmer, Alain
AU - Recher, Christian
AU - Raynaud, Sophie
AU - Bouscary, Didier
AU - Viguié, Franck
AU - Lacombe, Catherine
AU - Bernard, Olivier A.
AU - Ifrah, Norbert
AU - Dreyfus, François
AU - Fontenay, Michaëla
PY - 2011/7/1
Y1 - 2011/7/1
N2 - Ten-eleven translocation 2 (TET2) mutations have been involved in myeloid malignancies. This retrospective study aims at evaluating the frequency and impact of TET2 mutations in 247 secondary acute myeloid leukemia cases referred to as myelodysplasia-related changes (n=201) or therapy-related (n=46) leukemias. Mutation of at least one copy of the TET2 gene was detected in 49 of 247 (19.8%) patients who presented with older age, higher hemoglobin level, higher neutrophil and monocyte counts, and lower platelet count. TET2 mutations were significantly less frequent in therapy-related (8.7%) than myelodysplasia-related changes (22.3%; P=0.035) leukemias and strongly associated with normal karyotype (P<0.001). TET2 mutations did not significantly associate with NPM1, FLT3-ITD or FLT3-D835, WT1, or N- or K-RAS mutations. Complete remission was achieved in 57% of evaluable patients who had received intensive chemotherapy. In this group, TET2 mutations did not influence the complete remission rate or overall survival.
AB - Ten-eleven translocation 2 (TET2) mutations have been involved in myeloid malignancies. This retrospective study aims at evaluating the frequency and impact of TET2 mutations in 247 secondary acute myeloid leukemia cases referred to as myelodysplasia-related changes (n=201) or therapy-related (n=46) leukemias. Mutation of at least one copy of the TET2 gene was detected in 49 of 247 (19.8%) patients who presented with older age, higher hemoglobin level, higher neutrophil and monocyte counts, and lower platelet count. TET2 mutations were significantly less frequent in therapy-related (8.7%) than myelodysplasia-related changes (22.3%; P=0.035) leukemias and strongly associated with normal karyotype (P<0.001). TET2 mutations did not significantly associate with NPM1, FLT3-ITD or FLT3-D835, WT1, or N- or K-RAS mutations. Complete remission was achieved in 57% of evaluable patients who had received intensive chemotherapy. In this group, TET2 mutations did not influence the complete remission rate or overall survival.
KW - Characteristics
KW - Prognosis
KW - Secondary AML
KW - TET2 mutations
UR - http://www.scopus.com/inward/record.url?scp=79959952948&partnerID=8YFLogxK
U2 - 10.3324/haematol.2011.040840
DO - 10.3324/haematol.2011.040840
M3 - Article
C2 - 21508122
AN - SCOPUS:79959952948
SN - 0390-6078
VL - 96
SP - 1059
EP - 1063
JO - Haematologica
JF - Haematologica
IS - 7
ER -