Home > Publications database > Pretreatment d-2-hydroxyglutarate serum levels negatively impact on outcome in IDH1-mutated acute myeloid leukemia. > print |
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100 | 1 | _ | |a Balss, J. |0 P:(DE-HGF)0 |b 0 |e First author |
245 | _ | _ | |a Pretreatment d-2-hydroxyglutarate serum levels negatively impact on outcome in IDH1-mutated acute myeloid leukemia. |
260 | _ | _ | |a Basingstoke |c 2016 |b Nature Publ. Group |
336 | 7 | _ | |a article |2 DRIVER |
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336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1524211749_23437 |2 PUB:(DE-HGF) |
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520 | _ | _ | |a Mutations in isocitrate dehydrogenases (IDHs) 1 and 2 frequently occur in acute myeloid leukemia (AML) and result in the production of the oncometabolite d-2-hydroxyglutarate (D2HG). D2HG has been shown to promote leukemogenesis even in the absence of mutated IDH, but the prognostic significance of pretreatment serum D2HG levels in patients with IDH-mutated AML is unclear. We measured D2HG serum levels in 84 patients with IDH-mutated AML treated in the prospective, randomized multicenter AML2003 trial of the German Study Alliance Leukemia. Multivariate Cox regression showed D2HG levels to negatively impact on event-free survival (EFS) as a continuous variable in the entire IDH(mut) cohort (P=0.04), with no effect on overall survival (OS). In a subgroup analysis, the negative impact of D2HG on EFS was found to be restricted to patients with mutations in IDH1 (P=0.003), adjusted for age, leukocyte count, serum lactate dehydrogenase and European LeukemiaNet risk score. We thus conclude that pretreatment D2HG serum levels may yield prognostic information in patients with IDH1-mutated, but not in IDH2-mutated AML, possibly due to different subcellular localizations of IDH1 and IDH2. |
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650 | _ | 7 | |a Biomarkers, Tumor |2 NLM Chemicals |
650 | _ | 7 | |a Glutarates |2 NLM Chemicals |
650 | _ | 7 | |a alpha-hydroxyglutarate |0 2889-31-8 |2 NLM Chemicals |
650 | _ | 7 | |a Isocitrate Dehydrogenase |0 EC 1.1.1.41 |2 NLM Chemicals |
650 | _ | 7 | |a IDH1 protein, human |0 EC 1.1.1.42. |2 NLM Chemicals |
700 | 1 | _ | |a Thiede, C. |b 1 |
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700 | 1 | _ | |a Okun, J. G. |b 3 |
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700 | 1 | _ | |a Pusch, Stefan |0 P:(DE-He78)f2efee17b6ca2f790176a2c036912536 |b 6 |u dkfz |
700 | 1 | _ | |a Ehninger, G. |b 7 |
700 | 1 | _ | |a Schaich, M. |b 8 |
700 | 1 | _ | |a Ho, A. D. |0 P:(DE-HGF)0 |b 9 |
700 | 1 | _ | |a von Deimling, A. |0 P:(DE-He78)a8a10626a848d31e70cfd96a133cc144 |b 10 |u dkfz |
700 | 1 | _ | |a Krämer, A. |0 P:(DE-He78)493c5fbf69f1b20df6f048712f3ad4a0 |b 11 |u dkfz |
700 | 1 | _ | |a Heilig, Christoph |0 P:(DE-He78)42b6114cd48e033299b2b6ef4bf56cc6 |b 12 |e Last author |u dkfz |
773 | _ | _ | |a 10.1038/leu.2015.317 |g Vol. 30, no. 4, p. 782 - 788 |0 PERI:(DE-600)2008023-2 |n 4 |p 782 - 788 |t Leukemia |v 30 |y 2016 |x 1476-5551 |
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