TY - JOUR AU - Radujkovic, Aleksandar AU - Dietrich, Sascha AU - Andrulis, Mindaugas AU - Benner, Axel AU - Longerich, Thomas AU - Pellagatti, Andrea AU - Nanda, Kriti AU - Giese, Thomas AU - Germing, Ulrich AU - Baldus, Stefan AU - Boultwood, Jacqueline AU - Ho, Anthony D AU - Dreger, Peter AU - Luft, Thomas TI - Expression of CDKN1C in the bone marrow of patients with myelodysplastic syndrome and secondary acute myeloid leukemia is associated with poor survival after conventional chemotherapy. JO - International journal of cancer VL - 139 IS - 6 SN - 0020-7136 CY - Bognor Regis PB - Wiley-Liss M1 - DKFZ-2017-05455 SP - 1402 - 1413 PY - 2016 AB - We tested the hypothesis that proliferative activity of hematopoietic stem cells has impact on survival in newly diagnosed patients with myelodysplastic syndrome (MDS) and secondary acute myeloid leukemia (AML). RNA expression profiles of CD34(+) cells were analyzed in 125 MDS patients and compared to healthy controls. Prognostic impact on overall survival (OS) of mRNA proliferation signatures established for solid tumor cells was analyzed retrospectively. For validation on the protein level, immunofluorescence and immunohistochemistry analyses in bone marrow (BM) biopsies were performed, and an independent cohort of 223 MDS and secondary AML patients was investigated. Lower proliferative activity correlated with the expression of cyclin-dependent kinase inhibitor 1C (CDKN1C) and with shorter OS (p < 0.001). In multivariable analysis, higher CDKN1C expression was associated with worse OS (p = 0.02). On the BM level, a total of 84 (38 KW - Antigens, CD34 (NLM Chemicals) KW - Biomarkers (NLM Chemicals) KW - CDKN1C protein, human (NLM Chemicals) KW - Cyclin-Dependent Kinase Inhibitor p57 (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:27170453 DO - DOI:10.1002/ijc.30181 UR - https://inrepo02.dkfz.de/record/130376 ER -