Association between DCK 35708 T>C Variation and Clinical Outcomes of Acute Myeloid Leukemia in South Chinese Patients
Dao-Yu Zhang, Xiaoqing Yuan, Han Yan, Shan Cao, Wei Zhang, Xiaolin Li, Hui Zeng, Xiaoping Chen
Abstract
Dao-Yu Zhang, Xiaoqing Yuan, Han Yan, Shan Cao, Wei Zhang, Xiaolin Li, Hui Zeng, Xiaoping Chen
Abstract
AIM: DCK is a rate-limiting enzyme in cytarabine activation. rs4643786 and rs67437265 (P122S) variants are reported to affect DCK activity. PATIENTS & METHODS: A total of 282 newly diagnosed acute myeloid leukemia (AML) patients were treated with cytarabine combined chemotherapy and genotyped for rs4643786 and rs67437265. Prognosis data were obtained through regular follow-up. DCK mRNA expression was detected in pretreatment blood or bone marrow mononuclear cells. RESULTS: rs4643786 showed strong linkage disequilibrium with rs67437265. rs4643786 CT heterozygotes showed significantly higher complete remission rate (p = 0.028), superior overall survival (p = 0.006) and relapse-free survival (p = 0.020) than wild-type TT homozygotes. rs4643786 polymorphism was an independent predictor for AML prognosis. CONCLUSION: DCK rs4643786 may serve as an independent predictor of drug response and AML outcome.
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AIM: DCK is a rate-limiting enzyme in cytarabine activation. rs4643786 and rs67437265 (P122S) variants are reported to affect DCK activity. PATIENTS & METHODS: A total of 282 newly diagnosed acute myeloid leukemia (AML) patients were treated with cytarabine combined chemotherapy and genotyped for rs4643786 and rs67437265. Prognosis data were obtained through regular follow-up. DCK mRNA expression was detected in pretreatment blood or bone marrow mononuclear cells. RESULTS: rs4643786 showed strong linkage disequilibrium with rs67437265. rs4643786 CT heterozygotes showed significantly higher complete remission rate (p = 0.028), superior overall survival (p = 0.006) and relapse-free survival (p = 0.020) than wild-type TT homozygotes. rs4643786 polymorphism was an independent predictor for AML prognosis. CONCLUSION: DCK rs4643786 may serve as an independent predictor of drug response and AML outcome.
Key concepts: Cytarabine, Myeloid leukemia, Oncology, Internal medicine, Chemotherapy, Bone marrow, Peripheral blood mononuclear cell, Medicine