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Prepublished online as a Blood First Edition Paper on October 10, 2002; DOI 10.1182/blood-2002-05-1474.

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Blood, 15 February 2003, Vol. 101, No. 4, pp. 1277-1283

CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Brief report

M0 AML, clinical and biologic features of the disease, including AML1 gene mutations: a report of 59 cases by the Groupe Français d'Hématologie Cellulaire (GFHC) and the Groupe Français de Cytogénétique Hématologique (GFCH)

Christophe Roumier, Virginie Eclache, Michelle Imbert, Frederic Davi, Elizabeth MacIntyre, Richard Garand, Pascaline Talmant, Pascale Lepelley, Jean Luc Lai, Olivier Casasnovas, Marc Maynadie, Francine Mugneret, Chrystele Bilhou-Naberra, Françoise Valensi, Isabelle Radford, Marie Joëlle Mozziconacci, Christine Arnoulet, Eliane Duchayne, Nicole Dastugue, Pascale Cornillet, Sylvie Daliphard, Francine Garnache, Najiba Boudjerra, Helene Jouault, Odile Fenneteau, Béatrice Pedron, Roland Berger, Georges Flandrin, Pierre Fenaux, and Claude Preudhomme

From the Laboratoire d'Hématologie A, Laboratoire de Cytogénétique, and Service des Maladies du Sang, CHU Lille; Unité INSERM 524, Institut de Recherche sur le Cancer de Lille; Laboratoire d' Hématologie, Hôpital Jean Verdier, Bondy, Assistance Publique Hôpitaux de Paris; Hématologie Biologique and Hématologie Clinique, Hôpital Henri Mondor, Assistance Publique Hôpitaux de Paris; Hématologie clinique, Hôpital Pitié Salpetrière, Assistance Publique Hôpitaux de Paris; Hématologie Biologique, Hôpital Necker, Assistance Publique Hôpitaux de Paris; Laboratoire d'Hématologie and Cytogénétique Hématologique, Institut de Biologie, CHU Nantes; Unité d'hématologie Clinique, Service d'hématologie biologique, and Laboratoire de Cytogénétique, CHU Dijon; Laboratoire d'Hématologie, CHU Bordeaux; Laboratoire de Cytogénétique Hôpital Necker, Assistance Publique Hôpitaux de Paris; Laboratoire d'Hématologie Moléculaire et Cytogénétique, Institut Paoli Calmette, Marseille; Laboratoire d'hématologie and Laboratoire de Génétique des Hémopathies, Hôpital Purpan, Toulouse; Laboratoire d'Hématologie et de Cytogénétique, CH Reims; Laboratoire d'Hématologie, Etablissement de Transfusion Sanguine de Franche Comte; Service d'Hématologie, Centre Hospitalier Alger; Hématologie Biologique and Immunologie Biologique, Hôpital Robert Debre, Assistance Publique Hôpitaux de Paris; Unité INSERM 301, IGM, Hôpital Saint Louis Paris, France.

Mutations of the AML1 gene are frequent molecular abnormalities in minimally differentiated acute myeloblastic leukemia (M0 AML), a rare type of AML. In this retrospective multicenter study, morphologic, immunophenotypical, cytogenetic, and molecular features of 59 de novo M0 AML cases were analyzed and correlated to AML1 mutations. Point mutations of AML1 gene were observed in 16 cases (27%). They were correlated with higher white blood cell (WBC) count (P = .001), greater marrow blast involvement (P = .03), higher incidence of immunoglobulin H/T-cell receptor (IgH/TCR) gene rearrangement (P < .0001), and with a borderline significant lower incidence of complex karyotypes. In the 59 patients, FLT3 mutations were the only significant prognostic factors associated with short survival.

© 2003 by The American Society of Hematology.
 

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