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Promoter hypermethylation of cancer-related genes: a strong independent prognostic factor in acute lymphoblastic leukemia

Open access
Roman-Gomez, Jose, Jimenez-Velasco, Antonio, Castillejo, Juan A., Agirre, Xabier, Barrios, Manuel, Navarro, German, Molina, Francisco J., Calasanz, Maria J., Prosper, Felipe, Heiniger, Anabel, Torres, Antonio·2004·Blood

Abstract

Promoter hypermethylation plays an important role in the inactivation of cancer-related genes. This abnormality occurs early in leukemogenesis and seems to be associated with poor prognosis in acute lymphoblastic leukemia (ALL). To determine the extent of hypermethylation in ALL, we analyzed the methylation status of the CDH1, p73, p16, p15, p57, NES-1, DKK-3, CDH13, p14, TMS-1, APAF-1, DAPK, PARKIN, LATS-1, and PTEN genes in 251 consecutive ALL patients. A total of 77.3% of samples had at least 1 gene methylated, whereas 35.9% of cases had 4 or more genes methylated. Clinical features and complete remission rate did not differ among patients without methylated genes, patients with 1 to 3 methylated genes (methylated group A), or patients with more than 3 methylated genes (methylated group B). Estimated disease-free survival (DFS) and overall survival (OS) at 11 years were 75.5% and 66.1%, respectively, for the nonmethylated group; 37.2% and 45.5% for methylated group A; and 9.4% and 7.8% for methylated group B (P < .0001 and P = .0004, respectively). Multivariate analysis demonstrated that the methylation profile was an independent prognostic factor in predicting DFS (P < .0001) and OS (P = .003). Our results suggest that the methylation profile may be a potential new biomarker of risk prediction in ALL.

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Metadata

Authors
Roman-Gomez, J., Jimenez-Velasco, A., Castillejo, J. A., Agirre, X., Barrios, M., Navarro, G., Molina, F. J., Calasanz, M. J., Prosper, F., Heiniger, A., & Torres, A.
Venue
Blood
Published
2004-10-15
Volume
104
Issue
8
Pages
2492-2498
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W1575135707
Cited by
208
References
1
FWCI
19.47
Type
journal article
Language
en
Status
Retracted
Open access
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CoChat. (2026). Citation check: Promoter hypermethylation of cancer-related genes: a strong independent prognostic factor in acute lymphoblastic leukemia. https://app.cochat.ai/papers/10.1182/blood-2004-03-0954
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Roman-Gomez, J., Jimenez-Velasco, A., Castillejo, J. A., Agirre, X., Barrios, M., Navarro, G., Molina, F. J., Calasanz, M. J., Prosper, F., Heiniger, A., & Torres, A. (2004). Promoter hypermethylation of cancer-related genes: a strong independent prognostic factor in acute lymphoblastic leukemia. Blood. https://doi.org/10.1182/blood-2004-03-0954

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