Cited by 120

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Constitutive phosphoinositide 3-kinase/Akt activation represents a favorable prognostic factor in de novo acute myelogenous leukemia patients

Tamburini, Jerome, Elie, Caroline, Bardet, Valérie, Chapuis, Nicolas, Park, Sophie, Broët, Philippe, Cornillet-Lefebvre, Pascale, Lioure, Bruno, Ugo, Valérie, Blanchet, Odile, Ifrah, Norbert, Witz, Francis, Dreyfus, François, Mayeux, Patrick, Lacombe, Catherine, Bouscary, Didier·2007·Blood

Abstract

The phosphoinositide 3-kinase (PI3K/Akt) pathway is activated in acute myelogenous leukemia (AML) and is promising for targeted inhibition. Ninety-two patients with primary AML were analyzed for PI3K/Akt constitutive activation. Fifty percent of the patients presented with constitutive PI3K activation (PI3K +). No difference was observed between PI3K + and PI3K − groups concerning age, sex, white blood cell count, lactate dehydrogenase (LDH) level, bone marrow blast cells, French-American-British (FAB) classification, cytogenetics, RAS or nucleophosmin (NPM) mutations. Slightly more FLT3-ITD was detected in the PI3K − group (P = .048). The complete remission rate was similar between the 2 groups. With a median follow-up of 26 months, we observed for PI3K + and PI3K − patients, respectively, 56% and 33% overall survival (P = .001) and 72% and 41% relapse-free survival (P = .001). Constitutive PI3K/Akt activity is a favorable prognosis factor in AML, even after adjustment for FLT3-ITD, and may confer a particular sensitivity to chemotherapy. A better understanding of the downstream effectors of the PI3K/Akt pathway is needed before targeting in AML.

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Research works printed but not linked: 15

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Metadata

Authors
Tamburini, J., Elie, C., Bardet, V., Chapuis, N., Park, S., Broët, P., Cornillet-Lefebvre, P., Lioure, B., Ugo, V., Blanchet, O., Ifrah, N., Witz, F., Dreyfus, F., Mayeux, P., Lacombe, C., & Bouscary, D.
Venue
Blood
Published
2007-08-01
Volume
110
Issue
3
Pages
1025-1028
ISSN
  • 0006-4971
  • 1528-0020
Cited by
120
References
1
Language
en

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