cDNA microarray analysis of non-selected cases of acute myeloid leukemia demonstrates distinct clustering independent of cytogenetic aberrations and consistent with morphological signs of differentiation

  • Authors:
    • Anne Margrete Øyan
    • Trond Hellem Bø
    • Inge Jonassen
    • Bjørn Tore Gjertsen
    • Øystein Bruserud
    • Karl-Henning Kalland
  • View Affiliations

  • Published online on: May 1, 2006     https://doi.org/10.3892/ijo.28.5.1065
  • Pages: 1065-1080
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Abstract

Acute myeloid leukemia (AML) is a heterogeneous disease with respect to biology and clinical course. Until now the basis for prognostic evaluation and therapeutic decision has been the karyotype, genetic FLT3 abnormalities and the initial chemotherapy response. A question that has emerged is if extensive gene expression analysis may supplement or partly replace current diagnostics. In an attempt to address this question, we performed cDNA microarray analysis on peripheral blood samples of 25 patients with newly diagnosed AML with high blast counts. The patients were randomly selected from a large group of consecutive patients. Leave-one-out crossvalidation (LOOCV) showed with high accuracy that gene expression classifiers could predict if leukaemia samples belonged to the FAB AML-M1 or to the FAB AML-M2 groups. An unsupervised two-dimensional hierarchical cluster analysis generated 3 patient subgroups. Except for an accumulation of samples classified as FAB M1 and M2 in cluster 3, there was no evident relationship between the clusters and the FAB classification. Each subgroup displayed clearly distinguished gene expression patterns validated using real-time quantitative PCR analysis. The identification of specific gene expressions that together constitute regulatory modules must complement cluster analyses in order to achieve an accurate basis for prognosis and prediction.

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May 2006
Volume 28 Issue 5

Print ISSN: 1019-6439
Online ISSN:1791-2423

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Spandidos Publications style
Øyan AM, Bø TH, Jonassen I, Gjertsen BT, Bruserud Ø and Kalland K: cDNA microarray analysis of non-selected cases of acute myeloid leukemia demonstrates distinct clustering independent of cytogenetic aberrations and consistent with morphological signs of differentiation. Int J Oncol 28: 1065-1080, 2006.
APA
Øyan, A.M., Bø, T.H., Jonassen, I., Gjertsen, B.T., Bruserud, Ø., & Kalland, K. (2006). cDNA microarray analysis of non-selected cases of acute myeloid leukemia demonstrates distinct clustering independent of cytogenetic aberrations and consistent with morphological signs of differentiation. International Journal of Oncology, 28, 1065-1080. https://doi.org/10.3892/ijo.28.5.1065
MLA
Øyan, A. M., Bø, T. H., Jonassen, I., Gjertsen, B. T., Bruserud, Ø., Kalland, K."cDNA microarray analysis of non-selected cases of acute myeloid leukemia demonstrates distinct clustering independent of cytogenetic aberrations and consistent with morphological signs of differentiation". International Journal of Oncology 28.5 (2006): 1065-1080.
Chicago
Øyan, A. M., Bø, T. H., Jonassen, I., Gjertsen, B. T., Bruserud, Ø., Kalland, K."cDNA microarray analysis of non-selected cases of acute myeloid leukemia demonstrates distinct clustering independent of cytogenetic aberrations and consistent with morphological signs of differentiation". International Journal of Oncology 28, no. 5 (2006): 1065-1080. https://doi.org/10.3892/ijo.28.5.1065