DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil

Acute myeloid leukemia (AML) is a complex and heterogeneous hematopoietic tissue neoplasm. Several molecular markers have been described that help to classify AML patients into risk groups. DNA methyltransferase 3A (DNMT3A) gene mutations have been recently identified in about 22% of AML patients an...

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Main Authors: Annelise Pezzi, Lauro Moraes, Vanessa Valim, Bruna Amorin, Gabriela Melchiades, Fernanda Oliveira, Maria Aparecida da Silva, Ursula Matte, Maria S. Pombo-de-Oliveira, Rosane Bittencourt, Liane Daudt, Lúcia Silla
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2012/697691
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author Annelise Pezzi
Lauro Moraes
Vanessa Valim
Bruna Amorin
Gabriela Melchiades
Fernanda Oliveira
Maria Aparecida da Silva
Ursula Matte
Maria S. Pombo-de-Oliveira
Rosane Bittencourt
Liane Daudt
Lúcia Silla
author_facet Annelise Pezzi
Lauro Moraes
Vanessa Valim
Bruna Amorin
Gabriela Melchiades
Fernanda Oliveira
Maria Aparecida da Silva
Ursula Matte
Maria S. Pombo-de-Oliveira
Rosane Bittencourt
Liane Daudt
Lúcia Silla
author_sort Annelise Pezzi
collection DOAJ
description Acute myeloid leukemia (AML) is a complex and heterogeneous hematopoietic tissue neoplasm. Several molecular markers have been described that help to classify AML patients into risk groups. DNA methyltransferase 3A (DNMT3A) gene mutations have been recently identified in about 22% of AML patients and associated with poor prognosis as an independent risk factor. Our aims were to determine the frequency of somatic mutations in the gene DNMT3A and major chromosomal translocations in a sample of patients with AML. We investigated in 82 samples of bone marrow from patients with AML for somatic mutations in DNMT3A gene by sequencing and sought major fusion transcripts by RT-PCR. We found mutations in the DNMT3A gene in 6 patients (8%); 3 were type R882H. We found fusion transcripts in 19 patients, namely, AML1/ETO (n=5; 6.1%), PML/RARα (n=12; 14.6%), MLL/AF9 (0; 0%), and CBFβ/MYH11 (n=2; 2.4%). The identification of recurrent mutations in the DNMT3A gene and their possible prognostic implications can be a valuable tool for making treatment decisions. This is the first study on the presence of somatic mutations of the DNMT3A gene in patients with AML in Brazil. The frequency of these mutations suggests a possible ethnogeographic variation.
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spelling doaj-art-8efb5143041a456a996a815ae40235cb2025-02-03T01:07:58ZengWileyAdvances in Hematology1687-91041687-91122012-01-01201210.1155/2012/697691697691DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South BrazilAnnelise Pezzi0Lauro Moraes1Vanessa Valim2Bruna Amorin3Gabriela Melchiades4Fernanda Oliveira5Maria Aparecida da Silva6Ursula Matte7Maria S. Pombo-de-Oliveira8Rosane Bittencourt9Liane Daudt10Lúcia Silla11Cellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilGene Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilPediatric Hematology and Oncology Program, Research Center, Instituto Nacional de Câncer, 20230-130 Rio de Janeiro, RJ, BrazilHematology and Bone Marrow Transplantation, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilHematology and Bone Marrow Transplantation, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilCellular Therapy Center, Center for Experimental Research, Hospital de Clinicas de Porto Alegre, 90035-903 Porto Alegre, RS, BrazilAcute myeloid leukemia (AML) is a complex and heterogeneous hematopoietic tissue neoplasm. Several molecular markers have been described that help to classify AML patients into risk groups. DNA methyltransferase 3A (DNMT3A) gene mutations have been recently identified in about 22% of AML patients and associated with poor prognosis as an independent risk factor. Our aims were to determine the frequency of somatic mutations in the gene DNMT3A and major chromosomal translocations in a sample of patients with AML. We investigated in 82 samples of bone marrow from patients with AML for somatic mutations in DNMT3A gene by sequencing and sought major fusion transcripts by RT-PCR. We found mutations in the DNMT3A gene in 6 patients (8%); 3 were type R882H. We found fusion transcripts in 19 patients, namely, AML1/ETO (n=5; 6.1%), PML/RARα (n=12; 14.6%), MLL/AF9 (0; 0%), and CBFβ/MYH11 (n=2; 2.4%). The identification of recurrent mutations in the DNMT3A gene and their possible prognostic implications can be a valuable tool for making treatment decisions. This is the first study on the presence of somatic mutations of the DNMT3A gene in patients with AML in Brazil. The frequency of these mutations suggests a possible ethnogeographic variation.http://dx.doi.org/10.1155/2012/697691
spellingShingle Annelise Pezzi
Lauro Moraes
Vanessa Valim
Bruna Amorin
Gabriela Melchiades
Fernanda Oliveira
Maria Aparecida da Silva
Ursula Matte
Maria S. Pombo-de-Oliveira
Rosane Bittencourt
Liane Daudt
Lúcia Silla
DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
Advances in Hematology
title DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
title_full DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
title_fullStr DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
title_full_unstemmed DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
title_short DNMT3A Mutations in Patients with Acute Myeloid Leukemia in South Brazil
title_sort dnmt3a mutations in patients with acute myeloid leukemia in south brazil
url http://dx.doi.org/10.1155/2012/697691
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