Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation

Objectives The TP53 mutation, a prevalent tumor suppressor gene alteration, is linked to chemotherapy resistance, increased relapse rates and diminished overall survival (OS) in acute myeloid leukemia (AML) patients.Methods In this study, we characterize the TP53 mutation phenotypes across various A...

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Main Authors: Gelan Zhu, Jiayi Cai, Wanbin Fu, Yue Sun, Ting Wang, Hua Zhong
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Hematology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/16078454.2024.2400620
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author Gelan Zhu
Jiayi Cai
Wanbin Fu
Yue Sun
Ting Wang
Hua Zhong
author_facet Gelan Zhu
Jiayi Cai
Wanbin Fu
Yue Sun
Ting Wang
Hua Zhong
author_sort Gelan Zhu
collection DOAJ
description Objectives The TP53 mutation, a prevalent tumor suppressor gene alteration, is linked to chemotherapy resistance, increased relapse rates and diminished overall survival (OS) in acute myeloid leukemia (AML) patients.Methods In this study, we characterize the TP53 mutation phenotypes across various AML cohorts utilizing The Cancer Genome Atlas (TCGA) data. We devised a TP53-related prognostic signature derived from differentially expressed genes between mutated and wild-type TP53 AML specimens. In-depth analyses were conducted, encompassing genetic variation, immune cell infiltration and prognostic stratification.Results A six-gene TP53-related signature was established using least absolute shrinkage and selection operator (LASSO)–Cox regression, demonstrating robust prognostic predictability. This signature exhibited strong performance in both the OHSU validation cohorts, an independent Gene Expression Omnibus (GEO) validation cohort (GSE71014) and proved by results of the in vivo experiment. Finally, we used single cell database (GSE198681) to observe the characteristics of these six genes.Discussion Our study may facilitate the development of efficacious therapeutic approaches and provide a novel idea for future research. Conclusion: The TP53-related signature and pattern hold the potential to refine prognostic stratification and underscore emerging targeted therapies.
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spelling doaj-art-c21c1b2a07df4ed8a0ca3e1b1a9cdf342025-08-20T01:59:09ZengTaylor & Francis GroupHematology1607-84542024-12-0129110.1080/16078454.2024.2400620Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutationGelan Zhu0Jiayi Cai1Wanbin Fu2Yue Sun3Ting Wang4Hua Zhong5Department of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaDepartment of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaDepartment of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaDepartment of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaDepartment of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaDepartment of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaObjectives The TP53 mutation, a prevalent tumor suppressor gene alteration, is linked to chemotherapy resistance, increased relapse rates and diminished overall survival (OS) in acute myeloid leukemia (AML) patients.Methods In this study, we characterize the TP53 mutation phenotypes across various AML cohorts utilizing The Cancer Genome Atlas (TCGA) data. We devised a TP53-related prognostic signature derived from differentially expressed genes between mutated and wild-type TP53 AML specimens. In-depth analyses were conducted, encompassing genetic variation, immune cell infiltration and prognostic stratification.Results A six-gene TP53-related signature was established using least absolute shrinkage and selection operator (LASSO)–Cox regression, demonstrating robust prognostic predictability. This signature exhibited strong performance in both the OHSU validation cohorts, an independent Gene Expression Omnibus (GEO) validation cohort (GSE71014) and proved by results of the in vivo experiment. Finally, we used single cell database (GSE198681) to observe the characteristics of these six genes.Discussion Our study may facilitate the development of efficacious therapeutic approaches and provide a novel idea for future research. Conclusion: The TP53-related signature and pattern hold the potential to refine prognostic stratification and underscore emerging targeted therapies.https://www.tandfonline.com/doi/10.1080/16078454.2024.2400620Prognostic modelacute myeloid leukemiaimmune landscapeTP53 mutation
spellingShingle Gelan Zhu
Jiayi Cai
Wanbin Fu
Yue Sun
Ting Wang
Hua Zhong
Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
Hematology
Prognostic model
acute myeloid leukemia
immune landscape
TP53 mutation
title Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
title_full Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
title_fullStr Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
title_full_unstemmed Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
title_short Elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with TP53 mutation
title_sort elucidating the immune landscape and potential prognostic model in acute myeloid leukemia with tp53 mutation
topic Prognostic model
acute myeloid leukemia
immune landscape
TP53 mutation
url https://www.tandfonline.com/doi/10.1080/16078454.2024.2400620
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