Heterogeneity in refractory acute myeloid leukemia

Abstract

Acute myeloid leukemia (AML) is the name given to a diverse set of highly fatal blood cancers. The typical initial treatment is combination cytotoxic chemotherapy with at least two drugs: 7 days of cytarabine with 3 days of an anthracycline. As treatment at initial diagnosis is often given emergently, there is a great need for pretreatment markers capable of identifying patients for whom standard treatment is likely to be suboptimal. This work uses RNA-sequencing analysis of a diverse cohort of highly annotated AML patient samples to demonstrate heterogeneity among those patients not responding to standard chemotherapy, then uses this information both to develop a prognostic classifier for survival and to suggest potentially superior therapeutic approaches for those at highest risk.

Document Details

Document Type
Pub Defense Publication
Publication Date
May 07, 2019
Source ID
10.1073/pnas.1902375116

Entities

People

  • Christin B DeStefano
  • Christopher S Hourigan
  • Gege Gui
  • Justin Lack
  • Michael M. Gottesman
  • Sachi Horibata

Organizations

  • National Cancer Institute
  • National Heart, Lung, and Blood Institute
  • National Institute of Allergy and Infectious Diseases
  • Uniformed Services University of the Health Sciences

Tags

Fields of Study

  • Medicine

Readers

  • Oncology
  • Trauma or Military Medicine