Quantitative assessment of minimal residual disease in acute myeloid leukemia carrying nucleophosmin (NPM1) gene mutations

P. Gorello, G. Cazzaniga, F. Alberti, M. G. Dell'Oro, E. Gottardi, G. Specchia, G. Roti, R. Rosati, M. F. Martelli, D. Diverio, F. Lo Coco, A. Biondi, G. Saglio, C. Mecucci, B. Falini

Research output: Contribution to journalArticlepeer-review

Abstract

Mutation in exon 12 of the nucleophosmin (NPM1) gene occur in about 60% of adult AML with normal karyotype. By exploiting a specific feature of NPM1 mutants, that is insertion at residue 956 or deletion/insertion at residue 960, we developed highly sensitive, real-time quantitative (RQ) polymerase chain reaction (PCR) assays, either in DNA or RNA, that are specific for various NPM1 mutations. In all 13 AML patients carrying NPM1 mutations at diagnosis, cDNA RQ-PCR showed >30 000 copies of NPM1-mutated transcript. A small or no decrease in copies was observed in three patients showing partial or no response to induction therapy. The number of NPM1-mutated copies was markedly reduced in 10 patients achieving complete hematological remission (five cases:

Original languageEnglish
Pages (from-to)1103-1108
Number of pages6
JournalLeukemia
Volume20
Issue number6
DOIs
Publication statusPublished - Jun 2006

Keywords

  • Acute myeloid leukemia
  • Minimal residual disease
  • Normal karyotype
  • NPM
  • Nucleophosmin
  • Quantitative polymerase chain reaction

ASJC Scopus subject areas

  • Hematology
  • Cancer Research

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