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Prepublished online as a Blood First Edition Paper on May 8, 2003; DOI 10.1182/blood-2003-02-0578.

Submitted February 21, 2003
Accepted April 28, 2003
Identification of a gene expression signature associated with prognosis of pediatric AML
Tomohito Yagi, Akira Morimoto, Mariko Eguchi, Shigeyoshi Hibi, Masahiro Sako, Eiichi Ishii, Shuki Mizutani, Shinsaku Imashuku, Misao Ohki, and Hitoshi Ichikawa*
Cancer Genomics Division, National Cancer Center Research Institute, Tokyo, Japan; Department of Pediatrics, Kyoto Prefectural University of Medicine, Kyoto, Japan
Department of Pediatrics, Kyoto Prefectural University of Medicine, Kyoto, Japan
Chester Beatty Laboratories, Leukaemia Research Fund Centre, London, United Kingdom
Division of Pediatrics, Osaka City General Hospital, Osaka, Japan
Department of Pediatrics, Saga Medical School, Saga, Japan
Department of Pediatrics and Developmental Biology, Tokyo Medical and Dental University, Tokyo, Japan
Kyoto City Institute of Health and Environmental Sciences, Kyoto, Japan
Cancer Genomics Division, National Cancer Center Research Institute, Tokyo, Japan
* Corresponding author; email: hichikaw{at}ncc.go.jp.
Most patients with acute myeloid leukemia (AML) enter complete remission (CR) after treatment with chemotherapy, but a large number of them relapse with resistant disease. To identify genes that are associated with their prognosis, we analyzed the gene expression of 54 pediatric patients with AML using an oligonucleotide microarray that contains 12,566 probe sets. A supervised approach using the Student's t-test selected a prognostic set of 35 genes, some of which are associated with regulation of cell cycle and apoptosis. Most of these genes had not previously been reported to be associated with prognosis, and were not correlated with morphologically classified French-American-British (FAB) subtypes or with karyotypes. These results indicate the existence of prognosis-associated genes, which are independent of cell lineage and cytogenetic abnormalities, and can provide therapeutic direction for individual risk-adapted therapy for pediatric AML patients.

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