Correlation analysis of p53 protein isoforms withNPM1/FLT3mutations and therapy response in acute myeloid leukemia

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The wild-type tumor-suppressor geneTP53encodes several isoforms of the p53 protein. However, while the role of p53 in controlling normal cell cycle progression and tumor suppression is well established, the clinical significance of p53 isoform expression is unknown. A novel bioinformatic analysis of p53 isoform expression in 68 patients with acute myeloid leukemia revealed distinct p53 protein biosignatures correlating with clinical outcome. Furthermore, we show that mutatedFLT3,a prognostic marker for short survival in AML, is associated with expression of full-length p53. In contrast, mutatedNPM1,a prognostic marker for long-term survival, correlated with p53 isoforms β and γ expression. In conclusion, p53 biosignatures contain useful information for cancer evaluation and prognostication.

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