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Clinical and prognostic relevance of CXCL12 expression in acute myeloid leukemia

Authors: Wang, Shi-sen; Xu, Zi-jun; Jin, Ye; Ma, Ji-chun; Xia, Pei-hui; Wen, Xiangmei; Mao, Zhen-wei; +2 Authors

Clinical and prognostic relevance of CXCL12 expression in acute myeloid leukemia

Abstract

Background Accumulating studies have been made to understand the association between CXC chemokine ligand-12 ( CXCL12 )/ CXC chemokine receptor 4 ( CXCR4 ) and acute myeloid leukemia (AML). However, large-scale data analysis of potential relationship between CXCL12 and AML remains insufficient. Methods We collected abundant CXCL12 expression data and AML samples from several publicly available datasets. The CIBERSORT algorithm was used to quantify immune cell fractions and the online website of STRING was utilized for gene ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. The statistical analysis and graphical work were mainly performed via the R software. Results CXCL12 expression was extremely down-regulated in AML. Clinically, low CXCL12 expression was correlated with higher white blood cells (WBCs) ( P < 0.0001), more blasts in bone marrow (BM) ( P < 0.001) and peripheral blood (PB) ( P < 0.0001), FLT3 -internal tandem duplications ( FLT3 -ITD) ( P = 0.010) and NPM1 mutations ( P = 0.015). More importantly, reduced CXCL12 expression predicted worse overall survival (OS) and event-free survival (EFS) in all AML, non-M3-AML, and cytogenetically normal (CN)-AML patients in three independent cohorts. As for immune cell infiltration, high CXCL12 expressed groups tended to harbor more memory B cells and plasma cells infiltration while low CXCL12 expressed groups exhibited more eosinophils infiltration. GO enrichment and KEGG pathways analysis revealed the potential biological progress the gene participating in. Conclusions CXCL12 is significantly down-regulated in AML and low CXCL12 expression is an independent and poor predictor of AML prognosis. CXCL12 expression level correlates with clinical and immune characteristics of AML, which could provide potential assistance for treatment. Prospective studies are needed to further validate the impact of CXCL12 expression before routine clinical application in AML.

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Keywords

CXCR4, QH301-705.5, Bioinformatics, R, CXCL12, Prognosis, SDF-1, AML, Medicine, Gene expression, Biology (General)

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
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gold
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