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Detection of mutant NPM1 mRNA in acute myeloid leukemia using custom gene expression arrays

Item Type:Article
Title:Detection of mutant NPM1 mRNA in acute myeloid leukemia using custom gene expression arrays
Creators Name:van Vliet, Martin H., Dumee, Belinda, Simons, Erik, Bullinger, Lars, Döhner, Konstanze, Döhner, Hartmut, Viëtor, Henk, Löwenberg, Bob, Valk, Peter J.M. and van Beers, Erik H.
Abstract:Mutations in the gene encoding nucleophosmin (NPM1) carry a prognostic value for patients with acute myeloid leukemia (AML). Various techniques are currently being used to detect these mutations in routine molecular diagnostics. Incorporation of accurate NPM1 mutation detection on a gene expression platform would enable simultaneous detection with various other expression biomarkers. Here we present an array-based mutation detection using custom probes for NPM1 WT mRNA and NPM1 type A, B, and D mutant mRNA. This method was 100% accurate on a training cohort of 505 newly diagnosed unselected AML cases. Validation on an independent cohort of 143 normal-karyotype AML cases revealed no false-negative results, and one false positive (sensitivity 100.0% and specificity 98.7%). Based on this, we conclude that this method provides a reliable method for NPM1 mutation detection. The method can be applied to other genes/mutations as long as the mutant alleles are sufficiently highly expressed.
Keywords:Acute Myeloid Leukemia, Algorithms, Alleles, DNA Probes, Gene Expression, Messenger RNA, Mutation, Nuclear Proteins, Nucleophosmin, Oligonucleotide Array Sequence Analysis, Prognosis, Sensitivity and Specificity
Source:Genetic Testing and Molecular Biomarkers
ISSN:1945-0265
Publisher:Mary Ann Liebert
Volume:17
Number:4
Page Range:295-300
Date:April 2013
Additional Information:Copyright 2013, Mary Ann Liebert, Inc.
Official Publication:https://doi.org/10.1089/gtmb.2012.0344
External Fulltext:View full text on external repository or document server
PubMed:View item in PubMed

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