Short Communication on Histone Modification Patterns using RPPA?Based Profiling Predict Outcome in Acute Myeloid Leukemia Patients

F. Hoff, Ti’ara L. Griffen, A. Dijk, S. Kornblau
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Abstract

Acute Myeloid Leukemia (AML) is a hematological malignancy with poor survival outcomes in children and adults. There is a need to enhance AML patient risk stratification to improve clinical outcomes. Precision medicine approaches that focus on the identification of patient-specific biomarkers are currently in development to improve diagnostics and treatment of cancer. Here, we comment on our studies showing the clinical significance of histone and chromatin modifier proteins in AML. Using proteomics, we identified novel subsets of adult AML patients with epigenetically distinct protein profiles that have clinical impact. More recently we discovered that overexpression of similar proteins also seems to predict poor prognosis in pediatric AML, as well as that epigenetic proteins form prognostic clusters in chronic lymphocytic leukemia. In this commentary we focus on how we can improve precision medicine in leukemia by targeting the epigenetic landscape based on proteomics in clinical practice.
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利用RPPA对组蛋白修饰模式进行简短交流?基于谱分析预测急性髓系白血病患者预后
急性髓性白血病(AML)是一种血液系统恶性肿瘤,在儿童和成人中生存率较差。有必要加强AML患者风险分层,以改善临床结果。专注于识别患者特异性生物标志物的精准医学方法目前正在开发中,以改善癌症的诊断和治疗。在这里,我们评论我们的研究显示组蛋白和染色质修饰蛋白在AML中的临床意义。利用蛋白质组学,我们确定了具有表观遗传不同蛋白谱的成年AML患者的新亚群,这些亚群具有临床影响。最近,我们发现类似蛋白的过表达似乎也可以预测儿童AML的不良预后,以及表观遗传蛋白在慢性淋巴细胞白血病中形成预后簇。在这篇评论中,我们重点讨论了如何在临床实践中通过靶向基于蛋白质组学的表观遗传景观来改善白血病的精准医学。
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