Clinical response to azacitidine therapy depends on microRNA-29c (miR-29c) expression in older acute myeloid leukemia (AML) patients

Oncotarget. 2016 May 24;7(21):30250-7. doi: 10.18632/oncotarget.7172.

Abstract

Acute myeloid leukemia (AML) is a heterogeneous disease with different clinical course and prognosis. microRNA-29 (miR-29) family of non-coding small RNAs can play an important role in pathogenesis of AML, but also can influence response to therapy.The purpose of the study was to evaluate miR-29c expression in AML patients in relationship to clinical parameters and response to chemotherapy, including azacitidine.

Materials and methods: miR-29c expression has been analyzed using RT-PCR in 95 bone marrow specimens from newly diagnosed AML patients in comparison to 20 healthy subject.

Results: We showed up-regulated miR-29c expression in AML patients which was linked also to higher risk of disease relapse after achieving complete remission. In subset of elderly AML patients treated with azacitidine, low miR-29c expression at diagnosis correlated with good response to therapy.

Conclusions: miR-29c is of prognostic value and influences response to azacitidine treatment in older AML patients.

Keywords: acute myeloid leukemia; azacitidine; expression; miR-29c; response to therapy.

MeSH terms

  • Acute Disease
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Antimetabolites, Antineoplastic / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Azacitidine / therapeutic use*
  • Female
  • Gene Expression Regulation, Leukemic*
  • Humans
  • Kaplan-Meier Estimate
  • Leukemia, Myeloid / drug therapy*
  • Leukemia, Myeloid / genetics*
  • Male
  • MicroRNAs / genetics*
  • Middle Aged
  • Prognosis
  • Remission Induction
  • Treatment Outcome
  • Young Adult

Substances

  • Antimetabolites, Antineoplastic
  • MIRN29a microRNA, human
  • MicroRNAs
  • Azacitidine