Mutations in the bZip region of the CEBPA gene: A novel prognostic factor in patients with acute myeloid leukemia

Int J Lab Hematol. 2023 Dec;45(6):833-838. doi: 10.1111/ijlh.14157. Epub 2023 Aug 24.

Abstract

Background: Hematopoiesis, the process of blood cell formation involves on a complex network of transcription factors. Among them, the CCAAT-enhancer-binding protein alpha (CEBPA) plays a crucial role in maintaining the balance between myeloid proliferation and differentiation. Imbalances in this network can lead to disrupted differentiation and contribute to the development of malignant diseases.

Aim: Understanding of disease development and explore potential therapeutic strategies for hematological disorders associated CEPBA gen.

Materials and methods: The research involved a comprehensive analysis of CEBPA gene mutations in the context of acute myeloid leukemia (AML). This encompassed a thorough exploration of point mutations and double mutations in AML patients.

Results: In the context of acute myeloid leukemia (AML), mutations in the CEBPA gene, especially point mutations, are frequently observed. A significant number of AML patients present with double mutations in CEBPA, which have been linked to a more favorable prognosis in terms of overall survival and event-free survival. These patients also tend to exhibit enhanced responsiveness to treatment.

Discussion: Unraveling the intricate interplay of transcription factors, particularly CEBPA, holds significant implications for decoding the mechanisms governing hematopoiesis. This understanding offers a potential avenue for deciphering disease development and devising novel therapeutic strategies for hematological disorders.

Conclusion: The findings underscore that CEBPA mutations correlate with enhanced overall survival and event-free survival, with relevance to those presenting within the bZip framework. This knowledge may contribute to advancing personalized treatments for hematological conditions.

Keywords: AML; CEBPA gene; point mutations.

Publication types

  • Review

MeSH terms

  • CCAAT-Enhancer-Binding Proteins / genetics
  • Humans
  • Leukemia, Myeloid, Acute* / diagnosis
  • Leukemia, Myeloid, Acute* / genetics
  • Leukemia, Myeloid, Acute* / pathology
  • Mutation
  • Prognosis
  • Transcription Factors / genetics

Substances

  • CCAAT-Enhancer-Binding Proteins
  • Transcription Factors
  • CEBPA protein, human