Prognostic value of HMGN family expression in acute myeloid leukemia

Future Oncol. 2021 Feb;17(5):541-548. doi: 10.2217/fon-2020-0555. Epub 2021 Jan 20.

Abstract

Aim: The objective of this work was to investigate the prognostic role of the HMGN family in acute myeloid leukemia (AML). Methods: A total of 155 AML patients with HMGN1-5 expression data from the Cancer Genome Atlas database were enrolled in this study. Results: In the chemotherapy-only group, patients with high HMGN2 expression had significantly longer event-free survival (EFS) and overall survival (OS) than those with low expression (all p < 0.05), whereas high HMGN5 expressers had shorter EFS and OS than the low expressers (all p < 0.05). Multivariate analysis identified that high HMGN2 expression was an independent favorable prognostic factor for patients who only received chemotherapy (all p < 0.05). HMGN family expression had no impact on EFS and OS in AML patients receiving allogeneic hematopoietic stem cell transplantation. Conclusion: High HMGN2/5 expression is a potential prognostic indicator for AML.

Keywords: HMGN2; HMGN5; acute myeloid leukemia; heterogeneity; prognosis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / genetics*
  • Female
  • Follow-Up Studies
  • Gene Expression Profiling
  • Gene Expression Regulation, Leukemic
  • HMGN Proteins / genetics*
  • HMGN2 Protein / genetics*
  • Hematopoietic Stem Cell Transplantation / statistics & numerical data
  • Humans
  • Kaplan-Meier Estimate
  • Leukemia, Myeloid, Acute / diagnosis
  • Leukemia, Myeloid, Acute / genetics
  • Leukemia, Myeloid, Acute / mortality*
  • Leukemia, Myeloid, Acute / therapy
  • Male
  • Middle Aged
  • Prognosis
  • Progression-Free Survival
  • Trans-Activators / genetics*
  • Young Adult

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor
  • HMGN Proteins
  • HMGN2 Protein
  • HMGN5 protein, human
  • Trans-Activators