This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
AbstractBackground: This study aimed to investigate the correlation of A-kinase interacting protein 1 (AKIP1) expression with disease risk, clinical characteristics, and prognosis of acute myeloid leukemia (AML).Methods: 291 de novo AML patients and 97 controls were consecutively recruited, and bone marrow samples were collected to detect AKIP1 expression using quantitative polymerase chain reaction prior to initial treatment. Treatment response, eventfree survival (EFS), and overall survival (OS) in AML patients were evaluated.
Results:A-kinase interacting protein 1 expression was higher in AML patients than that in controls; meanwhile, receiver operating characteristic curve displayed that AKIP1 was able to distinguish AML patients from controls (area under the curve:0.772, 95%CI: 0.720-0.823). Among AML patients, AKIP1 high expression was correlated with −7 or 7q−, monosomal karyotype, and worse risk stratification. Moreover, AKIP1 expression was negatively correlated with complete remission achievement, while no correlation of AKIP1 expression with hematopoietic stem cell transplantation achievement was observed. AKIP1 high expression was associated with shorter EFS and OS in total patients, and further subgroup analysis exhibited that AKIP1 high expression correlated with worse EFS and OS in intermediate-risk and poor-risk patients but not in better-risk patients. Besides, subsequent analysis revealed that AKIP1 high expression was an independent factor predicting unfavorable EFS and OS.
Conclusion:A-kinase interacting protein 1 has the potential to be a novel marker for assisting AML management. K E Y W O R D S acute myeloid leukemia, A-kinase interacting protein 1, risk stratification, survival 1 | INTRODUC TI ON Acute myeloid leukemia (AML), an aggressive hematological malignancy, is characterized by abnormal cell proliferation and differentiation of the immature myeloid cells. 1,2 It accounts for 20% of all hematological malignancy related deaths, with a 5-year survival rate of 40% for younger patients (18-60 years) and 5-year survival rate of 10% for the elder patients (age above 60 years). 3-5 Despite there are potentially curative treatments for AML patients, including intensive chemotherapy and allogeneic stem cell transplantation, How to cite this article: Yan Y, Li X, Gao J. Identification of A-kinase-interacting protein 1 as a potential biomarker for risk and prognosis of acute myeloid leukemia. J Clin Lab Anal.