Background and Objective:
Isocitrate dehydrogenase genes (
IDH1
and
IDH2
) encode important enzymes that play pivotal role in cellular metabolism. Mutations in
TET2
have been demonstrated to contribute to DNA hypermethylation, either expression of mutant
IDH1
/
2
or
TET2
resulted in poor cell differentiation and epigenetic alterations in hematopoietic cells, suggesting a sharing of the oncogenetic impact. In this study, we investigated the frequency of genetic alterations in
IDH1/2
and
TET2
genes in Egyptian cohort of adult patients with de novo AML, and the association of
IDH1
/
2
and
TET2
genetic Polymorphism with AML prognostic criteria and explore prognostic molecular markers with clinical outcome.
Methods:
The SNP assay for
IDH1
,
IDH2
and
TET2
genes polymorphism tested with RT-PCR included three polymorphisms that are rs121913500, rs121913503, and rs2454206 respectively, were tested on 141 adult Egyptian patients fulfilling the AML diagnostic criteria.
Result:
The incidence of IDH mutations is 11/141 (7.8%); 5/141 (3.5%)
IDH1
mutant and 6/141 (4.3%)
IDH2
mutant. And the incidence of
TET2
mutations is 72/141 (51.1%); 15/141 (10.7%) homozygous mutation and 57/141 (40.4%) heterozygous mutations.
IDH1
,
IDH2
and
TET2
genes mutations with DFS and OS in AML patients were not significantly correlated.
Conclusions:
TET2
SNP is common in Egyptian AML patients. Further research on IDH,
TET2
and their relationships to other hematological malignancies and leukemogenesis transformation is advised and a study of a larger number of cases is needed for potential statistical significance.