4.6 Article

Decreased serum apolipoprotein A1 level predicts poor prognosis of patients with de novo myelodysplastic syndromes

Journal

BMC CANCER
Volume 22, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12885-022-09248-2

Keywords

Myelodysplastic syndromes; IPSS-R; Prognosis; Serum ApoA1; TP53

Categories

Funding

  1. National Science Foundation of Ningbo [2016A610152]
  2. Medical and Health Science and Technology Projects of Zhejiang Province [2021KY997, 2019KY170]
  3. Natural Science Foundation of Zhejiang Province [LQ21H160011]
  4. Medical and Health Plan of Zhejiang [2021KY990]
  5. Natural Science Foundation of Ning Bo [2019A610306, 2018A610391]

Ask authors/readers for more resources

The study found that low ApoA1 levels in MDS patients are associated with shorter overall survival and a higher frequency of TP53 mutation. Age, gender, hemoglobin levels, bone marrow blast percentage, IPSS-R scores, and karyotype are significantly associated with overall survival, while low ApoA1 levels do not affect leukemia-free survival.
Background Myelodysplastic syndromes (MDS) is a group of heterogeneous myeloid clonal diseases originating from hematopoietic stem cells. It has been demonstrated that apolipoproteins A1(ApoA1) are associated with disease risk in many cancer types. However, there still lacks evidence regarding the link between ApoA1 and MDS. This study was designed to investigate the prognostic value of pretreatment ApoA1 levels in MDS patients. Methods We retrospectively analyzed a cohort of 228 MDS patients to explore the prognostic value of the serum ApoA1 levels at diagnosis. Patients were divided into the high ApoA1 group and the low ApoA1 group. The prognostic significance was determined by univariate and multivariate Cox hazard models. Results MDS patients with low ApoA1 levels had significantly shorter overall survival (OS, P < 0.0001) along with a higher frequency of TP53 mutation (P = 0.002). Based on univariate analysis, age (>= 60 years), gender (male), lower levels of hemoglobin (< 10 g/dl), HDL (<= 0.91 mmol/L), higher bone marrow blast percentage (> 5%), higher IPSS-R scores and poorer karyotype were significantly associated with decreased OS. However, low ApoA1 level did not influence leukemia-free survival (LFS, P = 0.367). Multivariate Cox proportional hazards regression analysis indicated that low ApoA1 level (<= 1.02 g/L) was also an independent adverse prognostic factor for OS in MDS (P = 0.034). Conclusions Decreased ApoA1 level predicts a poor prognosis of MDS patients and thus provides a novel evaluation factor for them that is independent of the IPSS-R system.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available