4.3 Article

Clinical significance of galectin-3 in patients with adult acute myeloid leukemia: a retrospective cohort study with long-term follow-up and formulation of risk scoring system

Journal

LEUKEMIA & LYMPHOMA
Volume 58, Issue 6, Pages 1394-1402

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/10428194.2016.1243677

Keywords

Acute myeloid leukemia; plasma galectin-3; prognosis; overall survival

Funding

  1. Special Provincial Key Clinical Fund of Shandong
  2. Binzhou Medical University Scientific Research Fund [BY2013KJ38]

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Galectin-3 plays an increasingly important role in development and progression of tumor. However, little is known about the clinical impact of galectin-3 in non-acute promyelocytic leukemia (non-M3 AML). Peripheral blood of 298 patients with primary non-M3 AML and 30 normal donors was collected for measurement of galectin-3. Galectin-3 levels were significantly higher compared with the control group (p<.001). Patients with higher galectin-3 levels had lower CR rates (p=.001) and 1-year overall survival (OS) rates (p=.002). The Kaplan-Meier survival analysis showed that higher galectin-3 levels group had significantly shorter OS. Cox regression model revealed high galectin-3 level was an independent poor prognostic factor. A scoring system incorporating galectin-3 and other prognostic factors (age, WBC, karyotype, NPM1/FLT3-ITD, CEBPA(double-mutation) and c-KIT, WT1) was formulated to predict prognosis. In conclusion, galectin-3 may be a reliable prognostic marker in AML patients. The multifactorial scoring system was more powerful than a single factor to predict clinical outcome.

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