Increased AF1q gene expression in high‐risk myelodysplastic syndrome

Abstract
The AF1q gene is expressed in normal haematopoietic progenitors, but less so in differentiated blood cells. In 47 patients with myelodysplastic syndrome (MDS), AF1q copy numbers were 0–6·8 × 106/μg RNA compared with 1·5–2·4 × 105/μg RNA in normal marrow. AF1q levels correlated with international prognostic scoring system (IPSS) scores (P = 0·004) and the risk of post‐transplant relapse (P = 0·05). Among IPSS high‐risk patients, survival correlated inversely with AF1q levels (P = 0·04). Thus, AF1q levels correlate with high‐risk MDS and may provide a marker for risk stratification.

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