Abstract
Background
Overexpression of lysophosphatidylcholine acyltransferase 1 (LPCAT1) has been found in various solid cancers and is associated with disease progression, metastasis, and recurrence. However, the expression pattern of LPCAT1 in acute myeloid leukemia (AML) bone marrow remains unknown. The present study aimed to compare LPCAT1 expression differences in bone marrow samples from AML patients and healthy controls and assess the clinical relevance of LPCAT1 in AML.
Methods and results
LPCAT1 expression in bone marrow was significantly lower in AML than in healthy controls predicted by public databases. Furthermore, real-time quantitative PCR (RQ-PCR) validated that LPCAT1 expression in bone marrow was significantly down-regulated in AML compared to healthy controls [0.056 (0.000–0.846) vs 0.253 (0.031–1.000)]. The DiseaseMeth version 2.0 and The Cancer Genome Atlas analysis revealed that the LPCAT1 promoter was hypermethylated in AML, and there was a strong negative correlation between LPCAT1 expression and methylation (R = − 0.610, P < 0.001). RQ-PCR revealed that the frequency of LPCAT1 low expression was lower in the FAB-M4/M5 subtype than in the other subtypes (P = 0.018). The ROC curve revealed that LPCAT1 expression could serve as a potential diagnostic marker for differentiating AML from controls with an area under the ROC curve of 0.819 (95% CI 0.743–0.894, P < 0.001). In cytogenetically normal AML, patients with LPCAT1 low expression had significantly longer overall survival than those without LPCAT1 low expression (median 19 versus 5.5 months, P = 0.036).
Conclusions
LPCAT1 is down-regulated in AML bone marrow, and LPCAT1 down-regulation could be used as a potential biomarker for AML diagnosis and prognosis.
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Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
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Funding
This study was supported by National Natural Science foundation of China (81970118), the Youth Medical Talents Project of “Ke Jiao Qiang Wei” project of Jiangsu province (QNRC2016449), and Zhenjiang Clinical Research Center of Hematology (SS2018009).
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All authors contributed to the study’s conception and design. Material preparation, data collection and analysis were performed by Qin Chen, Zijun Xu, and Jiang Lin. The first draft of the manuscript was written by Qin Chen and Zhaoqun Deng. The manuscript revision was conducted by Jun Qian and Wei Qian. All authors read and approved the final manuscript.
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This study was conducted in compliance with the 1964 Helsinki declaration and was approved by the Ethics Committee of the Affiliated People’s Hospital of Jiangsu University (No. K-20180063-Y).
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Informed consent was obtained from all individual participants included in the study.
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Chen, Q., Xu, Z., Lin, J. et al. The validation and clinical significance of LPCAT1 down-regulation in acute myeloid leukemia. Mol Biol Rep 50, 4955–4963 (2023). https://doi.org/10.1007/s11033-023-08449-7
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DOI: https://doi.org/10.1007/s11033-023-08449-7