Research Article

Incidence and Prognostic Impact of DNMT3A Mutations in Korean Normal Karyotype Acute Myeloid Leukemia Patients

Table 3

Comparison of demographic and clinical features in all 67 NK AML patients with respect to DNMT3A nonsynonymous variation status.

Clinical characteristicsDNMT3A nonsynonymous variation status valueDNMT3A deleterious mutation status valueDNMT3A R882 mutation status value
No variation ()Variation ()No mutation ()Mutation ()No mutation ()Mutation ()

Sex (M : F)*33 : 244 : 6NS34 : 263 : 4NS35 : 272 : 3NS
Age, years, median (range)**56.0 (11.0–80.0)62.0 (18.0–83.0)NS56.0 (11.0–80.0)59.0 (18.0–83.0)NS56.0 (11.0–83.0)59.0 (18.0–77.0)NS
Laboratory findings at diagnosis, median (range)
 WBC (109/L)**35.6 (0.9–368.9)63.8 (0.6–282.2)NS36.3 (0.6–368.9)55.5 (0.9–206.0)NS33.6 (0.6–368.9)72.2 (0.9–206.0)NS
 Hb (g/dL)**8.6 (5.4–14.2)7.7 (5.6–10.7)NS8.6 (5.4–14.2)7.3 (5.6–10.7)NS8.6 (5.4–14.2)7.3 (5.6–10.7)0.097
 Platelets (109/L)**54.0 (5.0–172.0)62.0 (38.0–270.0)NS54.0 (5.0–172.0)96.0 (43.0–270.0)NS53.5 (5.0–172.0)113.0 (51.0–270.0)NS
 BM blasts (%)**73.0 (22.1–97.0)74.3 (29.5–96.2)NS72.9 (22.1–97.0)75.0 (29.5–84.3)NS72.9 (22.1–97.0)75.0 (29.5–84.3)NS
FLT3 ITD mutation (%)*11/45 (24.4)4/6 (66.7)0.05412/47 (25.5) (75.0)0.07112/47 (25.5) (75.0)0.071
FLT3 D835 mutation (%)*2/45 (4.4)0/6 (0.0)NS2/47 (4.3)0/4 (0.0)NS2/47 (4.3)0/4 (0.0)NS
CR rates (%)*33/57 (57.9)3/10 (30.0)NS34/60 (56.7)2/7 (28.6)NS34/62 (54.8)2/5 (40.0)NS
Interval from Dx to CR, days, median (range)**34.0 (21.0–83.0)53.0 (25.0–164.0)NS35.0 (21.0–164.0)39.0 (25.0–53.0)NS35.0 (21.0–164.0)39.0 (25.0–53.0)NS
Relapse rates (%)*16/33 (48.5)1/3 (33.3)NS17/34 (50.0)0/2 (0.0)NS17/34 (50.0)0/2 (0.0)NS
Death rates (%)*31/57 (54.4)5/10 (50.0)NS34/60 (56.7)2/7 (28.6)NS34/62 (54.8)2/5 (40.0)NS
SCT performance rates (%)*19/57 (33.3)1/10 (10.0)NS19/60 (31.7)1/7 (14.3)NS19/62 (30.6)1/5 (20.0)NS

Note: values were obtained from Chi-square test/Fisher’s exact test* and Mann-Whitney test**.
WBC: white blood cell; Hb: hemoglobin; BM: bone marrow; FLT3: fms-related tyrosine kinase 3; ITD: internal tandem duplications; D: aspartate; CR: complete remission; Dx: diagnosis; SCT: stem cell transplantation; DNMT3A: DNA methyltransferase 3A; R: arginine; NS: not significant.