Review Article
Molecular Mutations and Their Cooccurrences in Cytogenetically Normal Acute Myeloid Leukemia
Table 1
Molecular classification of CN-AML and clinical outcomes.
| AML with NPM1 mutation | | NPM1 | Better EFS and OS [29–32]; better CRR, high RR with EFS or OS benefits [33]; better OS [34] | NPM1/DNMT3A | Worse OS [41] | NPM1/DNMT3A/FLT3 | Worse OS [18] | NPM1/DNMT3A/NRAS | Better OS [18] | NPM1/TET2 | Worse CRR, EFS, DFS, and OS [50]; no impact on outcomes [41] | NPM1/IDH1 or NPM1/IDH2 | Worse OS [55]; better OS [27, 52] |
| AML with mutated chromatin, RNA-splicing genes, or both | RUNX1 | Worse EFS, DFS [59, 61, 62]; worse OS [59–62] | MLL | Worse EFS [60, 66, 67]; worse OS [27, 41, 60, 67] | ASXL1 | Worse outcomes [27, 60, 75]; worse CR, EFS, DFS, and OS [77] | BCOR | Worse EFS and OS [81] | PHF6 | Worse OS [27] | AML with CEBPA mutation | | CEBPA | Better EFS and OS [86] | CEBPA/TET2 | Worse OS [89] | CEBPA/GATA2 | Better OS [89] |
| AML with IDH2 mutation | Worse RR and OS [52, 90]; better OS [18] |
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EFS: event-free survival; OS: overall survival; CRR: complete remission rate; RR: relapse rate; DFS: disease-free survival. Without FLT3.
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