Hematologic Malignancy
Acute Leukemia
CI-CAN-00000399Explore in graph →
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Hematologic Malignancy
CI-CAN-00000399Explore in graph →
Variants & evidence
645 evidence items mapped to this entity or its descendants, grouped by molecular profile, then therapy. 50 items per page.
| Therapy | Cancer | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|---|
| NUP98 Fusion3 | ||||||||
| (diagnostic) | Acute Myeloid Leukemia with NUP98 Rearrangement | Diagnostic | B | Supports Positive | 4 | accepted | EID12378In this 2011 study the authors included pediatric and adult cohorts of patients diagnosed with acute myeloid leukemia (AML). Initially, using RT-PCR, they detected the cytogenetically cryptic NUP98::N… (full text at CIViC) PMID 21813447 · Hollink et al., 2011 · Open in CIViC | civic |
| 〃 | Acute Myeloid Leukemia with NUP98 Rearrangement | Diagnostic | B | Supports Positive | 4 | accepted | EID12379In this 2014 study the authors investigated the presence of NUP98::NSD1 fusion in pediatric and adult acute myeloid leukemia (AML) patients. Utilizing reverse transcriptase-polymerase chain reaction (… (full text at CIViC) PMID 25145343 · Ostronoff et al., 2014 · Open in CIViC | civic |
| 〃 | Acute Myeloid Leukemia with NUP98 Rearrangement | Diagnostic | B | Supports Positive | 4 | accepted | EID12380In this 2023 study the authors included 2,235 children and young adults diagnosed with acute myeloid leukemia (AML). NUP98 fusions were detected in these patients either by karyotype of RNA sequencing… (full text at CIViC) PMID 36815378 · Bertrums et al., 2023 · Open in CIViC | civic |
| CRLF2 Fusion2 | ||||||||
| (prognostic) | Adult B Acute Lymphoblastic LeukemiaALIAS | Prognostic | B | Supports Poor Outcome | 4 | submitted | EID7211CRLF2 overexpression was examined in 90 adult B-ALL patients with demographic data that lacked characteristic rearrangements and identified overexpression in 15/90 (16.67%). Disease-free survival was … (full text at CIViC) PMID 20018760 · Yoda et al., 2010 · Open in CIViC | civic |
| (diagnostic) | Adult B Acute Lymphoblastic LeukemiaALIAS | Diagnostic | B | Supports Positive | 4 | submitted | EID7213CRLF2 overexpression was performed by Q-PCR, IHC, and gene-expression profiling of 254 adult B-ALL samples. CRLF2 overexpression was identified in 15/120 (12.5%) or adult B-ALL cases that lacked chara… (full text at CIViC) PMID 20018760 · Yoda et al., 2010 · Open in CIViC | civic |
| ABL2 Fusion1 | ||||||||
| (oncogenic) | Acute Lymphoblastic Leukemia | Oncogenic | D | Supports Oncogenicity | 3 | submitted | EID12873Ba/F3 cells transduced with PAG1::ABL2 Fusion were found to show IL3 independent growth. Phosphoflow cytometric analysis showed increased phospho-STAT5, phospho-CRKL, and phospho-S6 over control Ba/F3… (full text at CIViC) PMID 29296813 · Roberts et al., 2017 · Open in CIViC | civic |
| PAX5 P80R4 | ||||||||
| (diagnostic) | B Acute Lymphoblastic Leukemia with PAX5 P80R MutationALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID11519RNA-seq transcriptome analysis in a discovery cohort of 170 B-cell precursor acute lymphoblastic leukemia (BCP-ALL) cases negative for the common classifying cytogenetic aberrations identified severa… (full text at CIViC) PMID 30510083 · Passet et al., 2019 · Open in CIViC | civic |
| 〃 | B Acute Lymphoblastic Leukemia with PAX5 P80R MutationALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID7290In a large-scale international study RNA sequencing was performed to delineate the transcriptome landscape of 1,223 B-cell ALL cases. Twenty two cases were found to have P80R misense mutation in the D… (full text at CIViC) PMID 30487223 · Li et al., 2018 · Open in CIViC | civic |
| 〃 | B Acute Lymphoblastic Leukemia with PAX5 P80R Mutation | |||||||
| MLLT10 Fusion1 | ||||||||
| (prognostic) | Acute Myeloid LeukemiaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 3 | submitted | EID12404In a retrospective cohort study of 39 pediatric AML patients carrying PICALM::MLLT10 fusions, both the 5-year event-free survival rate (22%) and 5-year overall survival rate (26%) were poor. PMID 37743097 · Mark et al., 2024 · Open in CIViC | civic |
| PML B2 DOMAIN MUTATION1 | ||||||||
| Tretinoin | Acute Promyelocytic Leukemia | Predictive | B | Supports Resistance | 4 | accepted | EID1092Mutations in the B2 domain of PML in the PML-RARa fusion have been shown to be associated with resistance to standard ATRA treatment in patients with acute promyelocytic leukemia. PMID 23670176 · Tomita et al., 2013 · Open in CIViC | civic |
| PML K227_T233del1 | ||||||||
| Tamibarotene + TretinoinSubstitutes | Acute Promyelocytic Leukemia | Predictive | C | Supports Resistance | 3 | submitted | EID8175A novel seven amino acid deletion (p.K227_T233del) in the RARA region was detected in a refractory APL patient. The PML-RARA mutant was transduced into HL-60 cells and these in-vitro PML-RARA expressi… (full text at CIViC) PMID 30289902 · Hattori et al., 2018 · Open in CIViC | civic |
| RARA Fusion10 | ||||||||
| (diagnostic) | Acute Promyelocytic Leukemia | Diagnostic | A | Supports Positive | 5 | accepted | EID1090The presence of the PML-RARa fusion protein is a diagnostic marker of Acute Promyelocytic Leukemia, or M3 AML. PMID 7628753 · Diverio et al., 1995 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia with t(15;17)(q24.1;q21.2); PML-RARACURATED_BROADER | Diagnostic | B | Supports Positive | 4 | accepted | EID12333In this study, the authors explored the role of retinoic acid receptor alpha (RARα) gene rearrangements in acute promyelocytic leukemia (APL) and their connection to the t(15;17) chromosomal transloca… (full text at CIViC) PMID 2170850 · de Thé et al., 1990 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia with t(15;17)(q24.1;q21.2); PML-RARACURATED_BROADER | Diagnostic | ||||||
| PML A216T + RARA FusionRARAPML1 | ||||||||
| Arsenic Trioxide | Acute Promyelocytic Leukemia | Predictive | B | Supports Resistance | 4 | submitted | EID8179ive point mutations were identified in the PML B2 domain of PML-RARA transcripts in 9 patients diagnosed with APL and resistant to arsenic. DNA from these patients was amplified using polymerase chain… (full text at CIViC) PMID 26537301 · Liu et al., 2016 · Open in CIViC | civic |
| PML A216V + RARA FusionRARAPML2 | ||||||||
| Arsenic Trioxide | Acute Promyelocytic Leukemia | Predictive | B | Supports Resistance | 4 | accepted | EID8177Five point mutations were identified in the PML B2 domain of PML-RARA transcripts in 9 patients diagnosed with APL and resistant to arsenic. DNA from these 9 patients was cloned into flag-tagged pCag … (full text at CIViC) PMID 26537301 · Liu et al., 2016 · Open in CIViC | civic |
| Tretinoin | Acute Promyelocytic Leukemia | Predictive | C | Supports Resistance | 4 | accepted | EID1093The mutation A216V in the B2 domain of PML in the PML-RARa fusion was seen in a patient with ATRA-resistant acute promyelocytic leukemia. PMID 21613260 · Goto et al., 2011 · Open in CIViC | civic |
| PML L218P + RARA FusionRARAPML1 | ||||||||
| Tretinoin | Acute Promyelocytic Leukemia | Predictive | C | Supports Resistance | 3 | accepted | EID1094The PML L218P mutation in the PML-RARa fusion was observed in a patient with previously ATRA-treated, relapsed acute promyelocytic leukemia refractory to arsenic trioxide. PMID 21613260 · Goto et al., 2011 · Open in CIViC | civic |
| RARA Fusion + PML S214LRARAPML1 | ||||||||
| Arsenic Trioxide | Acute Promyelocytic Leukemia | Predictive | B | Supports Resistance | 4 | submitted | EID8178Five point mutations were identified in the PML B2 domain of PML-RARA transcripts in 9 patients diagnosed with APL and resistant to arsenic. DNA from these 9 patients was cloned into flag-tagged pCag … (full text at CIViC) PMID 26537301 · Liu et al., 2016 · Open in CIViC | civic |
| RARA Fusion2 | ||||||||
| (diagnostic) | Acute Promyelocytic Leukemia | Diagnostic | C | Supports Positive | 2 | submitted | EID12613The authors report a case of a 6-year-old child with leukemia and the clinical and morphologic characteristics of acute promyelocytic leukemia (APL), but without evidence of the expected t(15;17) or a… (full text at CIViC) PMID 34432867 · Astolfi et al., 2021 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia | Diagnostic | C | Supports Positive | 2 | submitted | EID12627The authors report a TTMV-RARA (viral fusion) in a 39-year-old patient with leukemia and blasts that were APL-like with increased promyelocytes. The fusion was identified by targeted long read sequenc… (full text at CIViC) PMID 35420676 · Sala-Torra et al., 2022 · Open in CIViC | civic |
| MRTFA Fusion6 | ||||||||
| (diagnostic) | Acute Myeloid Leukemia (Megakaryoblastic) with t(1;22)(p13.3;q13.1); RBM15-MKL1ALIAS | Diagnostic | A | Supports Positive | 5 | submitted | EID8513AML (megakaryoblastic) with t(1;22)(p13.3;q13.3);RBM15-MKL1, is a defined diagnostic subgroup in the 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukem… (full text at CIViC) PMID 27069254 · Arber et al., 2016 · Open in CIViC | civic |
| (prognostic) | Acute Megakaryoblastic LeukemiaALIAS | Prognostic | B | Supports Better Outcome | 4 | submitted | EID8512AML (megakaryoblastic) with t(1;22)(p13.3;q13.3);RBM15-MKL, is a defined subgroup of AML in the WHO 2016 classification of myeloid neoplasms and acute leukemias. In this manuscript by O'Brien et al, o… (full text at CIViC) PMID 22918081 · O'Brien et al., 2013 · Open in CIViC | civic |
| 〃 | Acute Megakaryoblastic Leukemia | |||||||
| RUNX1 A107P1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | Supports Predisposition | 5 | accepted | EID1876A pedigree of 3 generations and 8 individuals with familial platelet disease with propensity to acute myeloid leukemia (FPD/AML) was assessed for mutation in RUNX1 exons 3, 4, 5 and 6. Mutation was fo… (full text at CIViC) PMID 12060124 · Walker et al., 2002 · Open in CIViC | civic |
| RUNX1 A28fsX109 (c.83insG)1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | N/A N/A | 2 | submitted | EID7972A familial platelet disease with propensity to acute myeloid leukemia (FPD/AML) pedigree (B) of 4 generations with 15 individuals was evaluated by sequencing as more than 1 first degree relative had M… (full text at CIViC) PMID 18723428 · Owen et al., 2008 · Open in CIViC | civic |
| RUNX1 D198Y1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | Supports Uncertain Significance | 3 | accepted | EID1875In a pedigree with familial platelet disorder with predisposition to acute myeloid leukemia (FPD/AML) spanning three generations, five members of generation II were sequenced at exons 3, 4 and 5 of th… (full text at CIViC) PMID 11675361 · Buijs et al., 2001 · Open in CIViC | civic |
| RUNX1 D96H (c.238G>C)1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | Supports Predisposition | 3 | submitted | EID7973A familial platelet disease with propensity to acute myeloid leukemia (FPD/AML) pedigree (C) of 3 generations with 7 individuals was evaluated by sequencing as more than 1 first degree relative had MD… (full text at CIViC) PMID 18723428 · Owen et al., 2008 · Open in CIViC | civic |
| RUNX1 G336fs563X (c.1007_1013del)1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | N/A N/A | 2 | submitted | EID7971A familial platelet disease with propensity to acute myeloid leukemia (FPD/AML) pedigree (A) of 2 generations with 6 individuals was evaluated by sequencing as more than 1 first degree relative had MD… (full text at CIViC) PMID 18723428 · Owen et al., 2008 · Open in CIViC | civic |
| RUNX1 K83E1 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | Supports Predisposition | 4 | accepted | EID1871A pedigree of 48 individuals with multiple instances of bleeding and platelet disorders and 8 cases of leukemia showed an A>G substitution in RUNX1 exon 3 which segregated with Familial Platelet Disor… (full text at CIViC) PMID 11830488 · Michaud et al., 2002 · Open in CIViC | civic |
| RUNX1 K90fsX1011 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | N/A N/A | 2 | submitted | EID7974A familial platelet disease with propensity to acute myeloid leukemia (FPD/AML) pedigree (D) of 2 generations with 7 individuals was evaluated by sequencing as more than 1 first degree relative had MD… (full text at CIViC) PMID 18723428 · Owen et al., 2008 · Open in CIViC | civic |
| RUNX1 Mutation6 | ||||||||
| (prognostic) | Acute Myeloid LeukemiaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID429In 878 non-APL patients with AML, those who had mutations in RUNX1 (N=53) had higher rates of refractory disease than those without (30% versus 19%; P = 0.047). PMID 21343560 · Gaidzik et al., 2011 · Open in CIViC | civic |
| 〃 | Acute Myeloid LeukemiaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID430In 878 non-APL patients with AML (18-60 years), those who had mutations in RUNX1 (N=53) had shorter event-free survival (8% vs 30%, P<0.0001) and relapse-free survival (26% vs 44%, P=0.022) relative t… (full text at CIViC) PMID 21343560 · Gaidzik et al., 2011 · Open in CIViC | civic |
| 〃 | Acute Myeloid LeukemiaCURATED_BROADER | Prognostic | ||||||
| RUNX1 R135FSX1771 | ||||||||
| (predisposing) | Acute Myeloid LeukemiaCURATED_BROADER | Predisposing | C | Supports Predisposition | 4 | accepted | EID1873A pedigree (Pedigree number 2) with familial platelet disorder and acute myeloid leukemia (FPD/AML) was studied and a one-base deletion was found in RUNX1 splice donor site. This resulted in use of a … (full text at CIViC) PMID 11830488 · Michaud et al., 2002 · Open in CIViC | civic |
Data updated 20 hours agoSource updated unknownsource: civic (CC0)
Evidence levels, directions and ratings are those assigned by CIViC curators. "Submitted" items have not completed curation review. This is not treatment guidance.
| Diagnostic |
| B |
| Supports Positive |
| 3 |
| accepted |
EID7291Integrated genomic analysis was performed for 1,988 childhood and adult B-ALL cases. Forty four cases (2.2%) showed the P80R substitution in the DNA binding domain for the PAX5 transcription factor ge… (full text at CIViC) PMID 30643249 · Gu et al., 2019 · Open in CIViC |
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| (oncogenic) | B Acute Lymphoblastic Leukemia with PAX5 P80R MutationALIAS | Oncogenic | D | Supports Oncogenicity | 4 | submitted | EID11522To examine the effects of PAX5 P80R on B cell maturation, PAX5 WT, P80R, V26G, and P34Q were expressed in Pax5 depleted bone marrow cells. While PAX5 V26G and PAX5 P34Q could rescue B cell differentia… (full text at CIViC) PMID 30643249 · Gu et al., 2019 · Open in CIViC | civic |
| B |
| Supports Positive |
| 4 |
| accepted |
EID12334In this study, the authors investigated the role of retinoic acid receptor alpha (RARα) gene rearrangements in acute promyelocytic leukemia (APL), a distinct subtype of acute myeloid leukemia (AML) ch… (full text at CIViC) PMID 2175343 · Longo et al., 1990 · Open in CIViC |
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| 〃 | Acute Promyelocytic Leukemia with t(15;17)(q24.1;q21.2); PML-RARACURATED_BROADER | Diagnostic | C | Supports Positive | 4 | accepted | EID12288In this study, researchers examined the diagnostic significance of the PML::RARA fusion in acute promyelocytic leukemia (APL, FAB-M3), a subtype of acute myeloid leukemia (AML) associated with the t(1… (full text at CIViC) PMID 38304177 · Santana-Hernández et al., 2024 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia with t(15;17)(q24.1;q21.2); PML-RARACURATED_BROADER | Diagnostic | C | Supports Positive | 4 | accepted | EID12289This study presents a rare case of acute promyelocytic leukemia (APL) characterized by an atypical PML::RARA fusion transcript resulting from the t(15;17) translocation. The patient, a 44-year-old fem… (full text at CIViC) PMID 17934255 · Ismail et al., 2007 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia with t(15;17)(q24.1;q21.2); PML-RARACURATED_BROADER | Diagnostic | C | Supports Positive | 4 | accepted | EID12292In this study, the authors investigated the molecular characteristics of acute promyelocytic leukemia (APL) in patients with atypical PML::RARA fusion transcripts. APL is a rare and aggressive leukemi… (full text at CIViC) PMID 30421475 · Iaccarino et al., 2019 · Open in CIViC | civic |
| Arsenic Trioxide + TretinoinCombination | Acute Promyelocytic Leukemia | Predictive | A | Supports Sensitivity Response | 5 | accepted | EID1091ATRA/Arsenic combined with standard chemotherapy has been shown to induce a complete remission rate of greater than 75% of patients with acute promyelocytic leukemia harboring the PML-RARa fusion. PMID 11704842 · Degos et al., 2001 · Open in CIViC | civic |
| Gemtuzumab Ozogamicin | Acute Promyelocytic Leukemia | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID8300Gemtuzumab ozogamicin (GO) was used in a study to treat 16 patients in various stages of molecular relapsed APL. GO was administered at 6 mg/m2 for 2 doses and RT-PCR was subsequently performed for PM… (full text at CIViC) PMID 15187030 · Lo-Coco et al., 2004 · Open in CIViC | civic |
| Tretinoin | Acute Promyelocytic Leukemia | Predictive | B | Supports Sensitivity Response | 5 | accepted | EID316Fusion protein degradation is accelerated upon ATRA treatment of acute promyelocytic cells at pharmalogical concentrations. PMID 8674046 · Yoshida et al., 1996 · Open in CIViC | civic |
| 〃 | Acute Promyelocytic Leukemia | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID1519A 39-year old woman who presented with acute myeloid leukemia revealed a complicated genetic profile using conventional metaphase cytogenetics and FISH analysis. Whole genome sequencing elucidated a … (full text at CIViC) PMID 21505136 · Welch et al., 2011 · Open in CIViC | civic |
| Prognostic |
| B |
| Supports Better Outcome |
| 4 |
| submitted |
EID8514In this manuscript, data and clinical samples from 153 newly diagnosed non-Down syndrome pediatric AMKL cases were analyzed. Patients samples were screened for the recurrent molecular aberrations in N… (full text at CIViC) PMID 27114462 · de Rooij et al., 2016 · Open in CIViC |
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| (diagnostic) | Acute Myeloid Leukemia (Megakaryoblastic) with t(1;22)(p13.3;q13.1); RBM15-MKL1ALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID12260In this study, the authors investigated the association of the RBM15::MRTFA fusion with acute megakaryoblastic leukemia (AMKL, FAB-M7), particularly in non-Down syndrome infants and young children. A… (full text at CIViC) PMID 11431691 · Ma et al., 2001 · Open in CIViC | civic |
| 〃 | Acute Myeloid Leukemia (Megakaryoblastic) with t(1;22)(p13.3;q13.1); RBM15-MKL1ALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID12261In this study, the authors explored the genomic landscape of acute megakaryoblastic leukemia (AMKL) in patients without Down syndrome (non-DS-AMKL). AMKL is a rare and heterogeneous subtype of acute m… (full text at CIViC) PMID 28112737 · de Rooij et al., 2017 · Open in CIViC | civic |
| 〃 | Acute Myeloid Leukemia (Megakaryoblastic) with t(1;22)(p13.3;q13.1); RBM15-MKL1ALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID12262In this study, the authors performed an international retrospective analysis of 490 pediatric patients (≤18 years) with non–Down syndrome acute megakaryoblastic leukemia (non-DS-AMKL), a rare and aggr… (full text at CIViC) PMID 26215111 · Inaba et al., 2015 · Open in CIViC | civic |
| B |
| Supports Poor Outcome |
| 4 |
| accepted |
EID509In a study of patients with cytogenically normal acute myeloid leukemia, RUNX1 mutations were more frequent in patients 60 years old or older. Patients with RUNX1 mutations had shorter disease-free (y… (full text at CIViC) PMID 22753902 · Mendler et al., 2012 · Open in CIViC |
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| 〃 | Acute Lymphoblastic Leukemia | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID508In univariate analysis, mutations in RUNX1 were significantly associated with shorter overall survival compared to wildtype RUNX1 in adult (18-87 years old) T-cell acute lymphoblastic leukemia (N=9 mu… (full text at CIViC) PMID 23341344 · Grossmann et al., 2013 · Open in CIViC | civic |
| 〃 | Acute Myeloid LeukemiaCURATED_BROADER | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1558In patients with acute myeloid leukemia, those with RUNX1 mutations (n=245) had significantly worse outcomes when compared to those with RUNX1 wild-type alleles (n=2,194). The complete remission rate… (full text at CIViC) PMID 27137476 · Gaidzik et al., 2016 · Open in CIViC | civic |
| Cytarabine | Acute Myeloid LeukemiaCURATED_BROADER | Predictive | B | Supports Resistance | 4 | accepted | EID411In non-APL patients with AML (age 18-60), those who had mutations in RUNX1 had significantly shorter relapse-free survival following conventional post-remission treatment (repetitive cycles of high-do… (full text at CIViC) PMID 21343560 · Gaidzik et al., 2011 · Open in CIViC | civic |