Hematologic Malignancy
Acute Promyelocytic Leukemia
CI-CAN-00008681APL · APMLExplore in graph →
Loading cancer entity…
Hematologic Malignancy
CI-CAN-00008681APL · APMLExplore in graph →
Variants & evidence
24 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 |
|---|---|---|---|---|---|---|---|---|
| CDKN2B METHYLATION1 | ||||||||
| (prognostic) | Acute Promyelocytic Leukemia | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID1848This study analyses 45 new acute promyelocytic leukemia patients (22 male and 23 female). CDKN2B was found to be a negative prognostic biomarker for disease free survival (DFS). The 5-year DFS was 9.6… (full text at CIViC) PMID 16307009 · Chim et al., 2006 · Open in CIViC | civic |
| FLT3 D839G1 | ||||||||
| (prognostic) | Acute Promyelocytic Leukemia | Prognostic | C | Supports Poor Outcome | 1 | submitted | EID8908This is a case report about an adult patient with acute promyelocytic leukemia (APL) who had relapse in a testicle prior to systemic relapse of APL. Retrospective analysis of the preserved samples fro… (full text at CIViC) PMID 23816818 · Zou et al., 2013 · Open in CIViC | civic |
| FLT3 ITD2 | ||||||||
| (prognostic) | Acute Promyelocytic Leukemia | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1109In a study of 53 APL patients treated with combination ATRA/anthracycline chemotherapy, patients with the FLT3 ITD mutation (n=10) had higher rates of relapse (30% vs. 2.5%), lower rates of remission … (full text at CIViC) PMID 21461300 · Hong et al., 2011 · Open in CIViC | civic |
| Anthracycline Antineoplastic Antibiotic + TretinoinCombination | Acute Promyelocytic Leukemia | Predictive | B | Supports Resistance | 4 | accepted | EID1112In a study of 171 APL patients treated with combination ATRA/anthracycline chemotherapy, FLT3 ITD mutations (n=35) were associated with lower 3-year OS compared to the FLT3 ITD-negative group (62% vs.… (full text at CIViC) PMID 24981688 · Lucena-Araujo et al., 2014 · Open in CIViC | civic |
| KIT Mutation1 | ||||||||
| Nilotinib | Acute Promyelocytic Leukemia | Predictive | D | Supports Sensitivity Response | 4 | submitted | EID5573Compared to non-treated control cells, Kasumi-1 cells (KIT-mutated cell lines) that were exposed to nilotinib (30 uM) showed a 60% reduction in colony numbers. Further evidence to support cell death i… (full text at CIViC) PMID 28720666 · Shen et al., 2017 · 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 |
Data updated 22 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.
| 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 |
| civic |
| 〃 | 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 |