The clinical and prognostic significance of FOXN3 downregulation in acute myeloid leukaemia

Int J Lab Hematol. 2020 Jun;42(3):270-276. doi: 10.1111/ijlh.13162. Epub 2020 Feb 20.

Abstract

Introduction: The expression of forkhead box N3 (FOXN3), also known as checkpoint suppressor 1 (CHES1), is reduced in many types of tumours. However, the clinical significance of FOXN3 and its potential role in acute myeloid leukaemia (AML) remain largely unknown.

Methods: A total of 117 de novo AML patients newly diagnosed between December 2015 and January 2018 were included in this study. The expression of FOXN3 and its clinical significance were analysed in these AML patients.

Results: The expression of FOXN3 was significantly downregulated in AML. In addition, lower FOXN3 expression was associated with older age and higher white blood cell counts. Moreover, a close correlation was observed between lower FOXN3 expression and a lower complete remission (CR) rate and shorter overall survival (OS), which was further analysed by multivariate analysis.

Conclusion: These data suggest that FOXN3 is a novel biomarker in AML and that lower FOXN3 expression predicts poor chemotherapy response and prognosis in AML.

Keywords: FOXN3; acute myeloid leukaemia; chemotherapy response; diagnosis; prognosis.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cell Cycle Proteins / biosynthesis*
  • Disease-Free Survival
  • Down-Regulation*
  • Female
  • Follow-Up Studies
  • Forkhead Transcription Factors / biosynthesis*
  • Gene Expression Regulation, Leukemic*
  • Humans
  • Leukemia, Myeloid, Acute* / metabolism
  • Leukemia, Myeloid, Acute* / mortality
  • Male
  • Middle Aged
  • Neoplasm Proteins / biosynthesis*
  • Survival Rate

Substances

  • Cell Cycle Proteins
  • FOXN3 protein, human
  • Forkhead Transcription Factors
  • Neoplasm Proteins