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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2771-2778.
Prepublished online as a Blood First Edition Paper on December 18, 2003; DOI 10.1182/blood-2003-09-3243.


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Submitted September 23, 2003
Accepted November 20, 2003

Gene expression profile of adult T-cell acute lymphocyitc leukemia identifies distinct subsets of patients with different response to therapy and survival

Sabina Chiaretti, Xiaochun Li, Robert Gentleman, Antonella Vitale, Marco Vignetti, Franco Mandelli, Jerome Ritz*, and Robin Foa

Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA
Department of Biostatistical Science, Dana Farber Cancer Institute, Boston, MA, USA
Dipartimento di Biotecnologie Cellulari ed Ematologia, University La Sapienza, Rome, Italy

* Corresponding author; email: jerome_ritz{at}dfci.harvard.edu.

Gene expression profiles were examined in 33 adult patients with T-cell acute lymphocytic leukemia (T-ALL). Non-specific filtering criteria identified 313 genes differentially expressed in the leukemic cells. Hierarchical clustering of samples identified two groups that reflected the degree of T-cell differentiation, but was not associated with clinical outcome. Comparison between refractory patients and those who responded to induction chemotherapy identified a single gene, IL-8, that was highly expressed in refractory T-ALL cells and a set of 30 genes that were highly expressed in leukemic cells from patients who achieved complete remission. We next identified 19 genes that were differentially expressed in T-ALL cells from patients who either relapsed or remained in continuous complete remission. A model based on the expression of 3 of these genes was predictive of duration of remission. The 3-gene model was validated on a further set of T-ALL samples from 18 additional patients treated on the same clinical protocol. This study demonstrates that gene expression profiling can identify a limited number of genes that are predictive of response to induction therapy and remission duration in adult T-ALL.


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