Expression of costimulatory molecule B7-H3 and its prognostic implications in human acute leukemia

Hematology. 2015 May;20(4):187-95. doi: 10.1179/1607845414Y.0000000186. Epub 2014 Aug 16.

Abstract

Objectives: This study focused on the expression pattern and clinical significance of B7-H3 expression in human acute leukemia.

Methods: We systematically analyzed 134 patients with acute myeloid leukemia (101 cases) and acute lymphocytic leukemia (33 cases) by flow cytometry.

Results: The frequency of B7-H3(+) cases was 44.8% in total. The B7-H3 expression rate differed from 0% to 74.8% in individual cases. The correlation between B7-H3 expression and traditional prognostic factors, such as age and gender, the white blood cell count was not confirmed. However, B7-H3 had a significant higher expression in CD34(+) cases and high risk karyotypes.

Conclusions: Owing to the expression of B7-H3 being statistically relevant in predicting disease progression and a shorter life survival, our results demonstrated that B7-H3 expression in acute leukemia predicts an unfavorable outcome.

Keywords: Acute lymphocytic leukemia; Acute myeloid leukemia; B7-H3; Costimulatory molecule; Prognosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • B7 Antigens / analysis
  • B7 Antigens / genetics*
  • Child
  • Child, Preschool
  • Gene Expression Regulation, Leukemic
  • Humans
  • Infant
  • Leukemia, Myeloid, Acute / diagnosis*
  • Leukemia, Myeloid, Acute / genetics
  • Male
  • Middle Aged
  • Prognosis
  • RNA, Messenger / genetics
  • Survival Analysis
  • Young Adult

Substances

  • B7 Antigens
  • CD276 protein, human
  • RNA, Messenger