PMID- 34327063 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220425 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 9 DP - 2021 TI - Clinical and prognostic relevance of CXCL12 expression in acute myeloid leukemia. PG - e11820 LID - 10.7717/peerj.11820 [doi] LID - e11820 AB - BACKGROUND: Accumulating studies have been made to understand the association between CXC chemokine ligand-12 (CXCL12)/CXC chemokine receptor 4 (CXCR4) and acute myeloid leukemia (AML). However, large-scale data analysis of potential relationship between CXCL12 and AML remains insufficient. METHODS: We collected abundant CXCL12 expression data and AML samples from several publicly available datasets. The CIBERSORT algorithm was used to quantify immune cell fractions and the online website of STRING was utilized for gene ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. The statistical analysis and graphical work were mainly performed via the R software. RESULTS: CXCL12 expression was extremely down-regulated in AML. Clinically, low CXCL12 expression was correlated with higher white blood cells (WBCs) (P < 0.0001), more blasts in bone marrow (BM) (P < 0.001) and peripheral blood (PB) (P < 0.0001), FLT3-internal tandem duplications (FLT3-ITD) (P = 0.010) and NPM1 mutations (P = 0.015). More importantly, reduced CXCL12 expression predicted worse overall survival (OS) and event-free survival (EFS) in all AML, non-M3-AML, and cytogenetically normal (CN)-AML patients in three independent cohorts. As for immune cell infiltration, high CXCL12 expressed groups tended to harbor more memory B cells and plasma cells infiltration while low CXCL12 expressed groups exhibited more eosinophils infiltration. GO enrichment and KEGG pathways analysis revealed the potential biological progress the gene participating in. CONCLUSIONS: CXCL12 is significantly down-regulated in AML and low CXCL12 expression is an independent and poor predictor of AML prognosis. CXCL12 expression level correlates with clinical and immune characteristics of AML, which could provide potential assistance for treatment. Prospective studies are needed to further validate the impact of CXCL12 expression before routine clinical application in AML. CI - (c) 2021 Wang et al. FAU - Wang, Shi-Sen AU - Wang SS AD - Department of Hematology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. FAU - Xu, Zi-Jun AU - Xu ZJ AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Jin, Ye AU - Jin Y AD - Department of Hematology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Ma, Ji-Chun AU - Ma JC AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Xia, Pei-Hui AU - Xia PH AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Wen, Xiangmei AU - Wen X AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Mao, Zhen-Wei AU - Mao ZW AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. FAU - Lin, Jiang AU - Lin J AD - Laboratory Center, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. FAU - Qian, Jun AU - Qian J AD - Department of Hematology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China. AD - Zhenjiang Clinical Research Center of Hematology, Zhenjiang, Jiangsu, China. LA - eng PT - Journal Article DEP - 20210720 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC8300536 OTO - NOTNLM OT - AML OT - CXCL12 OT - CXCR4 OT - Gene expression OT - Prognosis OT - SDF-1 COIS- The authors declare that they have no competing interests. EDAT- 2021/07/31 06:00 MHDA- 2021/07/31 06:01 PMCR- 2021/07/20 CRDT- 2021/07/30 06:47 PHST- 2021/03/31 00:00 [received] PHST- 2021/06/29 00:00 [accepted] PHST- 2021/07/30 06:47 [entrez] PHST- 2021/07/31 06:00 [pubmed] PHST- 2021/07/31 06:01 [medline] PHST- 2021/07/20 00:00 [pmc-release] AID - 11820 [pii] AID - 10.7717/peerj.11820 [doi] PST - epublish SO - PeerJ. 2021 Jul 20;9:e11820. doi: 10.7717/peerj.11820. eCollection 2021.