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16270

An Innovative Epigenetic Merge in Treatment of AML Patients Correlates with Better "Molecular and Clinical” Outcomes

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Last updated: 22 Jan 2023

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Abstract

  Purpose: Epigenetic gene silencing due to promoter hypermethylation& histone acetylation influence various molecular pathways in leukemogenesity of Acute Myeloid Leukemia (AML). Combined use of DNA methyltransferases & histone deacetylases inhibitors proved to reverse the methylomic phenotype of myeloid blasts & improve patient's prognosis. The study recruited 68 Adults patients 45 received novel combination of the HDACi valproic acid +/- the Dnmt1 inhibitor; epigallocatechingallate “EGCG" parallel to standard chemotherapy for 2 successive cycles. Results: We recorded; 37/45 (CR), 7 (PR) &1 (RF), 60% MRD elimination. Decreased Dnmt1 & HDAC1 activities (p<0.001). Reversed P15INK4B gene methylation & expression states 58 %, (p<0.02) & decreased levels of VEGF, bfgf, IL-6, NF-KB, TNF, COX-2 & P65 cytokines levels in a harmonized orchestra (p<0.01). Survival analyses showed high significant 2 years DFS (P<0.01). Conclusion: The used epi-drug combination distinctively exerted a destructive impact on AML blasts interpreted to tumor regression, better hematological & clinical response.

DOI

10.21608/eajbsc.2010.16270

Keywords

DFS: disease free survival, Dnmt1 DNA methyltransferases1, HDACi: histone deacetylases inhibitor, MRD: inimal residual disease, VEGF: vascular endothelial growth factor, NF-KB: nuclear factor KB

Authors

First Name

Rola

Last Name

Ghorab

MiddleName

M.

Affiliation

Clin. Biochemistry Dep., Alexandria Faculty of Science, Bagdad st., Moharam Bec, P.O. 21547, Alex., Egypt

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First Name

Mohammad

Last Name

Kamel

MiddleName

F.

Affiliation

Clin. Biochemistry Dep., Alexandria Faculty of Science, Bagdad st., Moharam Bec, P.O. 21547, Alex., Egypt

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Volume

2

Article Issue

2

Related Issue

3479

Issue Date

2010-12-01

Receive Date

2018-10-10

Publish Date

2010-12-01

Page Start

115

Page End

129

Print ISSN

2090-0767

Online ISSN

2090-083X

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https://eajbsc.journals.ekb.eg/article_16270.html

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https://eajbsc.journals.ekb.eg/service?article_code=16270

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13

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Original Article

Type Code

673

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Journal

Publication Title

Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology

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https://eajbsc.journals.ekb.eg/

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Created At

22 Jan 2023