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Prognostic value of miR-106a and miR-20a in AML patients with chemotherapy or allo-HSCT treatment.

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Hematology (Amsterdam, Netherlands) 📖 저널 OA 30.6% 2022: 0/1 OA 2025: 0/57 OA 2026: 26/26 OA 2022~2026 2025 Vol.30(1) p. 2533577
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Liu Y, Liu J, Feng Y, Xu X, Miao Y, Chen H, Zhou Y, Pan Y, Liu Y, Gu W, Cao Y

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[BACKGROUND] MiR-106a and miR-20a (miR-17 family members) are frequently dysregulated in carcinogenesis, but their prognostic significance in acute myeloid leukemia (AML) remains unclear.

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APA Liu Y, Liu J, et al. (2025). Prognostic value of miR-106a and miR-20a in AML patients with chemotherapy or allo-HSCT treatment.. Hematology (Amsterdam, Netherlands), 30(1), 2533577. https://doi.org/10.1080/16078454.2025.2533577
MLA Liu Y, et al.. "Prognostic value of miR-106a and miR-20a in AML patients with chemotherapy or allo-HSCT treatment.." Hematology (Amsterdam, Netherlands), vol. 30, no. 1, 2025, pp. 2533577.
PMID 40699038 ↗

Abstract

[BACKGROUND] MiR-106a and miR-20a (miR-17 family members) are frequently dysregulated in carcinogenesis, but their prognostic significance in acute myeloid leukemia (AML) remains unclear.

[METHODS] We analyzed miR-106a and miR-20a expression in bone marrow from 115 AML patients and 45 healthy controls using qRT-PCR. Additionally, we utilized TCGA data (n=188) to assess the association of these miRNAs with clinical factors and outcomes. Prognostic analysis evaluated the impact of miR-106a and miR-20a on overall survival (OS) and event-free survival (EFS). Differentially expressed genes (DEGs) were identified using Limma. GO and KEGG pathway analyses were performed by DAVID. GSEA and PPI were constructed using ClusterProfiler and STRING database.

[RESULTS] MiR-106a and miR-20a elevated in AML healthy controls. In chemotherapy group, miR-106a or miR-20a predicted poor OS and EFS, with dual-high expression conferring the worst outcome. In allo-HSCT group, miR-106a or miR-20a predicted poor OS but similar EFS, with dual-high cases showing the worst OS. In the miR-106a or miR-20a group, allo-HSCT prolonged OS (but not EFS) chemotherapy. In the miR-106a or miR-20a group, there were no obvious differences in OS or EFS between the chemotherapy and allo-HSCT regimens. Multivariable analyses confirmed miR-106a/miR-20a signature as an independent prognostic marker. Moreover, we identified 706 signature-associated DEGs. Bioinformatic analysis illuminated the involvement of miR-106a and miR-20a in regulating diverse biological processes and signaling pathways.

[CONCLUSIONS] MiR-106a and miR-20a are promising AML prognostic biomarkers for adverse outcome. The combined signature improves risk stratification and guides therapy selection (e.g., ⁣allo-HSCT for high-risk cases).

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