Disease characteristics
Patient no. . | MDS category . | . | % marrow blasts . | NF-κB level* . | Flow score . | |
---|---|---|---|---|---|---|
. | FAB . | WHO . | . | . | . | |
1 | RA | RA | 2 | 0.6 | 1 | |
2 | RA | RCMD | 4 | 1.4 | 2 | |
3 | RA | RCMD | 4 | 0.9 | 0 | |
4 | RA | 5q- | 4 | 11.0 | 2 | |
5 | RA | 5q- | 2 | 2.4 | 0 | |
6 | RA | 5q- | 4 | 1.6 | 0 | |
7 | RA | 5q- | 3 | 3.1 | 1 | |
8 | RA | RA | 3 | 1.5 | 4 | |
9 | RA | RCMD | 4 | 1.5 | 2 | |
10 | RARS | RARS | 4 | 1.3 | 1 | |
11 | RARS | RARS | 2 | 6.4 | 2 | |
12 | RARS | RCMD-RS | 4 | 5.9 | 3 | |
13 | RAEB | RAEB1 | 6 | 19.0 | 5 | |
14 | RAEB | RAEB1 | 6 | 6.79 | 3 | |
15 | RAEB | RAEB1 | 8 | 5.6 | 2 | |
16 | RAEB | RAEB2 | 13 | 11.0 | 6 | |
17 | RAEB | RAEB2 | 11 | 5.86 | 5 | |
18 | RAEB | RAEB2 | 18 | 5.6 | 6 | |
19 | RAEB | RAEB2 | 12 | 3.8 | 5 | |
20 | RAEB | RAEB2 | 17 | 7.0 | 6 | |
21 | RAEB-T | tAML | 29 | 6.78 | 6 | |
22 | CMML | CMML1 | 5 | 0.3 | 2 | |
23 | CMML | CMML2 | 10 | 3.1 | 4 | |
24 | CMML | CMML1 | 1 | 1.0 | NA | |
25 | CMML | CMML2 | 10 | 4.2 | 3 |
Patient no. . | MDS category . | . | % marrow blasts . | NF-κB level* . | Flow score . | |
---|---|---|---|---|---|---|
. | FAB . | WHO . | . | . | . | |
1 | RA | RA | 2 | 0.6 | 1 | |
2 | RA | RCMD | 4 | 1.4 | 2 | |
3 | RA | RCMD | 4 | 0.9 | 0 | |
4 | RA | 5q- | 4 | 11.0 | 2 | |
5 | RA | 5q- | 2 | 2.4 | 0 | |
6 | RA | 5q- | 4 | 1.6 | 0 | |
7 | RA | 5q- | 3 | 3.1 | 1 | |
8 | RA | RA | 3 | 1.5 | 4 | |
9 | RA | RCMD | 4 | 1.5 | 2 | |
10 | RARS | RARS | 4 | 1.3 | 1 | |
11 | RARS | RARS | 2 | 6.4 | 2 | |
12 | RARS | RCMD-RS | 4 | 5.9 | 3 | |
13 | RAEB | RAEB1 | 6 | 19.0 | 5 | |
14 | RAEB | RAEB1 | 6 | 6.79 | 3 | |
15 | RAEB | RAEB1 | 8 | 5.6 | 2 | |
16 | RAEB | RAEB2 | 13 | 11.0 | 6 | |
17 | RAEB | RAEB2 | 11 | 5.86 | 5 | |
18 | RAEB | RAEB2 | 18 | 5.6 | 6 | |
19 | RAEB | RAEB2 | 12 | 3.8 | 5 | |
20 | RAEB | RAEB2 | 17 | 7.0 | 6 | |
21 | RAEB-T | tAML | 29 | 6.78 | 6 | |
22 | CMML | CMML1 | 5 | 0.3 | 2 | |
23 | CMML | CMML2 | 10 | 3.1 | 4 | |
24 | CMML | CMML1 | 1 | 1.0 | NA | |
25 | CMML | CMML2 | 10 | 4.2 | 3 |
The flow score considers phenotypic aberrancies as determined by 16 monoclonal anti–myeloid/monocyte antibodies, scatter properties, myeloid to lymphoid ratio of marrow cells, and blast count. The score has been shown to add prognostic information beyond that provided by the International Prognostic Scoring System, and in transplanted patients to correlate with posttransplantation relapse.34
FAB indicates French-American-British classification; WHO, World Health Organization; RA, refractory anemia; RCMD, refractory cytopenia with multilineage dysplasia; RARS, RA with ringed sideroblasts; RCMD-RS, RMCD with ringed sideroblasts; RAEB, RA with excess of blasts; RAEB-T, RAEB in transformation; CMML, chronic myelomonocytic leukemia; and tAML, transformed acute myeloid leukemia. NA indicates not available.
NF-κB activity in bone marrow mononuclear cells; nuclear extracts were prepared as described in “Materials and methods” and electrophoretic mobility shift assays were carried out. Protein binding levels were determined by densitometry using ImageQuant software. Results represent intensity ratios of patient samples against normal. Results are illustrated graphically in Figure 1. Levels in RAEB were statistically significantly higher than in RA/RARS (P = .008)