Evidence map›Paper›PMID 42298546›Full record

ArticleBMC cancer2026

Clinical profiling of AML1::ETO and KIT exon 17 mutation in pediatric AML by high-throughput drug sensitivity.

Zhilin Hu, Xue Tang, Fen Chen, Tonghui Li, Yi Liu, Guichi Zhou, Qian Li, Shilin Liu, Ying Wang, Feiqiu Wen and 3 more

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Zhilin HuShantou University Medical College, 22 Xinling Road, Jinping District, Shantou, Guangdong, 515041, China.
Xue TangDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Fen ChenDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Tonghui LiDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Yi LiuDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Guichi ZhouDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Qian LiDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Shilin LiuDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Ying WangDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Feiqiu WenDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Huirong MaiDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China. maihuirong@163.com.
Lulu WangDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China. michellelu@126.com.
Sixi LiuDepartment of Hematology and Oncology, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China. tiger647@126.com.

Funding

Guangdong Medical Science and Technology Research Project A2020101Sanming Project of Medicine in Shenzen Municipality SZSM201512033Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties SZGSP012Shenzhen Healthcare Research Project SZLY2018015Shenzhen Key Medical Discipline Construction Fund SZXK034
6 · The paper itself

Abstract

backgroundThe favorable prognosis of pediatric AML1::ETO acute myeloid leukemia (AML) is well-established, yet the impact of co-occurring KIT mutations-particularly in exon 17-on clinical outcomes and chemosensitivity remains incompletely defined.

methodsWe analyzed the Therapeutically Applicable Research to Generate Effective Treatments (TARGET) database comprising 957 pediatric AML patients to assess the clinical characteristics and prognosis of pediatric patients harboring AML1::ETO and KIT mutation using Kaplan-Meier survival analysis and Cox proportional hazards models. Subsequently, we performed experimental validation using bone marrow samples from 16 pediatric AML patients at Shenzhen Children's Hospital by high-throughput drug sensitivity (HDS) screening against therapeutic agents and whole transcriptome sequencing analysis of significant genes. Functional enrichment analysis of these differential expression genes was carried out by Gene Ontology.

resultsAnalysis from the TARGET database revealed that while AML1::ETO AML generally carries a favorable prognosis, concomitant KIT exon 17 mutations significantly attenuate this survival advantage. Exploratory experimental validation in a limited cohort of AML1::ETO and KIT exon 17 mutation patients suggested a potential trend of broad drug resistance such as cytarabine and daunorubicin. Preliminary transcriptomic analysis identified upregulation of SOCS1, a negative regulator of the JAK-STAT pathway, as a potential feature of this resistant phenotype. Furthermore, elevated SOCS1 expression was associated with poor prognosis.

conclusionsWe conclude that KIT mutations, especially exon 17, confer a high-risk phenotype in otherwise favorable pediatric AML1::ETO AML. Our exploratory data suggest this may be associated with a chemoresistant profile, potentially driven by SOCS1-associated JAK-STAT dysregulation. These findings highlight the necessity of refined risk stratification based on KIT exon profiling and support targeting the SOCS1/JAK-STAT axis to overcome therapy resistance.

Indexed as

Core Binding Factor Alpha 2 SubunitLeukemia, Myeloid, AcuteMutationProto-Oncogene Proteins c-kitRUNX1 Translocation Partner 1 ProteinAdolescentChildChild, PreschoolDrug Resistance, NeoplasmExonsFemaleGene Expression ProfilingHigh-Throughput Screening AssaysHumansInfantMaleCore Binding Factor Alpha 2 SubunitProto-Oncogene Proteins c-kitRUNX1 Translocation Partner 1 ProteinCore binding factorsLeukemiaPediatricsSuppressor of cytokine signaling 1 protein

Identifiers

PMID42298546
PMCPMC13628913

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