Expression of antiapoptotic proteins livin and survivin in pediatric AML patients, as prognostic markers

Zareifar, Soheila and Ghorbani, Soudeh and Monabbati, Ahmad and Bordbar, Mohammad Reza and Zekavat, Omid Reza and Abdolkarimi, Babak and Haghpanah, Sezaneh (2018) Expression of antiapoptotic proteins livin and survivin in pediatric AML patients, as prognostic markers. PEDIATRIC HEMATOLOGY AND ONCOLOGY, 35 (4). pp. 250-256.

Full text not available from this repository.
Official URL:


Objective: Survivin and livin are highly expressed in various malignancies and their expression levels may be related to unfavorable prognosis. The aim was to investigate the relationships of these two markers with some prognostic factors and with survival of the children with acute myeloid leukemia (AML). Methods: Livin and survivin expression was investigated quantitatively by immunohistochemistry staining technique in 43 primary formalin-fixed, paraffin-embedded bone marrow blocks in pediatric age group (<18 years). Results: Both survivin and livin were expressed in 81.4% of AML patients. Livin expression showed significant positive association with high level of primary WBC (p=.002). Survivin expression showed significant positive correlations with risk of relapse (p .001) and high level of primary WBC (p=.003). The relationship of overall survival (OS) of the patients with livin and survivin expression, were investigated separately in disease subtypes. Significant association was observed between survivin expression and shorter OS regardless of subtypes including acute promyelocytic (APL) (p=.01) and nonacute promyelocytic leukemia (non-APL) (p=.008). Also, significant association of livin expression with shorter OS was detected, but only in APL subgroup (p=.046). Nevertheless, in Cox regression model after adjusting for disease subtypes, stage and cytogenetics; survivin and livin showed no significant association with OS (p>.05). Conclusion: Livin and survivin showed significant associations with some poor prognostic factors of AML. Although survivin in both subtypes and livin in non APL subtype, showed a significant relationship with shorter OS, none of them was determined as independent prognostic factors. Further studies with larger sample size are suggested.

Item Type: Article
Subjects: R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: samira sepahvandy
Date Deposited: 11 Mar 2019 06:30
Last Modified: 11 Mar 2019 06:30

Actions (login required)

View Item View Item