- April 3, 2025
- Hussein A. Abbas, et al. MD Anderson Cancer Center
Topic/Product:
Inflammation Panel 250, Oncology
Disease Area:
Acute Myeloid Leukemia (AML)
Sample Type:
Plasma, Serum
Key Points
LIRS, comprising 8 proteins, is highly predictive of patient outcomes and refine the risk stratification in AML
OSMR is a single marker with strong predictive power of patient outcome, response to induction therapy, and early mortality
Inflammation is increasingly recognized as a critical factor in acute myeloid leukemia (AML) pathogenesis. We performed blood-based proteomic profiling of 251 inflammatory proteins in 543 newly diagnosed AML patients. Using a machine learning model, we derived an eight-protein prognostic score termed Leukemia Inflammatory Risk Score (LIRS). Individual proteins were evaluated in multivariable cox models and model performance was assessed by cumulative concordance index. Findings were validated in internal and external cohorts across two institutions. Blood-based LIRS significantly outperformed the European LeukemiaNet (ELN) 2022 risk model and was independently prognostic of overall survival after accounting for known clinical and molecular prognostic factors. OSMR was uniquely identified as the strongest independent predictor of survival, early mortality, and induction chemotherapy response, and further validated in an independent assay. These blood-based biomarkers could have significant clinical implications for risk stratification and prognostication in patients with newly diagnosed AML.
Authors & Affiliations
Patrick K Reville, Bofei Wang, Jennifer Marvin-Peek, Bin Yuan, Yu-An Kuo, Araceli Isabella Garza, Jessica L Root, Wei Qiao, Andrea Arruda, Ivo Veletic, MD, Yiwei Liu, Nicholas J Short, Courtney D. DiNardo, Tapan M. Kadia, Naval G. Daver, Philip L Lorenzi, Koji Sasaki, Steven M Kornblau, Mark D Minden, Farhad Ravandi, Hagop M Kantarjian, Hussein A. Abbas
1. Department of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
2. Department of Biostatistics, Division of Discovery Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. 1
3. Department of Medical Biophysics, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
4. Department of Bioinformatics and Computational Biology, Division of Discovery Science, The University of Texas MD Anderson Cancer Center, Houston, TX, 18 USA.
5. Department of Genomic Medicine, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
