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. 2026 May 18;13:1818483. doi: 10.3389/fmed.2026.1818483

Table 2.

Key biomarkers in acute myeloid leukemia (AML) with their types, clinical significance, and associated subtypes or features.

Biomarker Type Clinical significance Associated AML subtypes/features
PML-RARA Fusion gene (t(15;17)) Diagnostic marker for APL; excellent response to ATRA + ATO APL (M3 subtype)
AML1-ETO Fusion gene (t(8;21)) Good prognosis; altered if c-Kit mutated AML-M2, core binding factor AML
CD34 Surface glycoprotein marker Linked to unfavourable prognosis, less complete response, and increased relapse risk. M0, M1, M2; mostly absent in APL
NPM1 Nucleolar protein mutation Favorable if FLT3-ITD−; useful for MRD monitoring M4/M5, Normal Karyotype AML
FLT3-ITD/TKD Tyrosine kinase mutations Poor prognosis with FLT3-ITD; targetable with TKIs Normal karyotype AML; co-mutates with NPM1
TP53 Tumor suppressor mutation Very poor prognosis; high relapse; drug resistance Complex karyotype AML, therapy-related AML
IDH1/2 Metabolic enzyme mutations Epigenetic dysregulation; emerging MRD markers; drug-targetable Normal karyotype AML; often co-mutated with NPM1

This table summarizes diagnostic, prognostic, and therapeutic markers commonly used in AML risk stratification and treatment guidance.