Table 1.
Gene | Overall frequency | Frequency in patients aged <60 years | Frequency in patients aged ≥60 years |
---|---|---|---|
FLT3 | 19–28% (FLT3-ITD)145 and 5–10% (FLT3-TKD)12,146 | 30% (FLT3-ITD) and 7% (FLT3-TKD)10 NK-AML only: 35% (FLT3-ITD) and 8% (FLT3-TKD)147 |
17–21% (FLT3-ITD)27,148‡ and 5% (FLT3-TKD)27 NK-AML only: 23% (FLT3-ITD) and 5% (FLT3-TKD)147 |
NPM1 | 27–35%12,13 | 29%10 NK-AML only: 57%147 |
24–34%27,148‡ NK-AML only: 42%147 |
DNMT3A | 26%12 | 18–23%10,149–151 | NA |
NRAS | 8–9%12,152,153 | 10%10 | NA |
ASXL1 | 17–19%154,155§ | 3–6%10,156‖,157 NK-AML only: 3%157 |
NA NK-AML only: 16%157 |
CEBPA (biallelic) | 4–6%12,153,158,159 | 8–9%10,159 NK-AML only: 10%147 |
NA NK-AML only: 9–10%27¶,147 |
TET2 | 8–27%12,160,161 | 8%10 | NA |
WT1 | 6–7%12,162 | 8–11%10,163 | NA |
IDH2 | 8–9%12,164 | 8–9%10,165 | NA |
IDH1 | 9%12,152,164 | 7–8%10,165 | NA |
KIT | 2–4%12,153 | 6%10 | NA |
RUNX1 | 5–10%12,153 | 5%10 NK-AML only: 8%166 |
NA NK-AML only: 16%166 |
MLL-PTD | 5%145 | 5%10 NK-AML only: 4%147 |
4%27 NK-AML only: 11%147 |
NRAS | 8–9%12,152,153 | 10%10 | NA |
PHF6 | 3%167 | 3%10 | NA |
KRAS | 2–4%12,153 | 2%10 | NA |
TP53 | 2–8%12,153,168 | 2%10 | NA |
EZH2 | 2%169 | 0%10 | NA |
JAK2 | 1–3%153,170 | NA | NA |
AML, acute myeloid leukaemia; FLT3-ITD, FLT3 internal tandem duplication mutation; FLT3-TKD, FLT3 tyrosine-kinase-domain mutation; MLL-PTD, MLL (KMT2A) partial tandem duplication; NA, not available; NK‑AML, normal‑karyotype acute myeloid leukaemia.
Inclusive of all karyotypes, except when noted; discrepancies between the mutational frequencies in younger (age <60 years) and elderly (age ≥60 years) patients with NK‑AML have been reported, when available.
Ostronoff et al.148 used the age of >65 years as the cut‑point definition for ‘elderly’ patients.
The study by Schnittger et al.155 included only patients with intermediate-risk AML.
Paschka et al.156 defined younger adult patients as those aged 18–61 years.
Schlenk et al.27 analyzed CEBPA mutations in elderly patients with normal karyotypes only.