Unknown

Dataset Information

0

Genetic ancestry, differential gene expression, and survival in pediatric B-cell acute lymphoblastic leukemia.


ABSTRACT:

Background

Black children have lower incidence yet worse survival than White and Latinx children with B-cell acute lymphoblastic leukemia (B-ALL). It is unclear how reported race/ethnicity (RRE) is associated with death in B-ALL after accounting for differentially expressed genes associated with genetic ancestry.

Methods

Using Phase 1 and 2 NCI TARGET B-ALL cases (N = 273; RRE-Black = 21, RRE-White = 162, RRE-Latinx = 69, RRE-Other = 9, RRE-Unknown = 12), we estimated proportions of African (AFR), European (EUR), and Amerindian (AMR) genetic ancestry. We estimated hazard ratios (HR) and 95% confidence intervals (95% CI) between ancestry and death while adjusting for RRE and clinical measures. We identified genes associated with genetic ancestry and adjusted for them in RRE and death associations.

Results

Genetic ancestry varied within RRE (RRE-Black, AFR proportion: Mean: 78.5%, Range: 38.2%-93.6%; RRE-White, EUR proportion: Mean: 94%, Range: 1.6%-99.9%; RRE-Latinx, AMR proportion: Mean: 52.0%, Range: 1.2%-98.7%). We identified 10, 1, and 6 differentially expressed genes (padjusted  <0.05) associated with AFR, AMR, and EUR ancestry proportion, respectively. We found AMR and AFR ancestry were statistically significantly associated with death (AMR each 10% HR: 1.05, 95% CI: 1.03-1.17, AFR each 10% increase HR: 1.03, 95% CI:1.01-1.19). RRE differences in the risk of death were larger in magnitude upon adjustment for genes associated with genetic ancestry for RRE-Black, but not RRE-Latinx children (RRE-Black HR: 3.35, 95% CI: 1.31, 8.53; RRE-Latinx HR: 1.47, 0.88-2.45).

Conclusions

Our work highlights B-ALL survival differences by RRE after adjusting for ancestry differentially expressed genes suggesting other factors impacting survival are important.

SUBMITTER: Barragan FA 

PROVIDER: S-EPMC9972134 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

altmetric image

Publications

Genetic ancestry, differential gene expression, and survival in pediatric B-cell acute lymphoblastic leukemia.

Barragan Freddy A FA   Mills Lauren J LJ   Raduski Andrew R AR   Marcotte Erin L EL   Grinde Kelsey E KE   Spector Logan G LG   Williams Lindsay A LA  

Cancer medicine 20220920 4


<h4>Background</h4>Black children have lower incidence yet worse survival than White and Latinx children with B-cell acute lymphoblastic leukemia (B-ALL). It is unclear how reported race/ethnicity (RRE) is associated with death in B-ALL after accounting for differentially expressed genes associated with genetic ancestry.<h4>Methods</h4>Using Phase 1 and 2 NCI TARGET B-ALL cases (N = 273; RRE-Black = 21, RRE-White = 162, RRE-Latinx = 69, RRE-Other = 9, RRE-Unknown = 12), we estimated proportions  ...[more]

Similar Datasets

| S-EPMC8722040 | biostudies-literature
| S-EPMC10576863 | biostudies-literature
| S-EPMC8699354 | biostudies-literature
| S-EPMC9658397 | biostudies-literature
2013-09-18 | GSE47051 | GEO
| S-EPMC4014804 | biostudies-literature
2013-09-18 | E-GEOD-47051 | biostudies-arrayexpress
| S-EPMC8448507 | biostudies-literature
| S-EPMC6438000 | biostudies-literature