Acute Myeloid Leukemia: Correlation between gene mutation status and selected clinical features
(primary blood tumor (peripheral) cohort)
Maintained by TCGA GDAC Team (Broad Institute/MD Anderson Cancer Center/Harvard Medical School)
Overview
Introduction

This pipeline computes the correlation between significantly recurrent gene mutations and selected clinical features.

Summary

Testing the association between mutation status of 41 genes and 3 clinical features across 196 patients, 4 significant findings detected with Q value < 0.25.

  • DNMT3A mutation correlated to 'Time to Death'.

  • TP53 mutation correlated to 'Time to Death'.

  • IDH2 mutation correlated to 'AGE'.

  • FLJ43860 mutation correlated to 'Time to Death'.

Results
Overview of the results

Table 1.  Get Full Table Overview of the association between mutation status of 41 genes and 3 clinical features. Shown in the table are P values (Q values). Thresholded by Q value < 0.25, 4 significant findings detected.

Clinical
Features
Time
to
Death
AGE GENDER
nMutated (%) nWild-Type logrank test t-test Fisher's exact test
DNMT3A 49 (25%) 147 0.000602
(0.0662)
0.0517
(1.00)
0.248
(1.00)
TP53 11 (6%) 185 7.75e-06
(0.000876)
0.00306
(0.334)
0.351
(1.00)
IDH2 18 (9%) 178 0.897
(1.00)
3.57e-05
(0.004)
1
(1.00)
FLJ43860 3 (2%) 193 0.00055
(0.061)
0.754
(1.00)
0.253
(1.00)
NPM1 47 (24%) 149 0.223
(1.00)
0.985
(1.00)
0.132
(1.00)
FLT3 52 (27%) 144 0.204
(1.00)
0.365
(1.00)
0.516
(1.00)
IDH1 20 (10%) 176 0.925
(1.00)
0.339
(1.00)
0.478
(1.00)
NRAS 18 (9%) 178 0.88
(1.00)
0.523
(1.00)
0.626
(1.00)
RUNX1 17 (9%) 179 0.232
(1.00)
0.106
(1.00)
0.802
(1.00)
WT1 12 (6%) 184 0.325
(1.00)
0.0417
(1.00)
0.773
(1.00)
KRAS 8 (4%) 188 0.498
(1.00)
0.435
(1.00)
0.472
(1.00)
TET2 15 (8%) 181 0.869
(1.00)
0.171
(1.00)
0.286
(1.00)
U2AF1 10 (5%) 186 0.462
(1.00)
0.00354
(0.382)
0.0234
(1.00)
PHF6 6 (3%) 190 0.882
(1.00)
0.234
(1.00)
0.0328
(1.00)
PTPN11 7 (4%) 189 0.373
(1.00)
0.677
(1.00)
1
(1.00)
KIT 7 (4%) 189 0.905
(1.00)
0.485
(1.00)
0.704
(1.00)
C17ORF97 5 (3%) 191 0.631
(1.00)
0.408
(1.00)
0.379
(1.00)
ETV6 5 (3%) 191 0.471
(1.00)
0.278
(1.00)
0.379
(1.00)
SMC3 6 (3%) 190 0.178
(1.00)
0.584
(1.00)
0.413
(1.00)
FAM5C 5 (3%) 191 0.121
(1.00)
0.044
(1.00)
0.379
(1.00)
MUC4 7 (4%) 189 0.149
(1.00)
0.5
(1.00)
1
(1.00)
CYP21A2 4 (2%) 192 0.0175
(1.00)
0.554
(1.00)
1
(1.00)
NOTCH2NL 3 (2%) 193 0.807
(1.00)
0.253
(1.00)
AP3S1 3 (2%) 193 0.741
(1.00)
0.534
(1.00)
0.592
(1.00)
SMC1A 5 (3%) 191 0.479
(1.00)
0.0219
(1.00)
0.379
(1.00)
TRIM48 3 (2%) 193 0.202
(1.00)
0.592
(1.00)
C5ORF25 3 (2%) 193 0.0882
(1.00)
0.195
(1.00)
0.0919
(1.00)
CCDC74A 3 (2%) 193 0.523
(1.00)
0.347
(1.00)
0.253
(1.00)
OR11H12 3 (2%) 193 0.528
(1.00)
0.374
(1.00)
0.592
(1.00)
OR5H6 3 (2%) 193 0.0468
(1.00)
0.592
(1.00)
LILRA3 3 (2%) 193 0.878
(1.00)
0.592
(1.00)
NMUR2 3 (2%) 193 0.928
(1.00)
1
(1.00)
STAG2 4 (2%) 192 0.397
(1.00)
0.325
(1.00)
0.331
(1.00)
SUZ12 3 (2%) 193 0.879
(1.00)
0.253
(1.00)
SCRN3 3 (2%) 193 0.0536
(1.00)
0.592
(1.00)
DIS3 3 (2%) 193 0.724
(1.00)
0.592
(1.00)
VPS26B 3 (2%) 193 0.588
(1.00)
0.96
(1.00)
0.253
(1.00)
ZNF275 3 (2%) 193 0.0715
(1.00)
0.592
(1.00)
EZH2 3 (2%) 193 0.115
(1.00)
1
(1.00)
ANKRD24 3 (2%) 193 0.177
(1.00)
0.761
(1.00)
1
(1.00)
QRICH2 4 (2%) 192 0.608
(1.00)
0.0269
(1.00)
1
(1.00)
'DNMT3A MUTATION STATUS' versus 'Time to Death'

P value = 0.000602 (logrank test), Q value = 0.066

Table S1.  Gene #1: 'DNMT3A MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

nPatients nDeath Duration Range (Median), Month
ALL 172 108 0.9 - 94.1 (12.0)
DNMT3A MUTATED 45 34 0.9 - 37.0 (9.0)
DNMT3A WILD-TYPE 127 74 0.9 - 94.1 (15.0)

Figure S1.  Get High-res Image Gene #1: 'DNMT3A MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

'TP53 MUTATION STATUS' versus 'Time to Death'

P value = 7.75e-06 (logrank test), Q value = 0.00088

Table S2.  Gene #5: 'TP53 MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

nPatients nDeath Duration Range (Median), Month
ALL 172 108 0.9 - 94.1 (12.0)
TP53 MUTATED 10 10 1.0 - 17.0 (6.0)
TP53 WILD-TYPE 162 98 0.9 - 94.1 (13.0)

Figure S2.  Get High-res Image Gene #5: 'TP53 MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

'IDH2 MUTATION STATUS' versus 'AGE'

P value = 3.57e-05 (t-test), Q value = 0.004

Table S3.  Gene #6: 'IDH2 MUTATION STATUS' versus Clinical Feature #2: 'AGE'

nPatients Mean (Std.Dev)
ALL 196 55.0 (16.2)
IDH2 MUTATED 18 64.6 (7.9)
IDH2 WILD-TYPE 178 54.0 (16.5)

Figure S3.  Get High-res Image Gene #6: 'IDH2 MUTATION STATUS' versus Clinical Feature #2: 'AGE'

'FLJ43860 MUTATION STATUS' versus 'Time to Death'

P value = 0.00055 (logrank test), Q value = 0.061

Table S4.  Gene #34: 'FLJ43860 MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

nPatients nDeath Duration Range (Median), Month
ALL 172 108 0.9 - 94.1 (12.0)
FLJ43860 MUTATED 3 3 1.0 - 9.0 (2.0)
FLJ43860 WILD-TYPE 169 105 0.9 - 94.1 (12.0)

Figure S4.  Get High-res Image Gene #34: 'FLJ43860 MUTATION STATUS' versus Clinical Feature #1: 'Time to Death'

Methods & Data
Input
  • Mutation data file = LAML-TB.mutsig.cluster.txt

  • Clinical data file = LAML-TP.clin.merged.picked.txt

  • Number of patients = 196

  • Number of significantly mutated genes = 41

  • Number of selected clinical features = 3

  • Exclude genes that fewer than K tumors have mutations, K = 3

Survival analysis

For survival clinical features, the Kaplan-Meier survival curves of tumors with and without gene mutations were plotted and the statistical significance P values were estimated by logrank test (Bland and Altman 2004) using the 'survdiff' function in R

Student's t-test analysis

For continuous numerical clinical features, two-tailed Student's t test with unequal variance (Lehmann and Romano 2005) was applied to compare the clinical values between tumors with and without gene mutations using 't.test' function in R

Fisher's exact test

For binary or multi-class clinical features (nominal or ordinal), two-tailed Fisher's exact tests (Fisher 1922) were used to estimate the P values using the 'fisher.test' function in R

Q value calculation

For multiple hypothesis correction, Q value is the False Discovery Rate (FDR) analogue of the P value (Benjamini and Hochberg 1995), defined as the minimum FDR at which the test may be called significant. We used the 'Benjamini and Hochberg' method of 'p.adjust' function in R to convert P values into Q values.

Download Results

This is an experimental feature. The full results of the analysis summarized in this report can be downloaded from the TCGA Data Coordination Center.

References
[1] Bland and Altman, Statistics notes: The logrank test, BMJ 328(7447):1073 (2004)
[2] Lehmann and Romano, Testing Statistical Hypotheses (3E ed.), New York: Springer. ISBN 0387988645 (2005)
[3] Fisher, R.A., On the interpretation of chi-square from contingency tables, and the calculation of P, Journal of the Royal Statistical Society 85(1):87-94 (1922)
[4] Benjamini and Hochberg, Controlling the false discovery rate: a practical and powerful approach to multiple testing, Journal of the Royal Statistical Society Series B 59:289-300 (1995)