Expression of KLF4 is a predictive marker for survival in pediatric Burkitt lymphoma

Alberto Valencia-Hipólito, Miriam Hernández-Atenógenes, Gabriel G. Vega, Altagracia Maldonado-Valenzuela, Guillermo Ramon, Héctor Mayani, Yolanda Peña Alonso, Otoniel Martinez-Maza, Alfonso Méndez-Tenorio, Sara Huerta-Yepez, Benjamin Bonavida, Mario I. Vega

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Krüppel-like factor 4 (KLF4) is expressed in a variety of tissues with diverse physiological functions and activities. KLF4 can also function as a tumor suppressor or an oncogene, depending on the cellular context. Its role in hematological malignancies is controversial. This study examined the expression levels of KLF4 by immunohistochemistry in 73 pediatric non-Hodgkin lymphomas (NHLs) in a tissue microarray and also on several B-NHL cell lines. Elevated levels of KLF4 expression were detected in 66% of lymphoma cases and were more frequent in the Burkitt lymphoma (p = 0.05) subtype. There was a significant predictive power for outcome with low KLF4 expression, predicting a favorable overall survival compared to high levels. Multivariate analyses confirmed the association of KLF4 expression with unfavorable overall survival (p < 0.005). These findings were consistent with analyses in existing NHL microarray datasets. The present findings revealed that KLF4 is overexpressed in Burkitt pediatric lymphoma and is a potential biomarker for inferior overall survival.

Original languageEnglish
Pages (from-to)1806-1814
Number of pages9
JournalLeukemia and Lymphoma
Volume55
Issue number8
DOIs
StatePublished - Aug 2014

Keywords

  • Burkitt
  • EFS
  • KLF4
  • OS
  • Pediatric Burkitt lymphoma

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