Protein biomarkers distinguish between high- and low-risk pediatric acute lymphoblastic leukemia in a tissue specific manner

Maria Braoudaki, George I Lambrou, Konstantinos Vougas, Kalliopi Karamolegou, George T Tsangaris, Fotini Tzortzatou-Stathopoulou

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)
33 Downloads (Pure)


The current study evaluated the differential expression detected in the proteomic profiles of low risk- and high risk- ALL pediatric patients to characterize candidate biomarkers related to diagnosis, prognosis and patient targeted therapy. Bone marrow and peripheral blood plasma and cell lysates samples were obtained from pediatric patients with low- (LR) and high-risk (HR) ALL at diagnosis. As controls, non-leukemic pediatric patients were studied. Cytogenetic analysis was carried out by G- banding and interphase fluorescent in situ hybridization. Differential proteomic analysis was performed using two-dimensional gel electrophoresis and protein identification by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. The differential expression of certain proteins was confirmed by Western blot analysis. The obtained data revealed that CLUS, CERU, APOE, APOA4, APOA1, GELS, S10A9, AMBP, ACTB, CATA and AFAM proteins play a significant role in leukemia prognosis, potentially serving as distinctive biomarkers for leukemia aggressiveness, or as suppressor proteins in HR-ALL cases. In addition, vitronectin and plasminogen probably contributed to leukemogenesis, whilst bicaudal D-related protein 1 could afford a significant biomarker for pediatric ALL therapeutics.

Original languageEnglish
Pages (from-to)1-20
Number of pages20
JournalJournal of Hematology & Oncology
Issue number52
Publication statusPublished - 12 Jul 2013


  • Adolescent
  • Biomarkers, Tumor/metabolism
  • Child
  • Child, Preschool
  • Cytogenetics
  • Electrophoresis, Gel, Two-Dimensional
  • Female
  • Humans
  • Infant
  • Male
  • Mass Spectrometry
  • Neoplasm Proteins/metabolism
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma/metabolism
  • Proteomics
  • Risk Assessment
  • Risk Factors


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