Table 1 Frequency of somatic mutation at the central base of trinucleotide sequences in AML patients at presentation (before Ara-C treatment) and relapse (post-Ara-C treatment)

From: Cytarabine preferentially induces mutation at specific sequences in the genome which are identifiable in relapsed acute myeloid leukaemia

Trinucleotide sequence a

n (%)b

OR c

95% CI c

P-valuec

 

Pres

Rel

   

5′ApApA3′/5′TpTpT3′

97 (2.7)

12 (2.7)

0.89

0.47–1.66

0.709

5′ApApC3′/5′GpTpT3′

55 (1.5)

6 (1.3)

0.81

0.34–1.94

0.636

5′ApApG3′/5′CpTpT3′

79 (2.2)

9 (2.0)

0.9

0.44–1.84

0.766

5′ApApT3′/5′ApTpT3′

117 (3.3)

15 (3.3)

0.92

0.53–1.62

0.78

5′ApCpA3′/5′TpGpT3′

209 (5.8)

28 (6.2)

0.97

0.64–1.47

0.876

5′ApCpC3′/5′GpGpT3′

118 (3.3)

8 (1.8)

0.51

0.25–1.07

0.074

5′ApCpG3′/5′CpGpT3′

408 (11.4)

39 (8.6)

0.9

0.63–1.29

0.567

5′ApCpT3′/5′ApGpT3′

137 (3.8)

19 (4.2)

0.94

0.57–1.56

0.816

5′CpApA3′/5′TpTpG3′

39 (1.1)

4 (0.9)

0.7

0.24–1.99

0.499

5′CpApC3′/5′GpTpG3′

32 (0.9)

5 (1.1)

1.33

0.50–3.55

0.567

5′CpApG3′/5′CpTpG3′

74 (2.1)

9 (2.0)

0.94

0.45–1.94

0.861

5′CpApT3′/5′ApTpG3′

95 (2.6)

10 (2.2)

0.65

0.33–1.29

0.217

5′CpCpA3′/5′TpGpG3′

115 (3.2)

14 (3.1)

0.86

0.79–1.53

0.615

5′CpCpC3′/5′GpGpG3′

98 (2.7)

10 (2.2)

0.68

0.35–1.34

0.271

5′CpCpG3′/5′CpGpG3′

221 (6.2)

28 (6.2)

1.34

0.87–2.05

0.184

5′CpCpT3′/5′ApGpG3′

162 (4.5)

16 (3.5)

0.65

0.38–1.10

0.11

5′GpApA3′/5′TpTpC3′

53 (1.5)

7 (1.5)

0.82

0.36–1.85

0.633

5′GpApC3′/5′GpTpC3′

38 (1.1)

3 (0.7)

0.56

0.17–1.83

0.334

5′GpApG3′/5′CpTpC3′

43 (1.2)

8 (1.8)

1.34

0.61–2.96

0.469

5′GpApT3′/5′ApTpC3′

53 (1.5)

8 (1.8)

1.33

0.60–2.91

0.482

5′GpCpA3′/5′TpGpC3′

112 (3.1)

14 (3.1)

0.92

0.51–1.64

0.773

5′GpCpC3′/5′GpGpC3′

81 (2.3)

16 (3.5)

1.43

0.81–2.53

0.221

5′GpCpG3′/5′CpGpC3′

233 (6.5)

19 (4.2)

0.8

0.49–1.32

0.389

5′GpCpT3′/5′ApGpC3′

144 (4.0)

10 (2.2)

0.5

0.26–0.96

0.037

5′TpApA3′/5′TpTpA3′

60 (1.7)

18 (4.0)

1.9

1.08–3.33

0.025

5′TpApC3′/5′GpTpA3′

40 (1.1)

5 (1.1)

0.99

0.38–2.57

0.979

5′TpApG3′/5′CpTpA3′

39 (1.1)

17 (3.8)

3.43

1.86–6.32

<0.001

5′TpApT3′/5′ApTpA3′

90 (2.5)

8 (1.8)

0.58

0.28–1.21

0.146

5TpCpA3/5TpGpA3

111 (3.1)

22 (4.9)

2.17

1.303.61

0.003

5′TpCpC3′/5′GpGpA3′

105 (2.9)

11 (2.4)

0.88

0.46–1.70

0.713

5′TpCpG3′/5′CpGpA3′

175 (4.9)

13 (2.9)

0.7

0.38–1.26

0.23

5′TpCpT3′/5′ApGpA3′

154 (4.3)

41 (9.1)

2.55

1.73–3.76

<0.001

Total

3587 (100)

452 (100)

   
  1. Abbreviations: CI, confidence interval; n, total number of mutants analysed; Pres, presentation; Rel, relapse; OR, odds ratio.
  2. The Ara-C target sequence (5′TpCpA3′/5′TpGpA3′) is highlighted in bold. For this triplet sequence, binomial logistic regression analysis of data from eight patients with exclusion of a single case at each iteration, retained significance in all instances (P<0.050), demonstrating that the association was not solely due to any one patient.
  3. aMutations at the central base position in any given trinucleotide sequence (the mutated base and 1 base 5′ and 3′ of the mutated base) were grouped with mutations in their complement sequence.
  4. bData is presented as the number of base substitution mutations at the central position of each trinucleotide from a total of 3587 at presentation and 452 at relapse from a total of 8 patients. Numbers in parentheses indicate mutation at each trinucleotide as a percentage of the total in the pooled dataset.
  5. cOR, 95% CI and associated P-values were calculated using binomial regression analysis of data from the 8 individual patients comprising the dataset (see Supplementary Table S3).