Genetic heterogeneity of cytogenetically normal AML with mutations of CEBPA by Nikola P. Konstandin, Friederike Pastore, Tobias Herold, Annika Dufour,

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Genetic heterogeneity of cytogenetically normal AML with mutations of CEBPA by Nikola P. Konstandin, Friederike Pastore, Tobias Herold, Annika Dufour, Maja Rothenberg-Thurley, Tanja Hinrichsen, Bianka Ksienzyk, Sebastian Tschuri, Stephanie Schneider, Eva Hoster, Wolfgang E. Berdel, Bernhard J. Woermann, Maria C. Sauerland, Jan Braess, Stefan K. Bohlander, Hanns-Georg Klein, Wolfgang Hiddemann, Klaus H. Metzeler, and Karsten Spiekermann BloodAdv Volume 2(20):2724-2731 October 23, 2018 © 2018 by The American Society of Hematology

Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology

Mutation spectrum of moCEBPA, biCEBPA, and wtCEBPA. Mutation spectrum of moCEBPA, biCEBPA, and wtCEBPA. Evaluation of the mutation spectrum of moCEBPA (n = 32) and biCEBPA (n = 48) patients in comparison with wtCEBPA samples (n = 287). Eight of 20 genes with a mutation frequency of ≥5% were significantly associated with ≥1 groups. Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology

Frequency of genetic alterations organized by categories of related genes and genetic groups. Frequency of genetic alterations organized by categories of related genes and genetic groups. The heatmap includes all genes that were mutated in either the moCEBPA (red) or biCEBPA (dark blue) subgroup. biCEBPA patient samples were further separated in 2 biological groups: CCSneg (blue) and CCSpos (green). Patients with a signal ratio of FLT3-ITD ≥0.5 are marked with an asterisk. Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology

Age and CR rate of biCEBPACCSpos, biCEBPACCSneg, and moCEBPA patients. Age and CR rate of biCEBPACCSpos, biCEBPACCSneg, and moCEBPA patients. (A) Age of biCEBPACCSneg (median = 48), biCEBPACCSpos (median = 66), and moCEBPA (median = 62) patients. Scatter dot plot, median with interquartile range. (B) The CR rate was significantly higher in biCEBPACCSneg patients (91% [20/22]) than biCEBPACCSpos (61% [14/23]; P = .035) and moCEBPA patients (P = .027). Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology

Survival data depending on biogroup and TET2 status. Survival data depending on biogroup and TET2 status. (A) OS of biCEBPACCSneg, biCEBPACCSpos, and moCEBPA patients. (B) OS of biCEBPA patients depending on TET2 mutational status. Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology

Mutational status of biCEBPACCSpos and biCEBPACCSneg remission samples (age is given in brackets). Mutational status of biCEBPACCSposand biCEBPACCSnegremission samples (age is given in brackets). (A) Four out of 5 biCEBPACCSpos patients had persisting clones in CR, indicating a clonal hematopoiesis. (B) None of the 5 biCEBPACCSneg samples had a detectable mutation load at the time of remission. Dx, diagnosis. Nikola P. Konstandin et al. Blood Adv 2018;2:2724-2731 © 2018 by The American Society of Hematology