Amina Ann Qutub

By Chenyue W. Hu and Amina A. Qutub

Acute myeloid leukemia (AML) is an extremely heterogeneous and deadly hematological cancer. Cytogenetic abnormalities and genetic mutations, though well recognized and highly prognostic, do not fully capture the degree of heterogeneities manifested in AML clinically. Additionally, current treatment of AML still largely depends on chemotherapy and allogeneic stem cell transplantation, with few options for personalized and molecularly targeted therapies. Proteomics holds promise for unraveling biological heterogeneities in AML beyond the scope of cytogenetics and genomics. In recent years, proteomics has emerged as an important tool for discovering new diagnostic biomarkers, enabling more prognostic patient classifications, and identifying novel therapeutic targets. In this chapter, we review recent advances in proteomic studies of AML, including an overview of AML pathology, popular proteomic techniques, various applications of proteomics in AML from biomarker discovery to target identification, challenges and future directions in this field.

Part of the book: Myeloid Leukemia

By Cecília Lantos, Steven M. Kornblau and Amina A. Qutub

Leukemia, a blood cancer originating in the bone marrow, presents as a heterogeneous disease with highly variable survival rates. Leukemia is classified into major types based on the rate of cancerous cell growth and cell lineage: chronic or acute and myeloid or lymphoid leukemia. Histological and cytological analysis of the peripheral blood and the bone marrow can classify these major leukemia categories. However, histological analyses of patient biopsies and cytological microscopic assessment of blood and bone marrow smears are insufficient to diagnose leukemia subtypes and to direct therapy. Hence, more expensive and time-consuming diagnostic tools routinely complement histological-cytological analysis during a patient’s diagnosis. To extract more accurate and detailed information from patient tissue samples, digital pathology is emerging as a powerful tool to enhance biopsy- and smear-based decisions. Furthermore, digital pathology methods integrated with advances in machine learning enable new diagnostic features from leukemia patients’ histological and cytological slides and optimize patient classification, thus providing a cheaper, more robust, and faster diagnostic tool than current standards. This review summarizes emerging approaches to automatically diagnose leukemia from morphological and cytological-histological analyses.

Part of the book: Hematology