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NPM1 mutation

Parameter
Biomarker NPM1 mutation Full name Nucleophosmin 1 gene mutation Molecular Type Nucleic acid (DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, prognosis, MRD monitoring
Disease Acute Myeloid Leukemia (AML) Disease Subtypes /
Organ Blood, bone marrow Test Sample / Technology Platform Whole blood/bone marrow (genomic sequencing, RT-qPCR)
Pathobiological Mechanisms The nuclear-cytoplasmic shuttling molecular chaperone protein, when mutated, leads to cytoplasmic mislocalization and abnormal regulation of functions such as ribosome assembly and DNA repair.
Clinical Availability Status Clinical validation/guideline recommendations: Prognostic stratification included in ELN and NCCN guidelines; Core indicators for MRD monitoring.
Notes and Dynamics Single mutations indicate a favorable prognosis, while the presence of FLT3-ITDhigh or IDH1/2 mutations is associated with a poorer prognosis; ATRA+ATO can degrade the mutated protein.

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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