Inherited cancer predisposing mutations in patients with therapy-related myeloid neoplasms

被引:3
作者
Shih, Andrew J. [1 ]
Jun, Tomi [2 ]
Skol, Andrew D. [3 ,13 ]
Bao, Riyue [4 ,5 ]
Huang, Lei [6 ,14 ]
Vora, Sapana [3 ]
McNerney, Megan E. [3 ,7 ]
Hungate, Eric A. [3 ]
Le Beau, Michelle M. [8 ]
Larson, Richard A. [8 ]
Elliott, Aaron [9 ]
Lu, Hsiao-Mei [9 ]
Huether, Robert [9 ,15 ]
Hernandez, Felicia [9 ]
Stolzel, Friedrich [10 ]
Allan, James M. [11 ]
Onel, Kenan [2 ,12 ]
机构
[1] Northwell Hlth, Feinstein Inst Med Res, Manhasset, NY USA
[2] Sema4, Stamford, CT USA
[3] Univ Chicago, Dept Pediat, Chicago, IL 60637 USA
[4] Univ Pittsburgh, Dept Med, Pittsburgh, PA USA
[5] UPMC Hillman Canc Ctr, Pittsburgh, PA USA
[6] Univ Chicago, Ctr Res Informat, Chicago, IL 60637 USA
[7] Univ Chicago, Dept Pathol, 5841 S Maryland Ave, Chicago, IL 60637 USA
[8] Univ Chicago, Dept Med, 5841 S Maryland Ave, Chicago, IL 60637 USA
[9] Ambry Genet, Aliso Viejo, CA USA
[10] Tech Univ Dresden, Univ Hosp Carl Gustav Carus Dresden, Dept Internal Med 1, Dresden, Germany
[11] Newcastle Univ, Northern Inst Canc Res, Newcastle Upon Tyne, Tyne & Wear, England
[12] Icahn Sch Med Mt Sinai, Dept Genet & Genom Sci, New York, NY 10029 USA
[13] Ann & Robert H Lurie Childrens Hosp Chicago, Ctr Genom, Chicago, IL 60611 USA
[14] Kite, Santa Monica, CA USA
[15] Tempus Labs, Chicago, IL USA
基金
美国国家卫生研究院;
关键词
cancer predisposition; germline; leukaemia; therapy-related myeloid neoplasm; whole-exome sequencing; MEDICAL GENETICS; AMERICAN-COLLEGE; SUSCEPTIBILITY; GENOMICS; ORIGIN; GENES;
D O I
10.1111/bjh.18543
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Some patients with therapy-related myeloid neoplasms (t-MN) may have unsuspected inherited cancer predisposition syndrome (CPS). We propose a set of clinical criteria to identify t-MN patients with high risk of CPS (HR-CPS). Among 225 t-MN patients with an antecedent non-myeloid malignancy, our clinical criteria identified 52 (23%) HR-CPS patients. Germline whole-exome sequencing identified pathogenic or likely pathogenic variants in 10 of 27 HR-CPS patients compared to 0 of 9 low-risk CPS patients (37% vs. 0%, p = 0.04). These simple clinical criteria identify t-MN patients most likely to benefit from genetic testing for inherited CPS.
引用
收藏
页码:489 / 493
页数:5
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