Oncogenic lesions and molecular subtypes in adults with B-cell acute lymphoblastic leukemia

被引:5
作者
Yasuda, Takahiko [1 ]
Sanada, Masashi [1 ]
Tsuzuki, Shinobu [2 ]
Hayakawa, Fumihiko [3 ]
机构
[1] Natl Hosp Org, Clin Res Ctr, Nagoya Med Ctr, Nagoya, Aichi, Japan
[2] Aichi Med Univ, Dept Biochem, Sch Med, Nagakute, Aichi, Japan
[3] Nagoya Univ, Dept Integrated Hlth Sci, Div Cellular & Genet Sci, Grad Sch Med, Nagoya, Aichi, Japan
关键词
acute lymphoblastic leukemia; adult; gene rearrangement; prognosis; RNA-seq; GENE FUSION; DUX4; CLASSIFICATION; IDENTIFICATION; DEFINE; MUTATIONS;
D O I
10.1111/cas.15583
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
B-cell acute lymphoblastic leukemia (B-ALL), a genetically heterogeneous disease, is classified into different molecular subtypes that are defined by recurrent gene rearrangements, gross chromosomal abnormalities, or specific gene mutations. Cells with these genetic alterations acquire a leukemia-initiating ability and show unique expression profiles. The distribution of B-ALL molecular subtypes is greatly dependent on age, which also affects treatment responsiveness and long-term survival, partly accounting for the inferior outcome in adolescents and young adults (AYA) and (older) adults with B-ALL. Recent advances in sequencing technology, especially RNA sequencing and the application of these technologies in large B-ALL cohorts have uncovered B-ALL molecular subtypes prevalent in AYA and adults. These new insights supply more precise estimations of prognoses and targeted therapies informed by sequencing results, as well as a deeper understanding of the genetic basis of AYA/adult B-ALL. This article provides an account of these technological advances and an overview of the recent major findings of B-ALL molecular subtypes in adults.
引用
收藏
页码:8 / 15
页数:8
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