The spectrum of somatic mutations in high-risk acute myeloid leukaemia with-7/del(7q)

被引:33
作者
McNerney, Megan E. [1 ,2 ,3 ]
Brown, Christopher D. [4 ]
Peterson, April L. [1 ]
Banerjee, Mekhala [5 ]
Larson, Richard A. [3 ,5 ]
Anastasi, John [2 ,3 ]
Le Beau, Michelle M. [1 ,3 ,5 ]
White, Kevin P. [1 ,3 ,6 ]
机构
[1] Univ Chicago, Inst Genom & Syst Biol, Chicago, IL 60637 USA
[2] Univ Chicago, Dept Pathol, Chicago, IL 60637 USA
[3] Univ Chicago, Ctr Comprehens Canc, Chicago, IL 60637 USA
[4] Univ Penn, Dept Genet, Philadelphia, PA 19104 USA
[5] Univ Chicago, Sect Hematol Oncol, Dept Med, Chicago, IL 60637 USA
[6] Univ Chicago, Dept Human Genet, Med Genet Sect, Chicago, IL 60637 USA
基金
美国国家卫生研究院;
关键词
myeloid leukaemia; monosomy; 7; CUX1; CHROMOSOME-7; AML;
D O I
10.1111/bjh.12964
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
-7/del(7q) occurs in half of myeloid malignancies with adverse-risk cytogenetic features and is associated with poor survival. We identified the spectrum of mutations that co-occur with -7/del(7q) in 40 patients with de novo or therapy-related myeloid neoplasms. -7/del(7q) leukaemias have a distinct mutational profile characterized by low frequencies of alterations in genes encoding transcription factors, cohesin and DNA-methylation-related proteins. In contrast, RAS pathway activating mutations occurred in 50% of cases, a significantly higher frequency than other acute myeloid leukaemias and higher than previously reported. Our data provide guidance for which pathways may be most relevant in the treatment of adverse-risk myeloid leukaemia.
引用
收藏
页码:550 / 556
页数:7
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