Molecular Pathology of Myeloid Neoplasms: Molecular Pattern Recognition.
Clonal hematopoiesis
Mutational patterns
Myeloid neoplasms
Next-generation sequencing
Journal
Surgical pathology clinics
ISSN: 1875-9157
Titre abrégé: Surg Pathol Clin
Pays: United States
ID NLM: 101491209
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
entrez:
10
8
2021
pubmed:
11
8
2021
medline:
29
10
2021
Statut:
ppublish
Résumé
Despite the apparent complexity of the molecular genetic underpinnings of myeloid neoplasms, most myeloid mutational profiles can be understood within a simple framework. Somatic mutations accumulate in hematopoietic stem cells with aging and toxic insults, termed clonal hematopoiesis. These "old stem cells" mutations, predominantly in the epigenetic and RNA spliceosome pathways, act as "founding" driver mutations leading to a clonal myeloid neoplasm when sufficient in number and clone size. Subsequent mutations can create the genetic flavor of the myeloid neoplasm ("backseat" drivers) due to their enrichment in certain entities or act as progression events ("aggressive" drivers) during clonal evolution.
Identifiants
pubmed: 34373100
pii: S1875-9181(21)00047-7
doi: 10.1016/j.path.2021.05.013
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
517-528Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.