Mutation signatures of pediatric acute myeloid leukemia and normal blood progenitors associated with differential patient outcomes.


Journal

Blood cancer discovery
ISSN: 2643-3249
Titre abrégé: Blood Cancer Discov
Pays: United States
ID NLM: 101764786

Informations de publication

Date de publication:
09 2021
Historique:
entrez: 13 10 2021
pubmed: 14 10 2021
medline: 14 10 2021
Statut: ppublish

Résumé

Acquisition of oncogenic mutations with age is believed to be rate limiting for carcinogenesis. However, the incidence of leukemia in children is higher than in young adults. Here we compare somatic mutations across pediatric acute myeloid leukemia (pAML) patient-matched leukemic blasts and hematopoietic stem and progenitor cells (HSPCs), as well as HSPCs from age-matched healthy donors. HSPCs in the leukemic bone marrow have limited genetic relatedness and share few somatic mutations with the cell-of-origin of the malignant blasts, suggesting polyclonal hematopoiesis in pAML patients. Compared to normal HSPCs, a subset of pAML cases harbored more somatic mutations and a distinct composition of mutational process signatures. We hypothesize these cases might have arisen from a more committed progenitor. This subset had better outcomes than pAML cases with mutation burden comparable to age-matched healthy HSPCs. Our study provides insights into the etiology and patient stratification of pAML.

Identifiants

pubmed: 34642666
doi: 10.1158/2643-3230.BCD-21-0010
pmc: PMC7611805
mid: EMS135524
pii: 2643-3230.BCD-21-0010
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

484-499

Subventions

Organisme : European Research Council
ID : 864499
Pays : International
Organisme : Dutch Research Council
ID : NWO_016.VIDI.171.023
Pays : Netherlands

Déclaration de conflit d'intérêts

Declaration of interests Authors declare no competing interests.

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Auteurs

Arianne M Brandsma (AM)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Eline J M Bertrums (EJM)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Markus J van Roosmalen (MJ)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Damon A Hofman (DA)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Rurika Oka (R)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Mark Verheul (M)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Freek Manders (F)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Joske Ubels (J)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Mirjam E Belderbos (ME)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands.

Ruben van Boxtel (R)

Princess Máxima Center for Pediatric Oncology and Oncode Institute, Utrecht, the Netherlands. R.vanBoxtel@prinsesmaximacentrum.nl.

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