Case Report: Genetic Double Strike: VEXAS and TET2-Positive Myelodysplastic Syndrome in a Patient With Long-Standing Refractory Autoinflammatory Disease.


Journal

Frontiers in immunology
ISSN: 1664-3224
Titre abrégé: Front Immunol
Pays: Switzerland
ID NLM: 101560960

Informations de publication

Date de publication:
2021
Historique:
received: 22 10 2021
accepted: 28 12 2021
entrez: 7 2 2022
pubmed: 8 2 2022
medline: 1 3 2022
Statut: epublish

Résumé

Somatic genetic mutations involving the innate and inflammasome signaling are key drivers of the pathogenesis of myelodysplastic syndromes (MDS). Herein, we present a patient, who suffered from a long-standing refractory adult-onset autoinflammatory syndrome (AIS), previously interpreted as various distinct rheumatic disorders. Developing pancytopenia and particularly macrocytic anemia prompted the screening for a hematological malignancy, which led to the diagnosis of a

Identifiants

pubmed: 35126364
doi: 10.3389/fimmu.2021.800149
pmc: PMC8811255
doi:

Substances chimiques

Adrenal Cortex Hormones 0
DNA-Binding Proteins 0
UBA1 protein, human 0
Dioxygenases EC 1.13.11.-
TET2 protein, human EC 1.13.11.-
Ubiquitin-Activating Enzymes EC 6.2.1.45

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

800149

Informations de copyright

Copyright © 2022 Lötscher, Seitz, Simeunovic, Sarbu, Porret, Feldmeyer, Borradori, Bonadies and Maurer.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest for the interpretation of the survey. Potentially perceived conflicts of interests according to the definitions and terms of International Committee of Medical Journal Editors are: NB: Alexion: research funding to institution; Amgen: financial support for travel; Astellas: research funding to institution; Celgene/BMS: financial support for travel, research funding to institution; consultancy honoraria; Janssen: financial support for travel; Novartis: financial support for travel, research funding to institution, consultancy honoraria; Roche: financial support for travel, research funding to institution; Sandoz: research funding to institution; Servier: research funding to institution; Takeda: research funding to institution. BM has consultancies with Novartis, Boehringer Ingelheim, Janssen-Cilag, had grant/research support from AbbVie, Protagen, Novartis Biomedical Research, received speaker fees from Boehringer-Ingelheim as well as congress support from Medtalk, Pfizer, Roche, Actelion, Mepha, and MSD. In addition, BM has a patent mir-29 for the treatment of systemic sclerosis issued (US8247389, EP2331143).

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Auteurs

Fabian Lötscher (F)

Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Luca Seitz (L)

Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Helena Simeunovic (H)

Department of Hematology and Central Hematology Laboratory, Inselspital Bern, University of Bern, Bern, Switzerland.

Adela-Cristina Sarbu (AC)

Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Naomi A Porret (NA)

Department of Hematology and Central Hematology Laboratory, Inselspital Bern, University of Bern, Bern, Switzerland.

Laurence Feldmeyer (L)

Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Luca Borradori (L)

Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Nicolas Bonadies (N)

Department of Hematology and Central Hematology Laboratory, Inselspital Bern, University of Bern, Bern, Switzerland.
Department for BioMedical Research, University of Bern, Bern, Switzerland.

Britta Maurer (B)

Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

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Classifications MeSH