Impact of the presence and number of chromosomal abnormalities on the clinical outcome in Waldenström Macroglobulinemia: a monocentric experience.

Chromosomal abnormalities Cytogenetics Non-Hodgkin Lymphoma Waldenström Macroglobulinemia

Journal

Annals of hematology
ISSN: 1432-0584
Titre abrégé: Ann Hematol
Pays: Germany
ID NLM: 9107334

Informations de publication

Date de publication:
30 Apr 2024
Historique:
received: 07 02 2024
accepted: 19 04 2024
medline: 30 4 2024
pubmed: 30 4 2024
entrez: 30 4 2024
Statut: aheadofprint

Résumé

The prognostic and predictive role of specific gene mutations in Waldenström Macroglobulinemia (WM) is well-ascertained whereas the clinical impact of chromosome aberrations is far less known. Recent work has provided initial evidence for an adverse prognostic impact of some aberrations, such as del(6q), while other studies suggest a possible relationship between some clinical features (e.g. advanced age and/or inflammatory status) and specific cytogenetic abnormalities. To add to the still limited knowledge on WM cytogenetics and its clinical implications, we herein report our experience in a cohort of WM patients across 23 years. Based on our retrospective study, we found that abnormal karyotype was more represented in older patients and maintained a statistically significant independence from other molecular, clinical, and biological features related to WM. The presence and number of cytogenetic aberrations correlated with inferior overall and progression-free survival outcomes regardless of the type of single chromosome aberration. Our data suggests that the role of the altered karyotype deserves to be further clarified especially in elderly WM patients, in whom cytogenetic abnormalities and disease biology appear to be characterized by a higher degree of complexity.

Identifiants

pubmed: 38687347
doi: 10.1007/s00277-024-05770-4
pii: 10.1007/s00277-024-05770-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Nicolò Danesin (N)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.

Laura Bonaldi (L)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Annalisa Martines (A)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Silvia Nalio (S)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Roberta Bertorelle (R)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Sofia Compagno (S)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Raffaella Marcato (R)

Immunology and Molecular Oncology Diagnostics, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy.

Sabrina Manni (S)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.
Veneto Institute of Molecular Medicine, Fondazione Per La Ricerca Biomedica Avanzata, Padua, Italy.

Federico Scarmozzino (F)

Surgical Pathology and Cytopathology Unit, Department of Medicine, University of Padova, Padua, Italy.

Marco Pizzi (M)

Surgical Pathology and Cytopathology Unit, Department of Medicine, University of Padova, Padua, Italy.

Angelo Paolo Dei Tos (APD)

Surgical Pathology and Cytopathology Unit, Department of Medicine, University of Padova, Padua, Italy.

Alessandro Cellini (A)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.

Greta Scapinello (G)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.

Andrea Visentin (A)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.

Livio Trentin (L)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.

Francesco Piazza (F)

Hematology Unit, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy. francesco.piazza@unipd.it.
Veneto Institute of Molecular Medicine, Fondazione Per La Ricerca Biomedica Avanzata, Padua, Italy. francesco.piazza@unipd.it.

Classifications MeSH