Molecular Pathology of Myeloid Neoplasms: Molecular Pattern Recognition.
Clonal hematopoiesis
Mutational patterns
Myeloid neoplasms
Next-generation sequencing
Journal
Clinics in laboratory medicine
ISSN: 1557-9832
Titre abrégé: Clin Lab Med
Pays: United States
ID NLM: 8100174
Informations de publication
Date de publication:
Jun 2024
Jun 2024
Historique:
medline:
1
6
2024
pubmed:
1
6
2024
entrez:
31
5
2024
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: 38821648
pii: S0272-2712(23)00084-7
doi: 10.1016/j.cll.2023.08.007
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
339-353Informations de copyright
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