2022
Clonal haematopoiesis as a risk factor for therapy-related myeloid neoplasms in patients with chronic lymphocytic leukaemia treated with chemo-(immuno)therapy
VOSO, Maria-Teresa; Tatjana PANDZIC; Giulia FALCONI; Marija DENCIC-FEKETE; De Bellis ELEONORA et al.Základní údaje
Originální název
Clonal haematopoiesis as a risk factor for therapy-related myeloid neoplasms in patients with chronic lymphocytic leukaemia treated with chemo-(immuno)therapy
Autoři
VOSO, Maria-Teresa; Tatjana PANDZIC; Giulia FALCONI; Marija DENCIC-FEKETE; De Bellis ELEONORA; Lydia SCARFO; Viktor LJUNGSTROM; Michail ISKAS; Del Poeta GIOVANNI; Pamela RANGHETTI; Stamatia LAIDOU; Antonio CRISTIANO; Karla PLEVOVÁ; Silvia IMBERGAMO; Marie ENGVALL; Antonella ZUCCHETTO; Chiara SALVETTI; Francesca R MAURO; Niki STAVROYIANNI; Lucia CAVELIER; Paolo GHIA; Kostas STAMATOPOULOS; Emiliano FABIANI a Panagiotis BALIAKAS
Vydání
British journal of haematology, England, Wiley-Blackwell, 2022, 0007-1048
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 6.500
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/22:00126416
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
CHIP and FCR; CLL; t-MN
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 11. 8. 2022 12:37, Mgr. Tereza Miškechová
Anotace
V originále
Clonal haematopoiesis of indeterminate potential (CHIP) may predispose for the development of therapy-related myeloid neoplasms (t-MN). Using target next-generation sequencing (t-NGS) panels and digital droplet polymerase chain reactions (ddPCR), we studied the myeloid gene mutation profiles of patients with chronic lymphocytic leukaemia (CLL) who developed a t-MN after treatment with chemo-(immuno)therapy. Using NGS, we detected a total of 30 pathogenic/likely pathogenic (P/LP) variants in 10 of 13 patients with a t-MN (77%, median number of variants for patient: 2, range 0-6). The prevalence of CHIP was then backtracked in paired samples taken at CLL diagnosis in eight of these patients. Six of them carried at least one CHIP-variant at the time of t-MN (median: 2, range: 1-5), and the same variants were present in the CLL sample in five cases. CHIP variants were present in 34 of 285 patients from a population-based CLL cohort, which translates into a significantly higher prevalence of CHIP in patients with a CLL who developed a t-MN, compared to the population-based cohort (5/8, 62.5% vs. 34/285, 12%, p = 0.0001). Our data show that CHIP may be considered as a novel parameter affecting treatment algorithms in patients with CLL, and highlight the potential of using chemo-free therapies in CHIP-positive cases.