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 and Panagiotis BALIAKAS. Clonal haematopoiesis as a risk factor for therapy-related myeloid neoplasms in patients with chronic lymphocytic leukaemia treated with chemo-(immuno)therapy. British journal of haematology. England: Wiley-Blackwell, 2022, vol. 198, No 1, p. 103-113. ISSN 0007-1048. Available from: https://dx.doi.org/10.1111/bjh.18129.
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Basic information
Original name Clonal haematopoiesis as a risk factor for therapy-related myeloid neoplasms in patients with chronic lymphocytic leukaemia treated with chemo-(immuno)therapy
Authors 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 (203 Czech Republic, belonging to the institution), Silvia IMBERGAMO, Marie ENGVALL, Antonella ZUCCHETTO, Chiara SALVETTI, Francesca R MAURO, Niki STAVROYIANNI, Lucia CAVELIER, Paolo GHIA, Kostas STAMATOPOULOS, Emiliano FABIANI (guarantor) and Panagiotis BALIAKAS.
Edition British journal of haematology, England, Wiley-Blackwell, 2022, 0007-1048.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 6.500
RIV identification code RIV/00216224:14110/22:00126416
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1111/bjh.18129
UT WoS 000767753800001
Keywords in English CHIP and FCR; CLL; t-MN
Tags 14110323, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/8/2022 12:37.
Abstract
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.
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