J 2024

ERIC recommendations for TP53 mutation analysis in chronic lymphocytic leukemia-2024 update

MALČÍKOVÁ, Jitka; Šárka PAVLOVÁ; Panagiotis BALIAKAS; Thomas CHATZIKONSTANTINOU; Eugen TAUSCH et al.

Základní údaje

Originální název

ERIC recommendations for TP53 mutation analysis in chronic lymphocytic leukemia-2024 update

Autoři

MALČÍKOVÁ, Jitka ORCID; Šárka PAVLOVÁ ORCID; Panagiotis BALIAKAS; Thomas CHATZIKONSTANTINOU; Eugen TAUSCH; Mark CATHERWOOD; Davide ROSSI; Thierry SOUSSI; Boris TICHÝ ORCID; Arnon P KATER; Carsten U NIEMANN; Frederic DAVI; Gianluca GAIDANO; Stephan STILGENBAUER; Richard ROSENQUIST; Kostas STAMATOPOULOS; Paolo GHIA a Šárka POSPÍŠILOVÁ

Vydání

Leukemia, London, Nature Publishing Group, 2024, 0887-6924

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 13.400

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00136218

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

JOINT-CONSENSUS-RECOMMENDATION; FOR-MOLECULAR-PATHOLOGY; CLINICAL IMPACT; SEQUENCE; VARIANTS;SURVIVAL;CLL; ASSOCIATION;GENE; GUIDELINES; VALIDATION

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 18. 3. 2025 12:52, Mgr. Eva Dubská

Anotace

V originále

In chronic lymphocytic leukemia (CLL), analysis of TP53 aberrations (deletion and/or mutation) is a crucial part of treatment decision-making algorithms. Technological and treatment advances have resulted in the need for an update of the last recommendations for TP53 analysis in CLL, published by ERIC, the European Research Initiative on CLL, in 2018. Based on the current knowledge of the relevance of low-burden TP53-mutated clones, a specific variant allele frequency (VAF) cut-off for reporting TP53 mutations is no longer recommended, but instead, the need for thorough method validation by the reporting laboratory is emphasized. The result of TP53 analyses should always be interpreted within the context of available laboratory and clinical information, treatment indication, and therapeutic options. Methodological aspects of introducing next-generation sequencing (NGS) in routine practice are discussed with a focus on reliable detection of low-burden clones. Furthermore, potential interpretation challenges are presented, and a simplified algorithm for the classification of TP53 variants in CLL is provided, representing a consensus based on previously published guidelines. Finally, the reporting requirements are highlighted, including a template for clinical reports of TP53 aberrations. These recommendations are intended to assist diagnosticians in the correct assessment of TP53 mutation status, but also physicians in the appropriate understanding of the lab reports, thus decreasing the risk of misinterpretation and incorrect management of patients in routine practice whilst also leading to improved stratification of patients with CLL in clinical trials.

Návaznosti

LX22NPO5102, projekt VaV
Název: Národní ústav pro výzkum rakoviny (Akronym: NÚVR)
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní ústav pro výzkum rakoviny, 5.1 EXCELES
90267, velká výzkumná infrastruktura
Název: NCMG III

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