Therapy-induced mutations drive the genomic landscape of relapsed acute lymphoblastic leukemia

Author:

Li Benshang12,Brady Samuel W.3,Ma Xiaotu3,Shen Shuhong12,Zhang Yingchi4,Li Yongjin3,Szlachta Karol3,Dong Li3,Liu Yu3,Yang Fan12,Wang Ningling5,Flasch Diane A.3ORCID,Myers Matthew A.6ORCID,Mulder Heather L.3,Ding Lixia12,Liu Yanling3,Tian Liqing3,Hagiwara Kohei3,Xu Ke3ORCID,Zhou Xin3,Sioson Edgar3ORCID,Wang Tianyi1,Yang Liu1,Zhao Jie1,Zhang Hui7,Shao Ying3,Sun Hongye8,Sun Lele8,Cai Jiaoyang1,Sun Hui-Ying1,Lin Ting-Nien9,Du Lijuan12,Li Hui12ORCID,Rusch Michael3,Edmonson Michael N.3ORCID,Easton John3ORCID,Zhu Xiaofan4,Zhang Jingliao4ORCID,Cheng Cheng10,Raphael Benjamin J.6,Tang Jingyan1,Downing James R.11,Alexandrov Ludmil B.12,Zhou Bin-Bing S.12,Pui Ching-Hon13ORCID,Yang Jun J.9,Zhang Jinghui3ORCID

Affiliation:

1. Key Laboratory of Pediatric Hematology & Oncology Ministry of Health, Department of Hematology & Oncology, Shanghai Children’s Medical Center—National Children’s Medical Center, and

2. Pediatric Translational Medicine Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China;

3. Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN;

4. State Key Laboratory of Experimental Hematology, Institute of Hematology and Blood Diseases Hospital—Center for Stem Cell Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China;

5. Department of Pediatrics, the Second Hospital of Anhui Medical University, Hefei, China;

6. Department of Computer Science, Princeton University, Princeton, NJ;

7. Department of Pediatric Hematology/Oncology, Guangzhou Women and Children’s Medical Center, Guangzhou, Guangdong, China;

8. WuXi NextCODE Co., Ltd, Shanghai, China;

9. Department of Pharmaceutical Sciences,

10. Department of Biostatistics, and

11. Department of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee, TN;

12. Department of Cellular and Molecular Medicine, University of California, San Diego, La Jolla, CA; and

13. Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN

Abstract

Li and colleagues report the genomic landscape of over 100 patients with relapsed acute lymphoblastic leukemia. Analysis of diagnosis-relapse-remission trios suggest that whereas early relapse is mediated by retained subclones, late relapse is driven by mutations induced by and conferring resistance to chemotherapy.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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