Clonal evolution in relapsed NPM1-mutated acute myeloid leukemia

Author:

Krönke Jan1,Bullinger Lars1,Teleanu Veronica1,Tschürtz Florian1,Gaidzik Verena I.1,Kühn Michael W. M.1,Rücker Frank G.1,Holzmann Karlheinz2,Paschka Peter1,Kapp-Schwörer Silke1,Späth Daniela1,Kindler Thomas3,Schittenhelm Marcus4,Krauter Jürgen5,Ganser Arnold5,Göhring Gudrun6,Schlegelberger Brigitte6,Schlenk Richard F.1,Döhner Hartmut1,Döhner Konstanze1

Affiliation:

1. Department of Internal Medicine III, and

2. Interdisciplinary Center for Clinical Research, Genomics Core Facility, University of Ulm, Ulm, Germany;

3. University Medical Center, Johannes Gutenberg University, Mainz, Germany;

4. Department of Hematology/Oncology, Eberhard Karls University, Tübingen, Germany; and

5. Department of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, and

6. Institute of Cell and Molecular Pathology, Hannover Medical School, Hannover, Germany

Abstract

Key Points Relapsed AML with NPM1 mutation is genetically related to the primary leukemia and characterized by an increase in high-risk aberrations. DNMT3A mutations show the highest stability and thus may precede NPM1 mutations.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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