Mutational hierarchies in myelodysplastic syndromes dynamically adapt and evolve upon therapy response and failure

Author:

Mossner Maximilian1,Jann Johann-Christoph1,Wittig Janina1,Nolte Florian1,Fey Stephanie1,Nowak Verena1,Obländer Julia1,Pressler Jovita1,Palme Iris1,Xanthopoulos Christina1,Boch Tobias1,Metzgeroth Georgia1,Röhl Henning2,Witt Stephanie H.3,Dukal Helene3,Klein Corinna45,Schmitt Steffen6,Gelß Patrick7,Platzbecker Uwe8,Balaian Ekaterina8,Fabarius Alice1,Blum Helmut9,Schulze Torsten J.10,Meggendorfer Manja11,Haferlach Claudia11,Trumpp Andreas4512,Hofmann Wolf-Karsten1,Medyouf Hind14513,Nowak Daniel1

Affiliation:

1. Department of Hematology and Oncology,

2. Department of Orthopedics, and

3. Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany;

4. Division of Stem Cells and Cancer, German Cancer Research Center, Heidelberg, Germany;

5. German Cancer Consortium, Heidelberg, Germany;

6. Imaging and Cytometry Core Facility, German Cancer Research Center, Heidelberg, Germany;

7. Department of Mathematics and Computer Science, Freie Universität Berlin, Berlin, Germany;

8. University Hospital Carl Gustav Carus, Dresden, Germany;

9. Laboratory for Functional Genome Analysis, Gene Center, Munich, Germany;

10. Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, University of Heidelberg, German Red Cross Blood Service, Baden-Württemberg–Hessen, Germany;

11. Munich Leukemia Laboratory, Munich, Germany;

12. Heidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM gGmbH), Heidelberg, Germany; and

13. Georg-Speyer Haus Institute for Tumor Biology and Experimental Therapy, Frankfurt, Germany

Abstract

Key Points Mutational trajectories are defined by complex patterns of molecular heterogeneity in MDS, including lower-risk cases. Therapeutic intervention dynamically reshapes mutational patterns often resulting in branched or independent evolution of MDS clones.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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