Herborg Laura Laine, Nederby Line, Kjeldsen Eigil, Grønbæk Kirsten, Hokland Peter, Hansen Maria, Celik Hansen Marcus, Roug Anne Stidsholt
Department of Hematology, Aarhus University Hospital, Denmark.
Hemodiagnostic Laboratory, Section of Cancer Cytogenetics, Department of Hematology, Aarhus University Hospital, Denmark.
Leuk Res Rep. 2013 Jul 4;2(2):51-3. doi: 10.1016/j.lrr.2013.06.001. eCollection 2013.
Chronic myeloid neoplasms have susceptibility to transform into acute myeloid leukemia due to attainment of additional molecular lesions. We here describe the kinetics of a del(7q) driven leukemogenesis in a patient with multiple TET2 mutations and JAK2 V617F mutated chronic myeloproliferative neoplasm. The del(7q) emerged in the accelerated phase of disease, which was preceded by a lag phase of almost three years with normalized peripheral blood cell counts. Our results reveal that the del(7q), independently of other lesions, acts as a leukemic driver in this patient and that the stable long-lasting normalization of peripheral blood cell values concealed pending transformation.
由于获得了额外的分子病变,慢性髓系肿瘤易转化为急性髓系白血病。我们在此描述了一名患有多个TET2突变和JAK2 V617F突变的慢性髓性增殖性肿瘤患者中,由del(7q)驱动的白血病发生动力学。del(7q)出现在疾病的加速期,在此之前有近三年的外周血细胞计数正常的滞后阶段。我们的结果显示,在该患者中,del(7q)独立于其他病变,充当白血病驱动因素,并且外周血细胞值的稳定长期正常化掩盖了即将发生的转化。