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迈向所有T细胞急性淋巴细胞白血病患者的公平风险分类

Toward Equitable Risk Classification for All Patients with T-ALL.

作者信息

de Smith Adam J

机构信息

Center for Genetic Epidemiology, University of Southern California Keck School of Medicine, Los Angeles, California.

出版信息

Blood Cancer Discov. 2025 Sep 3;6(5):400-402. doi: 10.1158/2643-3230.BCD-25-0221.

DOI:10.1158/2643-3230.BCD-25-0221
PMID:40778652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12405836/
Abstract

In this issue of Blood Cancer Discovery, Newman and colleagues investigated the impact of genetic ancestry on molecular subtypes, genomic alterations, and survival outcomes in a diverse cohort of patients with T-cell acute lymphoblastic leukemia. They demonstrated that the prognostic utility of genomic alterations varied by ancestry, in particular, with NOTCH1 mutations having no prognostic utility in patients of predominantly African ancestry, and their findings highlight the importance of considering genetic ancestry in the risk stratification of patients with T-ALL. See related article by Newman et al., p. 412.

摘要

在本期《血癌发现》中,纽曼及其同事调查了遗传血统对不同队列的T细胞急性淋巴细胞白血病患者的分子亚型、基因组改变和生存结果的影响。他们证明,基因组改变的预后效用因血统而异,特别是NOTCH1突变在主要为非洲血统的患者中没有预后效用,他们的研究结果突出了在T-ALL患者风险分层中考虑遗传血统的重要性。见纽曼等人的相关文章,第412页。

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本文引用的文献

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Blood Cancer Discov. 2025 May 28. doi: 10.1158/2643-3230.BCD-25-0049.
2
Determinants of survival after first relapse of acute lymphoblastic leukemia: a Children's Oncology Group study.急性淋巴细胞白血病首次复发后生存的决定因素:儿童肿瘤学组研究。
Leukemia. 2024 Nov;38(11):2382-2394. doi: 10.1038/s41375-024-02395-4. Epub 2024 Sep 11.
3
The genomic basis of childhood T-lineage acute lymphoblastic leukaemia.儿童 T 细胞系急性淋巴细胞白血病的基因组基础。
Nature. 2024 Aug;632(8027):1082-1091. doi: 10.1038/s41586-024-07807-0. Epub 2024 Aug 14.
4
NGS-based stratification refines the risk stratification in T-ALL and identifies a very-high-risk subgroup of patients.基于 NGS 的分层可细化 T-ALL 的风险分层,并确定了一个极高风险的患者亚组。
Blood. 2024 Oct 10;144(15):1570-1580. doi: 10.1182/blood.2023023754.
5
Including multiracial individuals is crucial for race, ethnicity and ancestry frameworks in genetics and genomics.在遗传学和基因组学中,纳入多种族个体对于种族、民族和祖先框架至关重要。
Nat Genet. 2023 Jun;55(6):895-900. doi: 10.1038/s41588-023-01394-y.
6
Association of Genetic Ancestry With the Molecular Subtypes and Prognosis of Childhood Acute Lymphoblastic Leukemia.遗传背景与儿童急性淋巴细胞白血病分子亚型及预后的相关性研究。
JAMA Oncol. 2022 Mar 1;8(3):354-363. doi: 10.1001/jamaoncol.2021.6826.
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Race and Genetic Ancestry in Medicine - A Time for Reckoning with Racism.医学中的种族与遗传血统——正视种族主义的时刻
N Engl J Med. 2021 Feb 4;384(5):474-480. doi: 10.1056/NEJMms2029562. Epub 2021 Jan 6.
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