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  1. Article ; Online: The 10

    Kan, Winnie L / McClure, Barbara J / Hahn, Christopher N / Powell, Jason A

    Cell death & disease

    2024  Volume 15, Issue 3, Page(s) 230

    MeSH term(s) Humans ; Signal Transduction ; Neoplasms/genetics ; Medicine
    Language English
    Publishing date 2024-03-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2541626-1
    ISSN 2041-4889 ; 2041-4889
    ISSN (online) 2041-4889
    ISSN 2041-4889
    DOI 10.1038/s41419-024-06614-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A practical guide to interpreting germline variants that drive hematopoietic malignancies, bone marrow failure, and chronic cytopenias.

    Feurstein, Simone / Hahn, Christopher N / Mehta, Nikita / Godley, Lucy A

    Genetics in medicine : official journal of the American College of Medical Genetics

    2022  Volume 24, Issue 4, Page(s) 931–954

    Abstract: Purpose: The American College of Medical Genetics and Genomics and the Association for Molecular Pathology guidelines for germline variant interpretation are implemented as a broad framework by standardizing variant interpretation. These rules were ... ...

    Abstract Purpose: The American College of Medical Genetics and Genomics and the Association for Molecular Pathology guidelines for germline variant interpretation are implemented as a broad framework by standardizing variant interpretation. These rules were designed to be specified, but this process has not been performed for most of the 200 genes associated with inherited hematopoietic malignancies, bone marrow failure, and cytopenias. Because guidelines on how to perform these gene specifications are lacking, variant interpretation is less reliable and reproducible.
    Methods: We have used a variety of methods such as calculations of minor allele frequencies, quasi-case-control studies to establish thresholds, proband counting, and plotting of receiver operating characteristic curves to compare different in silico prediction tools to design recommendations for variant interpretation.
    Results: We herein provide practical recommendations for the creation of thresholds for minor allele frequencies, in silico predictions, counting of probands, identification of functional domains with minimal benign variation, use of constraint Z-scores and functional evidence, prediction of nonsense-mediated decay, and assessment of phenotype specificity.
    Conclusion: These guidelines can be used by anyone interpreting variants associated with inherited hematopoietic malignancies, bone marrow failure, and cytopenias to develop criteria for reliable, accurate, and reproducible germline variant interpretation.
    MeSH term(s) Bone Marrow Failure Disorders/genetics ; Genetic Testing/methods ; Genetic Variation ; Genome, Human ; Germ Cells ; Hematologic Neoplasms/genetics ; Humans
    Language English
    Publishing date 2022-01-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1455352-1
    ISSN 1530-0366 ; 1098-3600
    ISSN (online) 1530-0366
    ISSN 1098-3600
    DOI 10.1016/j.gim.2021.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Role of Germline Predisposition to Therapy-Related Myeloid Neoplasms.

    Baranwal, Anmol / Hahn, Christopher N / Shah, Mithun Vinod / Hiwase, Devendra K

    Current hematologic malignancy reports

    2022  Volume 17, Issue 6, Page(s) 254–265

    Abstract: Purpose of review: Therapy-related myeloid neoplasms (t-MNs) are aggressive leukemias that develop following exposure to DNA-damaging agents. A subset of patients developing t-MN may have an inherited susceptibility to develop myeloid neoplasia. Herein, ...

    Abstract Purpose of review: Therapy-related myeloid neoplasms (t-MNs) are aggressive leukemias that develop following exposure to DNA-damaging agents. A subset of patients developing t-MN may have an inherited susceptibility to develop myeloid neoplasia. Herein, we review studies reporting t-MN and their association with a germline or inherited predisposition.
    Recent findings: Emerging evidence suggests that development of t-MN is the result of complex interactions including generation of somatic variants in hematopoietic stem cells and/or clonal selection pressure exerted by the DNA-damaging agents, and immune evasion on top of any inherited genetic susceptibility. Conventionally, alkylating agents, topoisomerase inhibitors, and radiation have been associated with t-MN. Recently, newer modalities including poly (ADP-ribose) polymerase inhibitors (PARPi) and peptide receptor radionucleotide therapy (PRRT) are associated with t-MN. At the same time, the role of pathogenic germline variants (PGVs) in genes such as BRCA1/2, BARD1, or TP53 on the risk of t-MN is being explored. Moreover, studies have shown that while cytotoxic therapy increases the risk of developing myeloid neoplasia, it may be exposing the vulnerability of an underlying germline predisposition. t-MN remains a disease with poor prognosis. Studies are needed to better define an individual's inherited neoplastic susceptibility which will help predict the risk of myeloid neoplasia in the future. Understanding the genes driving the inherited neoplastic susceptibility will lead to better patient- and cancer-specific management including choice of therapeutic regimen to prevent, or at least delay, development of myeloid neoplasia after treatment of a prior malignancy.
    MeSH term(s) Humans ; Neoplasms, Second Primary/genetics ; Neoplasms, Second Primary/therapy ; Genetic Predisposition to Disease ; Myeloproliferative Disorders/pathology ; Hematopoietic Stem Cells/pathology ; Germ Cells
    Language English
    Publishing date 2022-08-20
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2229765-0
    ISSN 1558-822X ; 1558-8211
    ISSN (online) 1558-822X
    ISSN 1558-8211
    DOI 10.1007/s11899-022-00676-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Secondary leukemia in patients with germline transcription factor mutations (RUNX1, GATA2, CEBPA).

    Brown, Anna L / Hahn, Christopher N / Scott, Hamish S

    Blood

    2020  Volume 136, Issue 1, Page(s) 24–35

    Abstract: Recognition that germline mutations can predispose individuals to blood cancers, often presenting as secondary leukemias, has largely been driven in the last 20 years by studies of families with inherited mutations in the myeloid transcription factors ( ... ...

    Abstract Recognition that germline mutations can predispose individuals to blood cancers, often presenting as secondary leukemias, has largely been driven in the last 20 years by studies of families with inherited mutations in the myeloid transcription factors (TFs) RUNX1, GATA2, and CEBPA. As a result, in 2016, classification of myeloid neoplasms with germline predisposition for each of these and other genes was added to the World Health Organization guidelines. The incidence of germline mutation carriers in the general population or in various clinically presenting patient groups remains poorly defined for reasons including that somatic mutations in these genes are common in blood cancers, and our ability to distinguish germline (inherited or de novo) and somatic mutations is often limited by the laboratory analyses. Knowledge of the regulation of these TFs and their mutant alleles, their interaction with other genes and proteins and the environment, and how these alter the clinical presentation of patients and their leukemias is also incomplete. Outstanding questions that remain for patients with these germline mutations or their treating clinicians include: What is the natural course of the disease? What other symptoms may I develop and when? Can you predict them? Can I prevent them? and What is the best treatment? The resolution of many of the remaining clinical and biological questions and effective evidence-based treatment of patients with these inherited mutations will depend on worldwide partnerships among patients, clinicians, diagnosticians, and researchers to aggregate sufficient longitudinal clinical and laboratory data and integrate these data with model systems.
    MeSH term(s) Age of Onset ; Blood Cell Count ; CCAAT-Enhancer-Binding Proteins/genetics ; Core Binding Factor Alpha 2 Subunit/genetics ; Disease Management ; Early Detection of Cancer ; Forecasting ; GATA2 Transcription Factor/genetics ; Genes, Neoplasm ; Genetic Counseling ; Genetic Predisposition to Disease ; Germ-Line Mutation ; Humans ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/epidemiology ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/therapy ; Myelodysplastic Syndromes/genetics ; Neoplasms, Second Primary/genetics ; Penetrance ; Prognosis
    Chemical Substances CCAAT-Enhancer-Binding Proteins ; CEBPA protein, human ; Core Binding Factor Alpha 2 Subunit ; GATA2 Transcription Factor ; GATA2 protein, human ; RUNX1 protein, human
    Language English
    Publishing date 2020-05-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood.2019000937
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Transcription factor genetics and biology in predisposition to bone marrow failure and hematological malignancy.

    Zerella, Jiarna R / Homan, Claire C / Arts, Peer / Brown, Anna L / Scott, Hamish S / Hahn, Christopher N

    Frontiers in oncology

    2023  Volume 13, Page(s) 1183318

    Abstract: Transcription factors (TFs) play a critical role as key mediators of a multitude of developmental pathways, with highly regulated and tightly organized networks crucial for determining both the timing and pattern of tissue development. TFs can act as ... ...

    Abstract Transcription factors (TFs) play a critical role as key mediators of a multitude of developmental pathways, with highly regulated and tightly organized networks crucial for determining both the timing and pattern of tissue development. TFs can act as master regulators of both primitive and definitive hematopoiesis, tightly controlling the behavior of hematopoietic stem and progenitor cells (HSPCs). These networks control the functional regulation of HSPCs including self-renewal, proliferation, and differentiation dynamics, which are essential to normal hematopoiesis. Defining the key players and dynamics of these hematopoietic transcriptional networks is essential to understanding both normal hematopoiesis and how genetic aberrations in TFs and their networks can predispose to hematopoietic disease including bone marrow failure (BMF) and hematological malignancy (HM). Despite their multifaceted and complex involvement in hematological development, advances in genetic screening along with elegant multi-omics and model system studies are shedding light on how hematopoietic TFs interact and network to achieve normal cell fates and their role in disease etiology. This review focuses on TFs which predispose to BMF and HM, identifies potential novel candidate predisposing TF genes, and examines putative biological mechanisms leading to these phenotypes. A better understanding of the genetics and molecular biology of hematopoietic TFs, as well as identifying novel genes and genetic variants predisposing to BMF and HM, will accelerate the development of preventative strategies, improve clinical management and counseling, and help define targeted treatments for these diseases.
    Language English
    Publishing date 2023-06-12
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2023.1183318
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Spliceosome mutations in hematopoietic malignancies.

    Hahn, Christopher N / Scott, Hamish S

    Nature genetics

    2011  Volume 44, Issue 1, Page(s) 9–10

    Abstract: Recent studies, including two in this issue, report heterozygous missense mutations in the U2AF1 and SF3B1 genes that encode spliceosome subunits. U2AF1 is frequently mutated in myeloid hematopoietic malignancies, especially in myelodysplastic syndrome ( ... ...

    Abstract Recent studies, including two in this issue, report heterozygous missense mutations in the U2AF1 and SF3B1 genes that encode spliceosome subunits. U2AF1 is frequently mutated in myeloid hematopoietic malignancies, especially in myelodysplastic syndrome (MDS), and SF3B1 is frequently mutated in both MDS and chronic lymphocytic leukemia (CLL).
    MeSH term(s) Alternative Splicing ; Hematologic Neoplasms/genetics ; Humans ; Mutation ; Nuclear Proteins/genetics ; Phosphoproteins/genetics ; RNA Splicing Factors ; Ribonucleoprotein, U2 Small Nuclear/genetics ; Ribonucleoproteins/genetics ; Spliceosomes/genetics ; Splicing Factor U2AF
    Chemical Substances Nuclear Proteins ; Phosphoproteins ; RNA Splicing Factors ; Ribonucleoprotein, U2 Small Nuclear ; Ribonucleoproteins ; SF3B1 protein, human ; Splicing Factor U2AF ; U2AF1 protein, human
    Language English
    Publishing date 2011-12-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1108734-1
    ISSN 1546-1718 ; 1061-4036
    ISSN (online) 1546-1718
    ISSN 1061-4036
    DOI 10.1038/ng.1045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: TP53 mutation variant allele frequency of ≥10% is associated with poor prognosis in therapy-related myeloid neoplasms.

    Shah, Mithun Vinod / Tran, Elizabeth Ngoc Hoa / Shah, Syed / Chhetri, Rakchha / Baranwal, Anmol / Ladon, Dariusz / Shultz, Carl / Al-Kali, Aref / Brown, Anna L / Chen, Dong / Scott, Hamish S / Greipp, Patricia / Thomas, Daniel / Alkhateeb, Hassan B / Singhal, Deepak / Gangat, Naseema / Kumar, Sharad / Patnaik, Mrinal M / Hahn, Christopher N /
    Kok, Chung Hoow / Tefferi, Ayalew / Hiwase, Devendra K

    Blood cancer journal

    2023  Volume 13, Issue 1, Page(s) 51

    Abstract: Revised diagnostic criteria for myeloid neoplasms (MN) issued by the International Consensus Classification (ICC) and the World Health Organization (WHO) recommended major change pertaining to TP53-mutated ( ... ...

    Abstract Revised diagnostic criteria for myeloid neoplasms (MN) issued by the International Consensus Classification (ICC) and the World Health Organization (WHO) recommended major change pertaining to TP53-mutated (TP53
    MeSH term(s) Aged ; Female ; Humans ; Male ; Middle Aged ; Alleles ; Gene Frequency ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/therapy ; Mutation ; Myelodysplastic Syndromes/diagnosis ; Myelodysplastic Syndromes/genetics ; Myelodysplastic Syndromes/therapy ; Prognosis ; Retrospective Studies ; Tumor Suppressor Protein p53/genetics
    Chemical Substances TP53 protein, human ; Tumor Suppressor Protein p53
    Language English
    Publishing date 2023-04-11
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2600560-8
    ISSN 2044-5385 ; 2044-5385
    ISSN (online) 2044-5385
    ISSN 2044-5385
    DOI 10.1038/s41408-023-00821-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Myeloid neoplasms with germline DDX41 mutation.

    Cheah, Jesse J C / Hahn, Christopher N / Hiwase, Devendra K / Scott, Hamish S / Brown, Anna L

    International journal of hematology

    2017  Volume 106, Issue 2, Page(s) 163–174

    Abstract: Recently, DDX41 mutations have been identified both as germline and acquired somatic mutations in families with multiple cases of late-onset myelodysplastic syndrome (MDS) and/or acute myeloid leukemia. The majority of germline mutations are frameshift ... ...

    Abstract Recently, DDX41 mutations have been identified both as germline and acquired somatic mutations in families with multiple cases of late-onset myelodysplastic syndrome (MDS) and/or acute myeloid leukemia. The majority of germline mutations are frameshift mutations suggesting loss of function with DDX41 acting as a tumor suppressor, and there is a common somatic missense mutation found in a majority of germline mutated tumors. Clinically, DDX41 mutations lead to development of high-risk MDS at an age similar to that observed in sporadic cohorts, presenting a unique challenge to hematologists in recognizing the familial context. Functionally, DDX41 has been shown to contribute to multiple pathways and processes including mRNA splicing, innate immunity and rRNA processing. Mutations in DDX41 result in aberrations to each of these in ways that could potentially impact on tumorigenesis-initiation, maintenance or progression. This review discusses the various molecular, clinical and biological aspects of myeloid malignancy predisposition due to DDX41 mutation and highlights how each of these suggest potential therapeutic opportunities through the use of pathway-specific inhibitors.
    MeSH term(s) Carcinogenesis/genetics ; DEAD-box RNA Helicases/chemistry ; DEAD-box RNA Helicases/genetics ; DEAD-box RNA Helicases/physiology ; Genes, Tumor Suppressor ; Genetic Association Studies ; Genetic Predisposition to Disease/genetics ; Germ-Line Mutation/genetics ; Humans ; Leukemia, Myeloid, Acute/genetics ; Myelodysplastic Syndromes/genetics ; RNA Splicing/genetics ; RNA, Messenger/genetics
    Chemical Substances RNA, Messenger ; DDX41 protein, human (EC 3.6.1.-) ; DEAD-box RNA Helicases (EC 3.6.4.13)
    Language English
    Publishing date 2017-08
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 1076875-0
    ISSN 1865-3774 ; 0917-1258 ; 0925-5710
    ISSN (online) 1865-3774
    ISSN 0917-1258 ; 0925-5710
    DOI 10.1007/s12185-017-2260-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Clinical implications of transient myeloproliferative disorder in a neonate without Down syndrome features.

    Carruthers, Vickyanne / Nicola, Mario / Venugopal, Parvathy / Hahn, Christopher N / Scott, Hamish S / Revesz, Tamas

    Journal of paediatrics and child health

    2017  Volume 53, Issue 10, Page(s) 1018–1020

    MeSH term(s) Diagnosis, Differential ; Down Syndrome/blood ; Down Syndrome/diagnosis ; Humans ; Infant, Newborn ; Male ; Myeloproliferative Disorders/blood ; Myeloproliferative Disorders/diagnosis ; Outcome Assessment (Health Care) ; Watchful Waiting
    Language English
    Publishing date 2017-07-04
    Publishing country Australia
    Document type Case Reports
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.13628
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  10. Article ; Online: Splice factor mutations and alternative splicing as drivers of hematopoietic malignancy.

    Hahn, Christopher N / Venugopal, Parvathy / Scott, Hamish S / Hiwase, Devendra K

    Immunological reviews

    2015  Volume 263, Issue 1, Page(s) 257–278

    Abstract: Differential splicing contributes to the vast complexity of mRNA transcripts and protein isoforms that are necessary for cellular homeostasis and response to developmental cues and external signals. The hematopoietic system provides an exquisite example ... ...

    Abstract Differential splicing contributes to the vast complexity of mRNA transcripts and protein isoforms that are necessary for cellular homeostasis and response to developmental cues and external signals. The hematopoietic system provides an exquisite example of this. Recently, discovery of mutations in components of the spliceosome in various hematopoietic malignancies (HMs) has led to an explosion in knowledge of the role of splicing and splice factors in HMs and other cancers. A better understanding of the mechanisms by which alternative splicing and aberrant splicing contributes to the leukemogenic process will enable more efficacious targeted approaches to tackle these often difficult to treat diseases. The clinical implications are only just starting to be realized with novel drug targets and therapeutic strategies open to exploitation for patient benefit.
    MeSH term(s) Alternative Splicing/genetics ; Animals ; Carcinogenesis/genetics ; Hematologic Neoplasms/drug therapy ; Hematologic Neoplasms/genetics ; Humans ; Molecular Targeted Therapy ; Mutation/genetics ; Nuclear Proteins/genetics ; Phosphoproteins/genetics ; Protein Isoforms/genetics ; Protein Isoforms/metabolism ; RNA Splice Sites/genetics ; RNA Splicing Factors ; RNA, Messenger/genetics ; Ribonucleoprotein, U2 Small Nuclear/genetics ; Ribonucleoproteins/genetics ; Serine-Arginine Splicing Factors ; Splicing Factor U2AF
    Chemical Substances Nuclear Proteins ; Phosphoproteins ; Protein Isoforms ; RNA Splice Sites ; RNA Splicing Factors ; RNA, Messenger ; Ribonucleoprotein, U2 Small Nuclear ; Ribonucleoproteins ; SF3B1 protein, human ; Splicing Factor U2AF ; U2AF1 protein, human ; SRSF2 protein, human (147153-65-9) ; Serine-Arginine Splicing Factors (170974-22-8)
    Language English
    Publishing date 2015-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 391796-4
    ISSN 1600-065X ; 0105-2896
    ISSN (online) 1600-065X
    ISSN 0105-2896
    DOI 10.1111/imr.12241
    Database MEDical Literature Analysis and Retrieval System OnLINE

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