Article ; Online: CCAAT enhancer binding protein alpha (CEBPA) biallelic acute myeloid leukaemia: cooperating lesions, molecular mechanisms and clinical relevance.
British journal of haematology
2020 Volume 190, Issue 4, Page(s) 495–507
Abstract: Recent advances in sequencing technologies have allowed for the identification of recurrent mutations in acute myeloid leukaemia (AML). The transcription factor CCAAT enhancer binding protein alpha (CEBPA) is frequently mutated in AML, and biallelic ... ...
Abstract | Recent advances in sequencing technologies have allowed for the identification of recurrent mutations in acute myeloid leukaemia (AML). The transcription factor CCAAT enhancer binding protein alpha (CEBPA) is frequently mutated in AML, and biallelic CEBPA-mutant AML was recognised as a separate disease entity in the recent World Health Organization classification. However, CEBPA mutations are co-occurring with other aberrations in AML, and together these lesions form the clonal hierarchy that comprises the leukaemia in the patient. Here, we aim to review the current understanding of co-occurring mutations in CEBPA-mutated AML and their implications for disease biology and clinical outcome. We will put emphasis on patterns of cooperation, how these lesions cooperate with CEBPA mutations and the underlying potential molecular mechanisms. Finally, we will relate this to patient outcome and future options for personalised medicine. |
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MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alleles ; CCAAT-Enhancer-Binding Proteins/genetics ; CCAAT-Enhancer-Binding Proteins/physiology ; Child ; Child, Preschool ; Clonal Evolution ; DNA Methylation ; Female ; Histone Code ; Humans ; Intracellular Signaling Peptides and Proteins/genetics ; Intracellular Signaling Peptides and Proteins/physiology ; Leukemia, Myeloid, Acute/classification ; Leukemia, Myeloid, Acute/genetics ; Male ; Middle Aged ; Mutation ; Neoplasm Proteins/genetics ; Neoplasm Proteins/physiology ; Precision Medicine ; RNA Splicing Factors/genetics ; RNA Splicing Factors/physiology ; Recurrence ; Transcription Factors/genetics ; Transcription Factors/physiology ; Treatment Outcome ; Young Adult |
Chemical Substances | CCAAT-Enhancer-Binding Proteins ; CEBPA protein, human ; Intracellular Signaling Peptides and Proteins ; Neoplasm Proteins ; RNA Splicing Factors ; Transcription Factors |
Language | English |
Publishing date | 2020-02-21 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 80077-6 |
ISSN | 1365-2141 ; 0007-1048 |
ISSN (online) | 1365-2141 |
ISSN | 0007-1048 |
DOI | 10.1111/bjh.16534 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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