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Erschienen in: Current Hematologic Malignancy Reports 6/2018

26.09.2018 | Acute Myeloid Leukemias (H Erba, Section Editor)

Hereditary Myelodysplastic Syndrome and Acute Myeloid Leukemia: Diagnosis, Questions, and Controversies

verfasst von: Imo J. Akpan, Afaf E. G. Osman, Michael W. Drazer, Lucy A. Godley

Erschienen in: Current Hematologic Malignancy Reports | Ausgabe 6/2018

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Abstract

Purpose of Review

To review the diagnosis of individuals with hereditary hematopoietic malignancies (HHMs) that predispose to myelodysplastic syndrome and acute myeloid leukemia, barriers to HHM diagnosis, and unaddressed questions and controversies within the HHM field.

Recent Findings

Pathogenic germline mutations in approximately a dozen genes predispose to HHMs, and many more genes are likely to be involved. Many of these HHM genes have only been identified recently. HHM phenotypes are diverse, but may be categorized as “purely” myeloid syndromes, syndromes with abnormal platelet number/function, and HHMs with additional organ system involvement. A number of questions remain unanswered in this emerging field, including the ideal diagnostic approach for patients at risk for HHMs, the optimal surveillance of unaffected carriers, and how to personalize care for individuals with HHMs.

Summary

The field of HHMs is evolving rapidly. Ongoing research in this area will eventually inform the care of patients with both somatic and hereditary cancer syndromes, but much work remains to be done.
Literatur
1.
Zurück zum Zitat Gunz FW, Gunz JP, Veale AM, Chapman CJ, Houston IB. Familial leukaemia: a study of 909 families. Scand J Haematol. 1975;15(2):117–31.CrossRef Gunz FW, Gunz JP, Veale AM, Chapman CJ, Houston IB. Familial leukaemia: a study of 909 families. Scand J Haematol. 1975;15(2):117–31.CrossRef
3.
Zurück zum Zitat •• Drazer MW, Feurstein S, West AH, Jones MF, Churpek JE, Godley LA. How I diagnose and manage individuals at risk for inherited myeloid malignancies. Blood. 2016;128(14):1800–13. https://doi.org/10.1182/blood-2016-05-670240 This is a succinct description of our clinical approach to the evaluation and management of individuals thought to have germline susceptibility to myeloid malignancies. CrossRef •• Drazer MW, Feurstein S, West AH, Jones MF, Churpek JE, Godley LA. How I diagnose and manage individuals at risk for inherited myeloid malignancies. Blood. 2016;128(14):1800–13. https://​doi.​org/​10.​1182/​blood-2016-05-670240 This is a succinct description of our clinical approach to the evaluation and management of individuals thought to have germline susceptibility to myeloid malignancies. CrossRef
5.
Zurück zum Zitat •• Greenberg PL, Stone RM, Al-Kali A, Barta SK, Bejar R, Bennett JM, et al. Myelodysplastic syndromes, version 2.2017, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2017;15(1):60–87 These clinical guidelines are among the first to include testing for germline predisposition to myeloid malignancies for MDS patients. CrossRef •• Greenberg PL, Stone RM, Al-Kali A, Barta SK, Bejar R, Bennett JM, et al. Myelodysplastic syndromes, version 2.2017, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2017;15(1):60–87 These clinical guidelines are among the first to include testing for germline predisposition to myeloid malignancies for MDS patients. CrossRef
6.
7.
Zurück zum Zitat •• Arber DA, Orazi A, Hasserjian R, Thiele J, Borowitz MJ, Le Beau MM, et al. The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia. Blood. 2016;127(20):2391–405. https://doi.org/10.1182/blood-2016-03-643544 The WHO revision for myeloid leukemias included a provisional category for germline susceptibility testing for the first time. CrossRefPubMed •• Arber DA, Orazi A, Hasserjian R, Thiele J, Borowitz MJ, Le Beau MM, et al. The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia. Blood. 2016;127(20):2391–405. https://​doi.​org/​10.​1182/​blood-2016-03-643544 The WHO revision for myeloid leukemias included a provisional category for germline susceptibility testing for the first time. CrossRefPubMed
9.
Zurück zum Zitat • Nagamachi A, Matsui H, Asou H, Ozaki Y, Aki D, Kanai A, et al. Haploinsufficiency of SAMD9L, an endosome fusion facilitator, causes myeloid malignancies in mice mimicking human diseases with monosomy 7. Cancer Cell. 2013;24(3):305–17. https://doi.org/10.1016/j.ccr.2013.08.011 This is the first published description of SAMD9L mutations causing myeloid malignancies in mice. CrossRefPubMed • Nagamachi A, Matsui H, Asou H, Ozaki Y, Aki D, Kanai A, et al. Haploinsufficiency of SAMD9L, an endosome fusion facilitator, causes myeloid malignancies in mice mimicking human diseases with monosomy 7. Cancer Cell. 2013;24(3):305–17. https://​doi.​org/​10.​1016/​j.​ccr.​2013.​08.​011 This is the first published description of SAMD9L mutations causing myeloid malignancies in mice. CrossRefPubMed
20.
Zurück zum Zitat Taskesen E, Bullinger L, Corbacioglu A, Sanders MA, Erpelinck CA, Wouters BJ, et al. Prognostic impact, concurrent genetic mutations, and gene expression features of AML with CEBPA mutations in a cohort of 1182 cytogenetically normal AML patients: further evidence for CEBPA double mutant AML as a distinctive disease entity. Blood. 2011;117(8):2469–75. https://doi.org/10.1182/blood-2010-09-307280.CrossRefPubMed Taskesen E, Bullinger L, Corbacioglu A, Sanders MA, Erpelinck CA, Wouters BJ, et al. Prognostic impact, concurrent genetic mutations, and gene expression features of AML with CEBPA mutations in a cohort of 1182 cytogenetically normal AML patients: further evidence for CEBPA double mutant AML as a distinctive disease entity. Blood. 2011;117(8):2469–75. https://​doi.​org/​10.​1182/​blood-2010-09-307280.CrossRefPubMed
21.
Zurück zum Zitat • Tawana K, Wang J, Renneville A, Bödör C, Hills R, Loveday C, et al. Disease evolution and outcomes in familial AML with germline CEBPA mutations. Blood. 2015;126(10):1214–23. https://doi.org/10.1182/blood-2015-05-647172 This publication established that patients with germline CEBPA mutations develop multiple primary myeloid malignancies rather than relapses of a single disease. CrossRefPubMed • Tawana K, Wang J, Renneville A, Bödör C, Hills R, Loveday C, et al. Disease evolution and outcomes in familial AML with germline CEBPA mutations. Blood. 2015;126(10):1214–23. https://​doi.​org/​10.​1182/​blood-2015-05-647172 This publication established that patients with germline CEBPA mutations develop multiple primary myeloid malignancies rather than relapses of a single disease. CrossRefPubMed
29.
31.
Zurück zum Zitat • Wlodarski MW, Hirabayashi S, Pastor V, Starý J, Hasle H, Masetti R, et al. Prevalence, clinical characteristics, and prognosis of GATA2-related myelodysplastic syndromes in children and adolescents. Blood. 2016;127(11):1387–97. https://doi.org/10.1182/blood-2015-09-669937 This publication established that germline GATA2 mutations are common in young people diagnosed with MDS with monosomy 7. CrossRefPubMed • Wlodarski MW, Hirabayashi S, Pastor V, Starý J, Hasle H, Masetti R, et al. Prevalence, clinical characteristics, and prognosis of GATA2-related myelodysplastic syndromes in children and adolescents. Blood. 2016;127(11):1387–97. https://​doi.​org/​10.​1182/​blood-2015-09-669937 This publication established that germline GATA2 mutations are common in young people diagnosed with MDS with monosomy 7. CrossRefPubMed
40.
Zurück zum Zitat • Narumi S, Amano N, Ishii T, Katsumata N, Muroya K, Adachi M, et al. SAMD9 mutations cause a novel multisystem disorder, MIRAGE syndrome, and are associated with loss of chromosome 7. Nat Genet. 2016;48(7):792–7. https://doi.org/10.1038/ng.3569 This is the first published description of germline SAMD9 mutations. CrossRefPubMed • Narumi S, Amano N, Ishii T, Katsumata N, Muroya K, Adachi M, et al. SAMD9 mutations cause a novel multisystem disorder, MIRAGE syndrome, and are associated with loss of chromosome 7. Nat Genet. 2016;48(7):792–7. https://​doi.​org/​10.​1038/​ng.​3569 This is the first published description of germline SAMD9 mutations. CrossRefPubMed
44.
Zurück zum Zitat • Sanders MA, Chew E, Flensburg C, Zeilemaker A, Miller SE, Al Hinai AS, et al. MBD4 guards against methylation damage and germline deficiency predisposes to clonal hematopoiesis and early-onset AML. Blood. 2018. https://doi.org/10.1182/blood-2018-05-852566 This is the first published decription of germline MBD4 mutations. • Sanders MA, Chew E, Flensburg C, Zeilemaker A, Miller SE, Al Hinai AS, et al. MBD4 guards against methylation damage and germline deficiency predisposes to clonal hematopoiesis and early-onset AML. Blood. 2018. https://​doi.​org/​10.​1182/​blood-2018-05-852566 This is the first published decription of germline MBD4 mutations.
Metadaten
Titel
Hereditary Myelodysplastic Syndrome and Acute Myeloid Leukemia: Diagnosis, Questions, and Controversies
verfasst von
Imo J. Akpan
Afaf E. G. Osman
Michael W. Drazer
Lucy A. Godley
Publikationsdatum
26.09.2018
Verlag
Springer US
Erschienen in
Current Hematologic Malignancy Reports / Ausgabe 6/2018
Print ISSN: 1558-8211
Elektronische ISSN: 1558-822X
DOI
https://doi.org/10.1007/s11899-018-0473-7

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