Clinical evolution, genetic landscape and trajectories of clonal hematopoiesis in SAMD9/SAMD9L syndromes
Germline SAMD9 and SAMD9L mutations ( SAMD9/9L mut ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort ( n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and cl...
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Published in | Nature medicine Vol. 27; no. 10; pp. 1806 - 1817 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Nature Publishing Group US
01.10.2021
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
ISSN | 1078-8956 1546-170X 1546-170X |
DOI | 10.1038/s41591-021-01511-6 |
Cover
Abstract | Germline
SAMD9
and
SAMD9L
mutations (
SAMD9/9L
mut
) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (
n
= 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline
SAMD9/9L
mut
accounted for 8% and were mutually exclusive with
GATA2
mutations present in 7% of the cohort. Among
SAMD9/9L
mut
cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline
SAMD9/9L
mut
clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of
SAMD9/9L
mut
suppressed HEK293 cell growth, and mutations expressed in CD34
+
cells induced overt cell death. Furthermore, we found that 61% of
SAMD9/9L
mut
patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic
SAMD9/9L
mut
). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in
SAMD9/9L
mut
MDS and exemplify the exceptional plasticity of hematopoiesis in children.
This analysis of a large, clinically annotated cohort of individuals with predisposition to myelodysplastic syndromes reveals insights into the genetic determinants of disease progression and their relationship with clinical manifestations and therapy outcome. |
---|---|
AbstractList | Germline SAMD9 and SAMD9L mutations (SAMD9/9L.sup.mut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9L.sup.mut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9L.sup.mut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9L.sup.mut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9L.sup.mut suppressed HEK293 cell growth, and mutations expressed in CD34.sup.+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9L.sup.mut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 [plus or minus] cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9L.sup.mut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9L.sup.mut MDS and exemplify the exceptional plasticity of hematopoiesis in children. Germline SAMD9 and SAMD9L mutations ( SAMD9/9L mut ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort ( n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9L mut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9L mut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9L mut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9L mut suppressed HEK293 cell growth, and mutations expressed in CD34 + cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9L mut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9L mut ). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9L mut MDS and exemplify the exceptional plasticity of hematopoiesis in children. This analysis of a large, clinically annotated cohort of individuals with predisposition to myelodysplastic syndromes reveals insights into the genetic determinants of disease progression and their relationship with clinical manifestations and therapy outcome. Germline SAMD9 and SAMD9L mutations ( SAMD9/9L mut ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. Here, we investigated a clinically annotated pediatric MDS cohort (n=669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9L mut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7%. Among SAMD9/9L mut cases, refractory cytopenia was the most prevalent MDS subtype (90%), acquired monosomy 7 was present in 38%, constitutional abnormalities in 57%, and immune dysfunction in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9L mut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9L mut suppressed HEK293 cell growth, and mutations expressed in CD34+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9L mut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 +/− cancer mutations) and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9L mut ). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9L mut MDS and exemplify the exceptional plasticity of hematopoiesis in children. Germline SAMD9 and SAMD9L mutations (SAMD9/9L.sup.mut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9L.sup.mut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9L.sup.mut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9L.sup.mut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9L.sup.mut suppressed HEK293 cell growth, and mutations expressed in CD34.sup.+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9L.sup.mut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 [plus or minus] cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9L.sup.mut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9L.sup.mut MDS and exemplify the exceptional plasticity of hematopoiesis in children. This analysis of a large, clinically annotated cohort of individuals with predisposition to myelodysplastic syndromes reveals insights into the genetic determinants of disease progression and their relationship with clinical manifestations and therapy outcome. Germline SAMD9 and SAMD9L mutations (SAMD9/9Lmut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9Lmut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9Lmut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9Lmut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9Lmut suppressed HEK293 cell growth, and mutations expressed in CD34+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9Lmut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9Lmut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9Lmut MDS and exemplify the exceptional plasticity of hematopoiesis in children.This analysis of a large, clinically annotated cohort of individuals with predisposition to myelodysplastic syndromes reveals insights into the genetic determinants of disease progression and their relationship with clinical manifestations and therapy outcome. Germline SAMD9 and SAMD9L mutations (SAMD9/9Lmut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9Lmut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9Lmut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9Lmut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9Lmut suppressed HEK293 cell growth, and mutations expressed in CD34+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9Lmut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9Lmut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9Lmut MDS and exemplify the exceptional plasticity of hematopoiesis in children. © 2021, The Author(s), under exclusive licence to Springer Nature America, Inc. Germline SAMD9 and SAMD9L mutations (SAMD9/9Lmut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9Lmut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9Lmut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9Lmut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9Lmut suppressed HEK293 cell growth, and mutations expressed in CD34+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9Lmut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9Lmut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9Lmut MDS and exemplify the exceptional plasticity of hematopoiesis in children.Germline SAMD9 and SAMD9L mutations (SAMD9/9Lmut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9Lmut accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9Lmut cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9Lmut clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9Lmut suppressed HEK293 cell growth, and mutations expressed in CD34+ cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9Lmut patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9Lmut). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9Lmut MDS and exemplify the exceptional plasticity of hematopoiesis in children. Germline SAMD9 and SAMD9L mutations (SAMD9/9L ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we investigated a clinically annotated pediatric MDS cohort (n = 669) to define the prevalence, genetic landscape, phenotype, therapy outcome and clonal architecture of SAMD9/9L syndromes. In consecutively diagnosed MDS, germline SAMD9/9L accounted for 8% and were mutually exclusive with GATA2 mutations present in 7% of the cohort. Among SAMD9/9L cases, refractory cytopenia was the most prevalent MDS subtype (90%); acquired monosomy 7 was present in 38%; constitutional abnormalities were noted in 57%; and immune dysfunction was present in 28%. The clinical outcome was independent of germline mutations. In total, 67 patients had 58 distinct germline SAMD9/9L clustering to protein middle regions. Despite inconclusive in silico prediction, 94% of SAMD9/9L suppressed HEK293 cell growth, and mutations expressed in CD34 cells induced overt cell death. Furthermore, we found that 61% of SAMD9/9L patients underwent somatic genetic rescue (SGR) resulting in clonal hematopoiesis, of which 95% was maladaptive (monosomy 7 ± cancer mutations), and 51% had adaptive nature (revertant UPD7q, somatic SAMD9/9L ). Finally, bone marrow single-cell DNA sequencing revealed multiple competing SGR events in individual patients. Our findings demonstrate that SGR is common in SAMD9/9L MDS and exemplify the exceptional plasticity of hematopoiesis in children. |
Audience | Academic |
Author | Locatelli, Franco Ussowicz, Marek Turkiewicz, Dominik Polychronopoulou, Sophia Sahoo, Sushree S. Panda, Pritam K. Erlacher, Miriam Schmugge, Markus Hirabayashi, Shinsuke Hasle, Henrik Fabri, Oksana Beier, Rita Schulz, Ansgar Müller, Ingo Noellke, Peter Yoshimi-Noellke, Ayami Jahnukainen, Kirsi Durruthy-Durruthy, Robert Pastor, Victor B. Sauer, Martin G. Wlodarski, Marcin W. Masetti, Riccardo De Moerloose, Barbara Schwarz-Furlan, Stephan Kozyra, Emilia J. Kállay, Krisztián Lebrecht, Dirk Bader, Peter Cario, Gunnar Albert, Michael H. Goodings, Charnise Buechner, Jochen Niewisch, Marena R. Meisel, Roland Lang, Peter Voss, Rebecca K. Wehrle, Julius Barzilai, Shlomit Catala, Albert Strahm, Brigitte Niemeyer, Charlotte M. Göhring, Gudrun Flotho, Christian Szvetnik, Amina Derecka, Marta Ku, Manching de Haas, Valerie Burkhardt, Birgit Starý, Jan Dworzak, Michael Smith, Owen P. Baumann, Irith |
AuthorAffiliation | 32) Department of Pediatrics, University Medical Center Ulm, Ulm, Germany 25) Pediatric Hematology and Oncology, University Hospital Muenster, Muenster, Germany 23) Institute of Pathology, University Hospital Erlangen, Erlangen, Germany 33) Department of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany 13) Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark 15) Division of Hematology-Oncology and SCT Children′s Hospital, University of Helsinki and Helsinki University Hospital, Hus, Finland 35) Institute of Digitalization in Medicine, Faculty of Medicine, University of Freiburg, Freiburg, Germany 2) Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany 1) Department of Hematology, St. Jude Children’s Research Hospital, Memphis, TN, USA 31) Department of Pediatric Oncology, Hematology and Clinical Immunology, Division of Pediatri |
AuthorAffiliation_xml | – name: 12) Department of Pediatric Oncology/Hematology, Skåne University Hospital, Lund, Sweden – name: 17) Department of Pediatric Hematology/Oncology, Aghia Sophia Children’s Hospital, Athens, Greece – name: 5) Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic – name: 25) Pediatric Hematology and Oncology, University Hospital Muenster, Muenster, Germany – name: 30) Department of Pediatrics, Dr. von Hauner Children′s Hospital, University Hospital, LMU Munich, Munich, Germany – name: 1) Department of Hematology, St. Jude Children’s Research Hospital, Memphis, TN, USA – name: 18) Department of Pediatric Haematology/Oncology, Children’s Health Ireland at Crumlin, Dublin, Ireland – name: 20) Pediatric Hematology Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Israel – name: 23) Institute of Pathology, University Hospital Erlangen, Erlangen, Germany – name: 31) Department of Pediatric Oncology, Hematology and Clinical Immunology, Division of Pediatric Stem Cell Therapy, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany – name: 14) Department of Pediatric Hematology and Oncology, Oslo University Hospital, Oslo, Norway – name: 16) Department of Paediatric Bone Marrow Transplantation, Oncology and Hematology, BMT Unit CIC 817, Wroclaw Medical University, Wroclaw, Poland – name: 37) Department of Human Genetics, Hannover Medical School, Hannover, Germany – name: 29) Division of Pediatric Hematology and Oncology, Clinic of Pedatric Hematology and Oncology, University Medical Center of Hamburg-Eppendorf, Hamburg, Germany – name: 38) German Cancer Consortium (DKTK), Heidelberg and Freiburg, Germany – name: 28) University Hospital Essen, Pediatric Haematology and Oncology, Essen, Germany – name: 32) Department of Pediatrics, University Medical Center Ulm, Ulm, Germany – name: 33) Department of Pediatrics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany – name: 11) Department of Pediatric Hematology and Stem Cell Transplantation, Central Hospital of Southern Pest - National Institute of Hematology and Infectious Diseases, Budapest, Hungary – name: 4) Department of Pediatrics, St. Anna Children’s Hospital and Children’s Cancer Research Institute, Medical University of Vienna, Vienna, Austria – name: 13) Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark – name: 24) Department of Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany – name: 3) Faculty of Biology, University of Freiburg, Freiburg, Germany – name: 19) Department. of Haematology and Transfusiology, National Institute of Children’s Diseases Faculty of Medicine, Comenius University, Bratislava, Slovakia – name: 35) Institute of Digitalization in Medicine, Faculty of Medicine, University of Freiburg, Freiburg, Germany – name: 34) Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany – name: 26) Department of Hematology/Oncology and General Pediatrics, Children’s University Hospital, University of Tübingen, Tübingen, Germany – name: 6) Department of Pediatric Hematology and Oncology, IRCCS Ospedale Pediatrico Bambino Gesù; Sapienza University of Rome, Italy – name: 7) Paediatric Oncology and Haematology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy – name: 10) Department of Hematology and Oncology, Hospital Sant Joan de Deu, Barcelona, Spain – name: 36) Mission Bio Inc., South San Francisco, CA, USA – name: 9) Department of Paediatric Haematology-Oncology, Ghent University Hospital Ghent, Belgium – name: 15) Division of Hematology-Oncology and SCT Children′s Hospital, University of Helsinki and Helsinki University Hospital, Hus, Finland – name: 21) Dutch Childhood Oncology Group, Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands – name: 8) Department of Hematology and Oncology, University Children’s Hospital, Zurich, Switzerland – name: 2) Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany – name: 27) Division for Stem Cell Transplantation and Immunology, Department for Children and Adolescents, University Hospital Frankfurt, Frankfurt am Main, Germany – name: 22) Institute of Pathology, Klinikum Kaufbeuren-Ravensburg, Kaufbeuren, Germany |
Author_xml | – sequence: 1 givenname: Sushree S. surname: Sahoo fullname: Sahoo, Sushree S. organization: Department of Hematology, St. Jude Children’s Research Hospital, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 2 givenname: Victor B. surname: Pastor fullname: Pastor, Victor B. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 3 givenname: Charnise surname: Goodings fullname: Goodings, Charnise organization: Department of Hematology, St. Jude Children’s Research Hospital – sequence: 4 givenname: Rebecca K. surname: Voss fullname: Voss, Rebecca K. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 5 givenname: Emilia J. orcidid: 0000-0003-1107-8818 surname: Kozyra fullname: Kozyra, Emilia J. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Faculty of Biology, University of Freiburg – sequence: 6 givenname: Amina surname: Szvetnik fullname: Szvetnik, Amina organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 7 givenname: Peter orcidid: 0000-0002-0281-4732 surname: Noellke fullname: Noellke, Peter organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 8 givenname: Michael surname: Dworzak fullname: Dworzak, Michael organization: Department of Pediatrics, St. Anna Children’s Hospital and Children’s Cancer Research Institute, Medical University of Vienna – sequence: 9 givenname: Jan surname: Starý fullname: Starý, Jan organization: Department of Paediatric Haematology and Oncology, Second Faculty of Medicine, Charles University and University Hospital Motol – sequence: 10 givenname: Franco surname: Locatelli fullname: Locatelli, Franco organization: Department of Pediatric Hematology and Oncology, IRCCS Ospedale Pediatrico Bambino Gesù, Sapienza University of Rome – sequence: 11 givenname: Riccardo surname: Masetti fullname: Masetti, Riccardo organization: Paediatric Oncology and Haematology, IRCCS Azienda Ospedaliero-Universitaria di Bologna – sequence: 12 givenname: Markus surname: Schmugge fullname: Schmugge, Markus organization: Department of Hematology and Oncology, University Children’s Hospital – sequence: 13 givenname: Barbara orcidid: 0000-0002-2449-539X surname: De Moerloose fullname: De Moerloose, Barbara organization: Department of Paediatric Haematology-Oncology, Ghent University Hospital Ghent – sequence: 14 givenname: Albert surname: Catala fullname: Catala, Albert organization: Department of Hematology and Oncology, Hospital Sant Joan de Deu – sequence: 15 givenname: Krisztián surname: Kállay fullname: Kállay, Krisztián organization: Department of Pediatric Hematology and Stem Cell Transplantation, Central Hospital of Southern Pest - National Institute of Hematology and Infectious Diseases – sequence: 16 givenname: Dominik surname: Turkiewicz fullname: Turkiewicz, Dominik organization: Department of Pediatric Oncology/Hematology, Skåne University Hospital – sequence: 17 givenname: Henrik orcidid: 0000-0003-3976-9231 surname: Hasle fullname: Hasle, Henrik organization: Department of Pediatrics, Aarhus University Hospital – sequence: 18 givenname: Jochen orcidid: 0000-0001-5848-4501 surname: Buechner fullname: Buechner, Jochen organization: Department of Pediatric Hematology and Oncology, Oslo University Hospital – sequence: 19 givenname: Kirsi surname: Jahnukainen fullname: Jahnukainen, Kirsi organization: Division of Hematology-Oncology and SCT Children’s Hospital, University of Helsinki and Helsinki University Hospital – sequence: 20 givenname: Marek orcidid: 0000-0001-5725-4835 surname: Ussowicz fullname: Ussowicz, Marek organization: Department of Paediatric Bone Marrow Transplantation, Oncology and Hematology, Wroclaw Medical University – sequence: 21 givenname: Sophia surname: Polychronopoulou fullname: Polychronopoulou, Sophia organization: Department of Pediatric Hematology/Oncology, Aghia Sophia Children’s Hospital – sequence: 22 givenname: Owen P. surname: Smith fullname: Smith, Owen P. organization: Department of Pediatric Haematology/Oncology, Children’s Health Ireland at Crumlin – sequence: 23 givenname: Oksana surname: Fabri fullname: Fabri, Oksana organization: Department. of Haematology and Transfusiology, National Institute of Children’s Diseases Faculty of Medicine, Comenius University – sequence: 24 givenname: Shlomit surname: Barzilai fullname: Barzilai, Shlomit organization: Pediatric Hematology Oncology, Schneider Children’s Medical Center of Israel, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University – sequence: 25 givenname: Valerie surname: de Haas fullname: de Haas, Valerie organization: Dutch Childhood Oncology Group, Princess Máxima Center for Pediatric Oncology – sequence: 26 givenname: Irith surname: Baumann fullname: Baumann, Irith organization: Institute of Pathology, Klinikum Kaufbeuren-Ravensburg – sequence: 27 givenname: Stephan surname: Schwarz-Furlan fullname: Schwarz-Furlan, Stephan organization: Institute of Pathology, Klinikum Kaufbeuren-Ravensburg, Institute of Pathology, University Hospital Erlangen – sequence: 29 givenname: Marena R. surname: Niewisch fullname: Niewisch, Marena R. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 30 givenname: Martin G. surname: Sauer fullname: Sauer, Martin G. organization: Department of Pediatric Hematology and Oncology, Hannover Medical School – sequence: 31 givenname: Birgit orcidid: 0000-0002-1151-829X surname: Burkhardt fullname: Burkhardt, Birgit organization: Pediatric Hematology and Oncology, University Hospital Muenster – sequence: 32 givenname: Peter surname: Lang fullname: Lang, Peter organization: Department of Hematology/Oncology and General Pediatrics, Children’s University Hospital, University of Tübingen – sequence: 33 givenname: Peter surname: Bader fullname: Bader, Peter organization: Division for Stem Cell Transplantation and Immunology, Department for Children and Adolescents, University Hospital Frankfurt – sequence: 34 givenname: Rita surname: Beier fullname: Beier, Rita organization: University Hospital Essen, Pediatric Haematology and Oncology – sequence: 35 givenname: Ingo orcidid: 0000-0002-7477-6632 surname: Müller fullname: Müller, Ingo organization: Division of Pediatric Hematology and Oncology, Clinic of Pedatric Hematology and Oncology, University Medical Center of Hamburg-Eppendorf – sequence: 36 givenname: Michael H. orcidid: 0000-0001-9143-3263 surname: Albert fullname: Albert, Michael H. organization: Department of Pediatrics, Dr. von Hauner Children´s Hospital, University Hospital, LMU Munich – sequence: 37 givenname: Roland surname: Meisel fullname: Meisel, Roland organization: Department of Pediatric Oncology, Hematology and Clinical Immunology, Division of Pediatric Stem Cell Therapy, Medical Faculty, Heinrich Heine University – sequence: 38 givenname: Ansgar orcidid: 0000-0002-7798-7996 surname: Schulz fullname: Schulz, Ansgar organization: Department of Pediatrics, University Medical Center Ulm – sequence: 39 givenname: Gunnar surname: Cario fullname: Cario, Gunnar organization: Department of Pediatrics, University Hospital Schleswig-Holstein – sequence: 40 givenname: Pritam K. orcidid: 0000-0003-4879-2302 surname: Panda fullname: Panda, Pritam K. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 41 givenname: Julius orcidid: 0000-0001-6514-4230 surname: Wehrle fullname: Wehrle, Julius organization: Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Institute of Digitalization in Medicine, Faculty of Medicine, University of Freiburg – sequence: 42 givenname: Shinsuke surname: Hirabayashi fullname: Hirabayashi, Shinsuke organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 43 givenname: Marta surname: Derecka fullname: Derecka, Marta organization: Department of Hematology, St. Jude Children’s Research Hospital – sequence: 44 givenname: Robert surname: Durruthy-Durruthy fullname: Durruthy-Durruthy, Robert organization: Mission Bio Inc – sequence: 45 givenname: Gudrun surname: Göhring fullname: Göhring, Gudrun organization: Department of Human Genetics, Hannover Medical School – sequence: 46 givenname: Ayami surname: Yoshimi-Noellke fullname: Yoshimi-Noellke, Ayami organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 47 givenname: Manching orcidid: 0000-0001-5168-4308 surname: Ku fullname: Ku, Manching organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 48 givenname: Dirk surname: Lebrecht fullname: Lebrecht, Dirk organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 49 givenname: Miriam orcidid: 0000-0002-7261-1447 surname: Erlacher fullname: Erlacher, Miriam organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) – sequence: 50 givenname: Christian surname: Flotho fullname: Flotho, Christian organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) – sequence: 51 givenname: Brigitte orcidid: 0000-0002-6086-130X surname: Strahm fullname: Strahm, Brigitte organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg – sequence: 52 givenname: Charlotte M. orcidid: 0000-0003-3856-7937 surname: Niemeyer fullname: Niemeyer, Charlotte M. organization: Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) – sequence: 53 givenname: Marcin W. orcidid: 0000-0001-6638-9643 surname: Wlodarski fullname: Wlodarski, Marcin W. email: marcin.wlodarski@stjude.org organization: Department of Hematology, St. Jude Children’s Research Hospital, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34621053$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Contributor | Smith, Owen O'Sullivan, Maureen Schlegelberger, Brigitte Vito, Rita De Gengler, Carole Clasen-Linde, Erik Kjollerstrom, Paula Rudelius, Martina Alaiz, Helena Gazic, Barbara Kavcic, Marko Maldyk, Jadwiga Jeison, Marta Zemanova, Zuzana Kallay, Krisztián Moerloose, Barbara De Paepe, Pascale De Tchinda, Joelle Leguit, Roos Pasquali, Francesco Lemos, Luis Mascarenhas de Betts, David Čermák, Martin Podgornik, Helena Andrikovics, Hajnalka Niemeyer, Charlotte Cervera, Jose Haas, Valérie De Haus, Olga Beverloo, Berna Simonitsch-Kluppp, Ingrid Van Roy, Nadine Nebral, Karin Csomor, Judit Plesner, Tine Bodova, Ivana Ros, Margarita Llavador Zohar, Yaniv Plank, Lukas Stefanaki, Kalliopi Starý, Jan Campr, Vit Manola, Kalliopi Gohring, Gudrun |
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Copyright | The Author(s), under exclusive licence to Springer Nature America, Inc. 2021. corrected publication 2021 2021. The Author(s), under exclusive licence to Springer Nature America, Inc. COPYRIGHT 2021 Nature Publishing Group The Author(s), under exclusive licence to Springer Nature America, Inc. 2021. |
Copyright_xml | – notice: The Author(s), under exclusive licence to Springer Nature America, Inc. 2021. corrected publication 2021 – notice: 2021. The Author(s), under exclusive licence to Springer Nature America, Inc. – notice: COPYRIGHT 2021 Nature Publishing Group – notice: The Author(s), under exclusive licence to Springer Nature America, Inc. 2021. |
CorporateAuthor | the European Working Group of MDS in Children (EWOG-MDS) European Working Group of MDS in Children (EWOG-MDS) Department of Clinical Sciences, Lund Pediatrik, Lund Section V Faculty of Medicine Institutionen för kliniska vetenskaper, Lund Paediatrics (Lund) Lunds universitet Medicinska fakulteten Lund University Sektion V |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 AUTHOR CONTRIBUTIONS A list of authors and their affiliations appears at the end of the paper. MWW, SSS and CMN designed the research; VBP, SSS, CG, AS, DL, PKP, JW and RDD performed genomic studies and analyzed data; SSS, EK, AS and CG accomplished functional studies; MWW, RKV, PN, ME, BS and CMN analyzed and interpreted clinical data; PN performed clinical statistical analysis; MD, JS, FL, RM, MS, BDM, AC, KK, DT, HH, JB, KJ, MU, SP, OPS, OF, SB, VH, IB, SSF, MRN, MGS, BB, PL, PB, RB, IM, MHA, RM, AS, GC, SH, GG, AYN, MC, ME, CF, BS, CMN and MWW were involved in patient care, testing and data presentation; SSS, MWW and CMN wrote the manuscript. All authors contributed to the manuscript and approved its final version. |
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Snippet | Germline
SAMD9
and
SAMD9L
mutations (
SAMD9/9L
mut
) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we... Germline SAMD9 and SAMD9L mutations (SAMD9/9L ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we... Germline SAMD9 and SAMD9L mutations (SAMD9/9L.sup.mut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we... Germline SAMD9 and SAMD9L mutations (SAMD9/9Lmut) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. In this study, we... Germline SAMD9 and SAMD9L mutations ( SAMD9/9L mut ) predispose to myelodysplastic syndromes (MDS) with propensity for somatic rescue. Here, we investigated a... |
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StartPage | 1806 |
SubjectTerms | 631/208/212/2304 692/308/2056 Abnormalities Adolescent Analysis Biomedical and Life Sciences Biomedicine Bone marrow Bone Marrow Cells - metabolism Cancer and Oncology Cancer och onkologi Cancer Research Care and treatment CD34 antigen Cell death Child Child, Preschool Clinical Medicine Clonal Evolution - genetics Clonal Hematopoiesis - genetics Clustering Development and progression Diagnosis Disorders DNA sequencing Female GATA2 Transcription Factor - genetics Gene mutations Germ-Line Mutation - genetics Health aspects HEK293 Cells Hematologi Hematology Hematopoiesis High-Throughput Nucleotide Sequencing Humans Infant Infectious Diseases Intracellular Signaling Peptides and Proteins - genetics Kaplan-Meier Estimate Klinisk medicin Male Medical and Health Sciences Medicin och hälsovetenskap Metabolic Diseases Molecular Medicine Monosomy Mutation Myelodysplastic syndrome Myelodysplastic syndromes Myelodysplastic Syndromes - genetics Myelodysplastic Syndromes - pathology Neurosciences Observations Patients Pediatrics Phenotypes Single-Cell Analysis Tumor Suppressor Proteins - genetics |
Title | Clinical evolution, genetic landscape and trajectories of clonal hematopoiesis in SAMD9/SAMD9L syndromes |
URI | https://link.springer.com/article/10.1038/s41591-021-01511-6 https://www.ncbi.nlm.nih.gov/pubmed/34621053 https://www.proquest.com/docview/2581965879 https://www.proquest.com/docview/2580701240 https://pubmed.ncbi.nlm.nih.gov/PMC9330547 |
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