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 inNature medicine Vol. 27; no. 10; pp. 1806 - 1817
Main Authors Sahoo, Sushree S., Pastor, Victor B., Goodings, Charnise, Voss, Rebecca K., Kozyra, Emilia J., Szvetnik, Amina, Noellke, Peter, Dworzak, Michael, Starý, Jan, Locatelli, Franco, Masetti, Riccardo, Schmugge, Markus, De Moerloose, Barbara, Catala, Albert, Kállay, Krisztián, Turkiewicz, Dominik, Hasle, Henrik, Buechner, Jochen, Jahnukainen, Kirsi, Ussowicz, Marek, Polychronopoulou, Sophia, Smith, Owen P., Fabri, Oksana, Barzilai, Shlomit, de Haas, Valerie, Baumann, Irith, Schwarz-Furlan, Stephan, Niewisch, Marena R., Sauer, Martin G., Burkhardt, Birgit, Lang, Peter, Bader, Peter, Beier, Rita, Müller, Ingo, Albert, Michael H., Meisel, Roland, Schulz, Ansgar, Cario, Gunnar, Panda, Pritam K., Wehrle, Julius, Hirabayashi, Shinsuke, Derecka, Marta, Durruthy-Durruthy, Robert, Göhring, Gudrun, Yoshimi-Noellke, Ayami, Ku, Manching, Lebrecht, Dirk, Erlacher, Miriam, Flotho, Christian, Strahm, Brigitte, Niemeyer, Charlotte M., Wlodarski, Marcin W.
Format Journal Article
LanguageEnglish
Published New York Nature Publishing Group US 01.10.2021
Nature Publishing Group
Subjects
Online AccessGet full text
ISSN1078-8956
1546-170X
1546-170X
DOI10.1038/s41591-021-01511-6

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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
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  givenname: Sushree S.
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  givenname: Amina
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  orcidid: 0000-0002-0281-4732
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– sequence: 8
  givenname: Michael
  surname: Dworzak
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  givenname: Franco
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  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
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  givenname: Markus
  surname: Schmugge
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  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
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  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
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  givenname: Dominik
  surname: Turkiewicz
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  organization: Department of Pediatric Oncology/Hematology, Skåne University Hospital
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  orcidid: 0000-0003-3976-9231
  surname: Hasle
  fullname: Hasle, Henrik
  organization: Department of Pediatrics, Aarhus University Hospital
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  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
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  orcidid: 0000-0001-5725-4835
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  givenname: Owen P.
  surname: Smith
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  givenname: Oksana
  surname: Fabri
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  organization: Department. of Haematology and Transfusiology, National Institute of Children’s Diseases Faculty of Medicine, Comenius University
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  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
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  organization: Department of Pediatrics, University Medical Center Ulm
– sequence: 39
  givenname: Gunnar
  surname: Cario
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  organization: Department of Pediatrics, University Hospital Schleswig-Holstein
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  givenname: Pritam K.
  orcidid: 0000-0003-4879-2302
  surname: Panda
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  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
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  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
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– 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
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  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
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  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
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– sequence: 53
  givenname: Marcin W.
  orcidid: 0000-0001-6638-9643
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  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
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– notice: The Author(s), under exclusive licence to Springer Nature America, Inc. 2021.
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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.
ORCID 0000-0003-3856-7937
0000-0002-7477-6632
0000-0002-7798-7996
0000-0002-2449-539X
0000-0001-5168-4308
0000-0002-6086-130X
0000-0003-4879-2302
0000-0003-1107-8818
0000-0001-6514-4230
0000-0001-5725-4835
0000-0002-7261-1447
0000-0001-6638-9643
0000-0001-5848-4501
0000-0002-0281-4732
0000-0001-9143-3263
0000-0002-1151-829X
0000-0003-3976-9231
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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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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
Volume 27
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