Review Article

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Blood Res 2021; 56(S1):

Published online April 30, 2021

https://doi.org/10.5045/br.2021.2020327

© The Korean Society of Hematology

Myelodysplastic syndrome with genetic predisposition

Meerim Park

Department of Pediatrics, Center for Pediatric Cancer, National Cancer Center, Goyang, Korea

Correspondence to : Meerim Park, M.D, Ph.D.
Department of Pediatrics, Center for Pediatric Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea
E-mail: meerim@ncc.re.kr

Received: December 21, 2020; Accepted: February 3, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Myelodysplastic syndrome (MDS) refers to a heterogeneous group of clonal blood disorders characterized by ineffective hematopoiesis, cytopenia, dysplasia, and an increased risk of acute myeloid leukemia (AML). A growing number of inherited genetic loci that contribute to MDS/AML development are rapidly being identified. As genetic sequencing has become increasingly integrated into clinical practice, clearly defined syndromes have emerged, known as the MDS/AML predisposition syndrome. With more patients and families being identified with predisposing conditions, knowledge of the approach of evaluating and managing MDS with genetic predisposition is increasingly essential. This article reviews MDS with genetic predisposition and the practical aspects of management in patients with predisposition syndrome.

Keywords Myelodysplastic syndrome, Genetic predisposition

Article

Review Article

Blood Res 2021; 56(S1): S34-S38

Published online April 30, 2021 https://doi.org/10.5045/br.2021.2020327

Copyright © The Korean Society of Hematology.

Myelodysplastic syndrome with genetic predisposition

Meerim Park

Department of Pediatrics, Center for Pediatric Cancer, National Cancer Center, Goyang, Korea

Correspondence to:Meerim Park, M.D, Ph.D.
Department of Pediatrics, Center for Pediatric Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea
E-mail: meerim@ncc.re.kr

Received: December 21, 2020; Accepted: February 3, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Myelodysplastic syndrome (MDS) refers to a heterogeneous group of clonal blood disorders characterized by ineffective hematopoiesis, cytopenia, dysplasia, and an increased risk of acute myeloid leukemia (AML). A growing number of inherited genetic loci that contribute to MDS/AML development are rapidly being identified. As genetic sequencing has become increasingly integrated into clinical practice, clearly defined syndromes have emerged, known as the MDS/AML predisposition syndrome. With more patients and families being identified with predisposing conditions, knowledge of the approach of evaluating and managing MDS with genetic predisposition is increasingly essential. This article reviews MDS with genetic predisposition and the practical aspects of management in patients with predisposition syndrome.

Keywords: Myelodysplastic syndrome, Genetic predisposition

Fig 1.

Figure 1.Algorithm for the genetic evaluation of myelodysplastic syndrome with genetic predisposition.
Blood Research 2021; 56: S34-S38https://doi.org/10.5045/br.2021.2020327

Table 1 . Myelodysplastic syndrome with genetic predisposition..

SyndromePathogenesisInheritanceKnown genesNon-hematologic findingsScreening testRisk of MDS/AML
Familial platelet disorder with predisposition to myeloid malignancyTranscription regulationADRUNX1NoneRUNX1 sequencing35%
ANKRD26-related thrombocytopeniaMAPK signalingADANKRD26NoneANKRD26 sequencing8%
GATA2haploinsufficiencyTranscription regulationADGATA2MonoMac syndrome (Monocytopenia, non-tuberculous mycobacterial and viral infections), Emgerger syndrome (lymphedema and monosomy 7), cutaneous warts, deafnessGATA2 sequencing; bone marrow morphology and flow cytometry50%
DDX41-associated familial MDS/AML syndromeDEAD/H-box helicaseADDDX41Long latency; presentation in >40 years old adults with high risk MDS and AMLDDX41 sequencingUnknown
SRP72-associated MDSSRP72 transcription factorADSRP72Congenital nerve deafnessSRP72 sequencingUnknown
ETV6-associated familial thrombocytopenia and hematologic malignancyETV6 transcription factorADETV6Thrombocytopenia, bleeding, macrocytosis, possible association with myopathy, GERD, esophageal stricture, reading disabilityETV6 sequencingUnknown

Abbreviations: AD, autosomal dominant; AML, acute myeloid leukemia; GERD, gastroesophageal reflux disease; MDS, myelodysplastic syndrome..


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