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Genomics of LGL leukemia and select other rare leukemia/lymphomas.


ABSTRACT: Genomic analysis of cancer offers the hope of identifying new treatments or aiding in the selection of existing treatments. Rare leukemias pose additional challenges in this regard as samples may be hard to acquire and when found the underlying pathway may not be attractive to drug development since so few individuals are affected. In this case, it can be useful to identify common mutational overlap among subsets of rare leukemias to increase the number of individuals that may benefit from a targeted therapy. This chapter examines the current mutational landscape of large granular lymphocyte (LGL) leukemia with a focus on STAT3 mutations, the most common mutation in LGL leukemia to date. We examined the linkage between these mutations and autoimmune symptoms and disorders, in cases of obvious and suspected LGL leukemia. We then summarized and compared mutations in a set of other rare leukemias that also have JAK/STAT signaling pathway activation brought about by genomic changes. These include T-cell acute lymphoblastic leukemia (T-ALL), T-cell prolymphocytic leukemia (T-PLL), cutaneous T-cell lymphoma (CTCL), select peripheral T-cell lymphoma (PTCL), and adult T-cell leukemia/lymphoma (ATLL). Though STAT3 activation is common in these leukemias, the way in which it is achieved, such as the activating cytokine pathway and/or the co-mutational background, is quite diverse.

SUBMITTER: Moosic KB 

PROVIDER: S-EPMC6779335 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Genomics of LGL leukemia and select other rare leukemia/lymphomas.

Moosic Katharine B KB   Paila Umadevi U   Olson Kristine C KC   Dziewulska Karolina K   Wang T Tiffany TT   Xing Jeffrey C JC   Ratan Aakrosh A   Feith David J DJ   Loughran Thomas P TP   Olson Thomas L TL  

Best practice & research. Clinical haematology 20190606 3


Genomic analysis of cancer offers the hope of identifying new treatments or aiding in the selection of existing treatments. Rare leukemias pose additional challenges in this regard as samples may be hard to acquire and when found the underlying pathway may not be attractive to drug development since so few individuals are affected. In this case, it can be useful to identify common mutational overlap among subsets of rare leukemias to increase the number of individuals that may benefit from a tar  ...[more]

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