<i>UBTF</i> tandem duplications in pediatric myelodysplastic syndrome and acute myeloid leukemia: implications for clinical screening and diagnosis Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.3324/haematol.2023.284683
Recent genomic studies in adult and pediatric acute myeloid leukemia (AML) demonstrated recurrent in-frame tandem duplications (TD) in exon 13 of upstream binding transcription factor (UBTF). These alterations, which account for ~4.3% of AMLs in childhood and about 3% in adult AMLs under 60, are subtype-defining and associated with poor outcomes. Here, we provide a comprehensive investigation into the clinicopathological features of UBTF-TD myeloid neoplasms in childhood, including 89 unique pediatric AML and 6 myelodysplastic syndrome (MDS) cases harboring a tandem duplication in exon 13 of UBTF. We demonstrate that UBTF-TD myeloid tumors are associated with dysplastic features, low bone marrow blast infiltration, and low white blood cell count. Furthermore, using bulk and single-cell analyses, we confirm that UBTF-TD is an early and clonal event associated with a distinct transcriptional profile, whereas the acquisition of FLT3 or WT1 mutations is associated with more stem celllike programs. Lastly, we report rare duplications within exon 9 of UBTF that phenocopy exon 13 duplications, expanding the spectrum of UBTF alterations in pediatric myeloid tumors. Collectively, we comprehensively characterize pediatric AML and MDS with UBTF-TD and highlight key clinical and pathologic features that distinguish this new entity from other molecular subtypes of AML.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3324/haematol.2023.284683
- https://haematologica.org/article/download/haematol.2023.284683/76716
- OA Status
- gold
- Cited By
- 2
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392287394
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4392287394Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3324/haematol.2023.284683Digital Object Identifier
- Title
-
<i>UBTF</i> tandem duplications in pediatric myelodysplastic syndrome and acute myeloid leukemia: implications for clinical screening and diagnosisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-29Full publication date if available
- Authors
-
Juan M. Barajas, Masayuki Umeda, Lisett Contreras, Mahsa Khanlari, Tamara Westover, Michael P. Walsh, Emily Xiong, Chenchen Yang, Brittney A. Otero, Marc Arribas-Layton, Sherif Abdelhamed, Guangchun Song, Xiaotu Ma, Melvin E. Thomas rd, Jing Ma, Jeffery M. KlcoList of authors in order
- Landing page
-
https://doi.org/10.3324/haematol.2023.284683Publisher landing page
- PDF URL
-
https://haematologica.org/article/download/haematol.2023.284683/76716Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://haematologica.org/article/download/haematol.2023.284683/76716Direct OA link when available
- Concepts
-
Myeloid leukemia, Myeloid, Tandem exon duplication, Exon, Myelodysplastic syndromes, Phenocopy, Cancer research, Gene duplication, Medicine, Bone marrow, Biology, Pathology, Genetics, Gene, PhenotypeTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
-
36Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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