Fusion gene map of acute leukemia revealed by transcriptome sequencing of a consecutive cohort of 1000 cases in a single center.

Fusion gene map of acute leukemia revealed by transcriptome sequencing of a consecutive cohort of 1000 cases in a single center.
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DOI:
10.1038/s41408-021-00504-5
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发表时间:
2021-06-16
影响因子:
12.8
通讯作者:
Liu H
Liu H
中科院分区:
医学1区
文献类型:
--
作者:
Chen X;Wang F;Zhang Y;Ma X;Cao P;Yuan L;Wang L;Chen J;Zhou X;Wu Q;Liu M;Jin D;Liu H

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融合基因(FGs)是急性白血病中重要的遗传异常,但其多样性和在急性白血病中的发生仍有待系统描述。全转录组测序(WTS)为FGs分析提供了强有力的工具。在这里,我们报告了WTS在一个单一中心的1000例急性白血病病例的连续队列中显示的FG图,其中包括539例急性髓性白血病(AML), 437例急性淋巴细胞白血病(ALL)和24例混合表型急性白血病(MPAL)患者。生物信息学分析确定了792个高置信度帧内融合事件(296个不同的融合),分为四个层次。A级(致病性)、B级(可能致病性)和C级(不确定意义)fg在总队列中占61.8% (AML为59.7%,ALL为64.5%,MPAL为63.6%)。涉及蛋白激酶、转录因子和表观遗传基因的FGs分别在10.7%、48.5%和15.1%的病例中检测到。发现了相当数量的新fg (AML中有82个,B-ALL中有88个,T-ALL中有13个,MPAL中有9个)。这一全面描述急性白血病中fg的真实图谱揭示了先前未被认识到的具有临床相关性的多个fg。WTS是一种有价值的工具,应广泛应用于急性白血病的常规诊断。
Fusion genes (FGs) are important genetic abnormalities in acute leukemias, but their variety and occurrence in acute leukemias remain to be systematically described. Whole transcriptome sequencing (WTS) provides a powerful tool for analyzing FGs. Here we report the FG map revealed by WTS in a consecutive cohort of 1000 acute leukemia cases in a single center, including 539 acute myeloid leukemia (AML), 437 acute lymphoblastic leukemia (ALL), and 24 mixed-phenotype acute leukemia (MPAL) patients. Bioinformatic analysis identified 792 high-confidence in-frame fusion events (296 distinct fusions) which were classified into four tiers. Tier A (pathogenic), B (likely pathogenic), and C (uncertain significance) FGs were identified in 61.8% cases of the total cohort (59.7% in AML, 64.5% in ALL, and 63.6% in MPAL). FGs involving protein kinase, transcription factor, and epigenetic genes were detected in 10.7%, 48.5%, and 15.1% cases, respectively. A considerable amount of novel FGs (82 in AML, 88 in B-ALL, 13 in T-ALL, and 9 in MPAL) was identified. This comprehensively described real map of FGs in acute leukemia revealed multiple FGs with clinical relevance that have not been previously recognized. WTS is a valuable tool and should be widely used in the routine diagnostic workup of acute leukemia.
DOI: 10.1038/ncomms13331
发表时间: 2016-11-08
影响因子: 16.6
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发表时间: 2004-10-05
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DOI: 10.1016/j.leukres.2018.08.009
发表时间: 2018-09-01
期刊: LEUKEMIA RESEARCH
影响因子: 2.7
作者:
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DOI: 10.1038/s41417-019-0147-1
发表时间: 2020-02-01
影响因子: 6.4
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DOI: 10.1182/bloodadvances.2020003007
发表时间: 2020-11-10
期刊: BLOOD ADVANCES
影响因子: 7.5
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