Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients

ABSTRACT Myelodysplastic syndrome (MDS) is a clonal hematopoietic stem cell disorder characterized by peripheral cytopenias due to ineffective erythropoiesis and an increased risk for evolving into acute myeloid leukemia (AML). Chromosomal abnormalities represent the most important marker of risk stratification for AML transformation. Chromatid break (chtb) is a discontinuity of a single chromatid. We report the case of a patient with MDS whose cytogenetic analysis showed spontaneous chromatid breakage (chrb): 46,XY,add(13)(q34),chtb(15)(q24) [3]/47,XY,chtb(2)(q22),del(5)(q35),del(7)(q32),+8,del(11q)(q23),del(q22)[cp17]. He was considered a high-risk patient due to the complex karyotype and the presence of chtb. We suggest that this chromosomal abnormality may be considered as a marker of genomic instability in MDS.

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Main Authors: Borges,Daniela P., França,Ivo Gabriel F., Oliveira,Roberta Taiane G., Melo,Mayara M. L., Pinheiro,Ronald F.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000600397
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spelling oai:scielo:S1676-244420170006003972018-02-05Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patientsBorges,Daniela P.França,Ivo Gabriel F.Oliveira,Roberta Taiane G.Melo,Mayara M. L.Pinheiro,Ronald F. chromosomal breakage myelodysplastic syndromes chromosomal instability genomic instability ABSTRACT Myelodysplastic syndrome (MDS) is a clonal hematopoietic stem cell disorder characterized by peripheral cytopenias due to ineffective erythropoiesis and an increased risk for evolving into acute myeloid leukemia (AML). Chromosomal abnormalities represent the most important marker of risk stratification for AML transformation. Chromatid break (chtb) is a discontinuity of a single chromatid. We report the case of a patient with MDS whose cytogenetic analysis showed spontaneous chromatid breakage (chrb): 46,XY,add(13)(q34),chtb(15)(q24) [3]/47,XY,chtb(2)(q22),del(5)(q35),del(7)(q32),+8,del(11q)(q23),del(q22)[cp17]. He was considered a high-risk patient due to the complex karyotype and the presence of chtb. We suggest that this chromosomal abnormality may be considered as a marker of genomic instability in MDS.info:eu-repo/semantics/openAccessSociedade Brasileira de Patologia Clínica Jornal Brasileiro de Patologia e Medicina Laboratorial v.53 n.6 20172017-11-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000600397en10.5935/1676-2444.20170063
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countrycode BR
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libraryname SciELO
language English
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author Borges,Daniela P.
França,Ivo Gabriel F.
Oliveira,Roberta Taiane G.
Melo,Mayara M. L.
Pinheiro,Ronald F.
spellingShingle Borges,Daniela P.
França,Ivo Gabriel F.
Oliveira,Roberta Taiane G.
Melo,Mayara M. L.
Pinheiro,Ronald F.
Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
author_facet Borges,Daniela P.
França,Ivo Gabriel F.
Oliveira,Roberta Taiane G.
Melo,Mayara M. L.
Pinheiro,Ronald F.
author_sort Borges,Daniela P.
title Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
title_short Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
title_full Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
title_fullStr Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
title_full_unstemmed Spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
title_sort spontaneous chromatid break as clonal evolution in myelodysplastic syndrome patients
description ABSTRACT Myelodysplastic syndrome (MDS) is a clonal hematopoietic stem cell disorder characterized by peripheral cytopenias due to ineffective erythropoiesis and an increased risk for evolving into acute myeloid leukemia (AML). Chromosomal abnormalities represent the most important marker of risk stratification for AML transformation. Chromatid break (chtb) is a discontinuity of a single chromatid. We report the case of a patient with MDS whose cytogenetic analysis showed spontaneous chromatid breakage (chrb): 46,XY,add(13)(q34),chtb(15)(q24) [3]/47,XY,chtb(2)(q22),del(5)(q35),del(7)(q32),+8,del(11q)(q23),del(q22)[cp17]. He was considered a high-risk patient due to the complex karyotype and the presence of chtb. We suggest that this chromosomal abnormality may be considered as a marker of genomic instability in MDS.
publisher Sociedade Brasileira de Patologia Clínica
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000600397
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