Prediction of therapy‐related acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) after autologous bone marrow transplant (ABMT) for lymphoma

Therapy‐related acute myelogenous leukemia and myelodysplastic syndrome (t‐AML/MDS) are being reported with increasing frequency as a complication of ABMT for Hodgkin's disease and non‐Hodgkin's lymphoma. At present there is no method available to predict who is at risk or is destined to d...

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Veröffentlicht in:American journal of hematology 1997-09, Vol.56 (1), p.45-51
Hauptverfasser: Legare, Robert D., Gribben, John G., Maragh, Marlon, Hermanowski‐Vosatka, Anne, Roach, Sheila, Tantravahi, Ramana, Nadler, Lee M., Gilliland, D. Gary
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container_issue 1
container_start_page 45
container_title American journal of hematology
container_volume 56
creator Legare, Robert D.
Gribben, John G.
Maragh, Marlon
Hermanowski‐Vosatka, Anne
Roach, Sheila
Tantravahi, Ramana
Nadler, Lee M.
Gilliland, D. Gary
description Therapy‐related acute myelogenous leukemia and myelodysplastic syndrome (t‐AML/MDS) are being reported with increasing frequency as a complication of ABMT for Hodgkin's disease and non‐Hodgkin's lymphoma. At present there is no method available to predict who is at risk or is destined to develop this nearly universally fatal disorder. We therefore investigated whether clonal growth of cells is predictive of the development of t‐AML/MDS. In a patient who developed secondary AML/MDS 18 months after ABMT, X‐linked clonality analysis at the human androgen receptor locus was performed on serial banked samples, and documented transition from polyclonal to clonal hematopoiesis. Clonal cells could be identified 6 months after transplant (1 year prior to the diagnosis of t‐AML/MDS), at a time when there was no morphologic or clinical evidence of disease. Clonality analysis can be predictive of the development of t‐AML/MDS after ABMT and may offer important insights into associated risk factors and strategies to minimize the risk of t‐AML/MDS. Am. J. Hematol. 56:45–51, 1997. © 1997 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1096-8652(199709)56:1<45::AID-AJH10>3.0.CO;2-1
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Gary</creatorcontrib><title>Prediction of therapy‐related acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) after autologous bone marrow transplant (ABMT) for lymphoma</title><title>American journal of hematology</title><addtitle>Am J Hematol</addtitle><description>Therapy‐related acute myelogenous leukemia and myelodysplastic syndrome (t‐AML/MDS) are being reported with increasing frequency as a complication of ABMT for Hodgkin's disease and non‐Hodgkin's lymphoma. At present there is no method available to predict who is at risk or is destined to develop this nearly universally fatal disorder. We therefore investigated whether clonal growth of cells is predictive of the development of t‐AML/MDS. In a patient who developed secondary AML/MDS 18 months after ABMT, X‐linked clonality analysis at the human androgen receptor locus was performed on serial banked samples, and documented transition from polyclonal to clonal hematopoiesis. 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Gary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of therapy‐related acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) after autologous bone marrow transplant (ABMT) for lymphoma</atitle><jtitle>American journal of hematology</jtitle><addtitle>Am J Hematol</addtitle><date>1997-09</date><risdate>1997</risdate><volume>56</volume><issue>1</issue><spage>45</spage><epage>51</epage><pages>45-51</pages><issn>0361-8609</issn><eissn>1096-8652</eissn><coden>AJHEDD</coden><abstract>Therapy‐related acute myelogenous leukemia and myelodysplastic syndrome (t‐AML/MDS) are being reported with increasing frequency as a complication of ABMT for Hodgkin's disease and non‐Hodgkin's lymphoma. At present there is no method available to predict who is at risk or is destined to develop this nearly universally fatal disorder. We therefore investigated whether clonal growth of cells is predictive of the development of t‐AML/MDS. 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subjects Alleles
autologous bone marrow transplant
Biological and medical sciences
Bone Marrow Transplantation - adverse effects
chemotherapy
clonality
Female
Hematologic and hematopoietic diseases
Hematopoiesis - genetics
Humans
leukemia
Leukemia, Myeloid, Acute - diagnosis
Leukemia, Myeloid, Acute - etiology
Leukemia, Myeloid, Acute - genetics
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
lymphoma
Lymphoma - therapy
Medical sciences
myelodysplasia
Myelodysplastic Syndromes - diagnosis
Myelodysplastic Syndromes - etiology
Myelodysplastic Syndromes - genetics
Polymerase Chain Reaction
Predictive Value of Tests
Receptors, Androgen - genetics
secondary malignancy
Transplantation, Autologous
X Chromosome
title Prediction of therapy‐related acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) after autologous bone marrow transplant (ABMT) for lymphoma
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