Chromothripsis identifies a rare and aggressive entity among newly diagnosed multiple myeloma patients

Multiple myeloma (MM) develops from a premalignant plasma cell proliferative disorder, and with time can progress to a more aggressive disease in extramedullary locations. The gradually clinical evolution is supported by clonal expansion of cells that acquire genetic lesions over years. This model o...

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Veröffentlicht in:Blood 2011-07, Vol.118 (3), p.675-678
Hauptverfasser: Magrangeas, Florence, Avet-Loiseau, Hervé, Munshi, Nikhil C., Minvielle, Stéphane
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container_end_page 678
container_issue 3
container_start_page 675
container_title Blood
container_volume 118
creator Magrangeas, Florence
Avet-Loiseau, Hervé
Munshi, Nikhil C.
Minvielle, Stéphane
description Multiple myeloma (MM) develops from a premalignant plasma cell proliferative disorder, and with time can progress to a more aggressive disease in extramedullary locations. The gradually clinical evolution is supported by clonal expansion of cells that acquire genetic lesions over years. This model of cancer evolution based on ongoing genomic instability mechanism may apply to development of most MM cases. However, in a small fraction of newly diagnosed MM who relapse quickly and finally die within 2 years, the gradual model appears to be untenable. Analysis of high resolution copy number profiles obtained using single nucleotide polymorphism array data from 764 newly diagnosed MM identified large numbers of genomic rearrangements with the hallmarks of chromothripsis in 1.3% of samples. Moreover, this catastrophic event confers a poor outcome. Because chromothripsis appears to occur in a single crisis, our results suggest that high-risk MM patients use this novel way of cancer evolution.
doi_str_mv 10.1182/blood-2011-03-344069
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Aged
Biological and medical sciences
Chromosome Breakage
Clinical Trials and Observations
Gene Dosage - genetics
Gene Rearrangement - genetics
Genomic Instability - genetics
Genomics
Hematologic and hematopoietic diseases
Humans
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulinopathies
Immunopathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoid Neoplasia
Medical sciences
Middle Aged
Molecular Sequence Data
Multiple Myeloma - genetics
Multiple Myeloma - mortality
Polymorphism, Single Nucleotide - genetics
Risk Factors
title Chromothripsis identifies a rare and aggressive entity among newly diagnosed multiple myeloma patients
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