Genetic Predisposition to Hematologic Malignancies in Childhood and Adolescence.

IF 2 4区 医学 Q3 HEMATOLOGY
Francesco Fabozzi, Angela Mastronuzzi
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引用次数: 0

Abstract

Advances in molecular biology and genetic testing have greatly improved our understanding of the genetic basis of hematologic malignancies and have enabled the identification of new cancer predisposition syndromes. Recognizing a germline mutation in a patient affected by a hematologic malignancy allows for a tailored treatment approach to minimize toxicities. It informs the donor selection, the timing, and the conditioning strategy for hematopoietic stem cell transplantation, as well as the comorbidities evaluation and surveillance strategies. This review provides an overview of germline mutations that predispose to hematologic malignancies, focusing on those most common during childhood and adolescence, based on the new International Consensus Classification of Myeloid and Lymphoid Neoplasms.

Abstract Image

儿童和青少年血液恶性肿瘤的遗传易感性。
分子生物学和基因检测的进步极大地提高了我们对血液恶性肿瘤遗传基础的理解,并使新的癌症易感综合征得以识别。在血液学恶性肿瘤患者中识别种系突变,可以采用量身定制的治疗方法,以最大限度地减少毒性。它为造血干细胞移植的供体选择、时机和调理策略以及合并症评估和监测策略提供了信息。这篇综述综述了易患血液恶性肿瘤的种系突变,重点是那些在儿童和青少年时期最常见的,基于髓系和淋巴系肿瘤的新国际共识分类。
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来源期刊
CiteScore
4.20
自引率
6.20%
发文量
113
审稿时长
12 weeks
期刊介绍: Reciprocal interdependence between infectious and hematologic diseases (malignant and non-malignant) is well known. This relationship is particularly evident in Mediterranean countries. Parasitosis as Malaria, Leishmaniosis, B Hookworms, Teniasis, very common in the southeast Mediterranean area, infect about a billion people and manifest prevalently with anemia so that they are usually diagnosed mostly by experienced hematologist on blood or bone marrow smear. On the other hand, infections are also a significant problem in patients affected by hematological malignancies. The blood is the primary vector of HIV infection, which otherwise manifest with symptoms related to a reduction in T lymphocytes. In turn, infections can favor the insurgency of hematological malignancies. The causative relationship between Epstein-Barr virus infection, Helicobacter pylori, hepatitis C virus, HIV and lymphoproliferative diseases is well known.
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