アブストラクト
Title | Down症候群関連白血病の分子病態 |
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Subtitle | 特集 小児血液・腫瘍疾患の最前線 II. 研究の最前線 |
Authors | 照井君典, 伊藤悦朗 |
Authors (kana) | |
Organization | 弘前大学大学院医学研究科小児科学講座 |
Journal | 小児科診療 |
Volume | 83 |
Number | 4 |
Page | 497-504 |
Year/Month | 2020 / 4 |
Article | 報告 |
Publisher | 診断と治療社 |
Abstract | 「Summary」●Down症候群は小児白血病を発症するリスクが高く, 急性骨髄性白血病(AML)と急性リンパ性白血病(ALL)の両者がみられる. ●Down症候群のAMLは新生児期の一過性異常骨髄増殖症(TAM)と関連しており, 両者のほぼ全例でGATA1変異が認められる. ●次世代シーケンサーを用いた網羅的遺伝子解析の結果, TAMからAMLへの進展には, コヒーシン複合体, エピゲノム制御因子, シグナル伝達分子などの遺伝子異常が重要であることが明らかになった. ●Down症候群のALLの分子病態も明らかになりつつあり, 今後の発展が期待される. |
Practice | 臨床医学:内科系 |
Keywords | Down症候群, トリソミー21, 白血病, 一過性異常骨髄増殖症, GATA1 |
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参考文献
- 1) Lange B:The management of neoplastic disorders of hae-matopoiesis in children with Down's syndrome. Br J Hae-matol 110:512-524,2000
- 2) Hasle H, Clemmensen IH, Mikkelsen M:Risks of leukae-mia and solid tumours in individuals with Down's syn-drome. Lancet 355:165-169,2000
- 3) Xu G, Nagano M, Kanezaki R et al.:Frequent mutations in the GATA-1 gene in the transient myeloproliferative disor-der of Down syndrome. Blood 102:2960-2968,2003
- 4) Pine SR, Guo Q, Yin C et al.:Incidence and clinical impli-cations of GATA1 mutations in newborns with Down syn-drome. Blood 110:2128-2131,2007
- 5) Chou ST, Opalinska JB, Yao Y et al.:Trisomy 21 enhances human fetal erythro-megakaryocytic development. Blood 112:4503-4506,2008
残りの10件を表示する
- 6) Korbel JO, Tirosh-Wagner T, Urban AE et al.:The genetic architecture of Down syndrome phenotypes revealed by high-resolution analysis of human segmental trisomies. Proc Natl Acad Sci USA 106:12031-12036,2009
- 7) Banno K, Omori S, Hirata K et al.:Systematic Cellular Disease Models Reveal Synergistic Interaction of Trisomy 21 and GATA1 Mutations in Hematopoietic Abnormali-ties. Cell Rep 15:28-1241,2016
- 8) Terui K, Toki T, Taga T et al.:Highly sensitive detection of GATA1 mutations in patients with myeloid leukemia asso-ciated with Down syndrome by combining Sanger and targeted next generation sequencing. Genes Chromosomes Cancer 59:160-167,2020
- 9) Yoshida K, Toki T, Okuno Y et al.:The landscape of somatic mutations in Down syndrome-related myeloid disorders. Nat Genet 45:1293-1299,2013
- 10) Scheer C, Kratz C, Witt O et al.:Hematologic Response to Vorinostat Treatment in Relapsed Myeloid Leukemia of Down Syndrome. Pediatr Blood Cancer 63:1677-1679,2016
- 11) Uemura S, Mori T, Nagano C et al.:Effective response to azacitidine in a child with a second relapse of myeloid leukemia associated with Down syndrome after bone mar-row transplantation. Pediatr Blood Cancer 65:e27414,2018
- 12) Roberts I, Alford K, Hall G et al.:Oxford-Imperial Down Syndrome Cohort Study Group. GATA1-mutant clones are frequent and often unsuspected in babies with Down syn-drome:identification of a population at risk of leukemia. Blood 122:3908-3917,2013
- 13) Hanada I, Terui K, Ikeda F et al.:Gene alterations involv-ing the CRLF2-JAK pathway and recurrent gene deletions in Down syndrome-associated acute lymphoblastic leuke-mia in Japan. Genes Chromosomes Cancer 53:902-910,2014
- 14) Kubota Y, Uryu K, Ito T et al.:Integrated genetic and epi-genetic analysis revealed heterogeneity of acute lympho-blastic leukemia in Down syndrome. Cancer Sci 110:3358-3367,2019
- 15) Flasinski M, Scheibke K, Zimmermann M et al.:Low-dose cytarabine to prevent myeloid leukemia in children with Down syndrome:TMD Prevention 2007 study. Blood Adv 2:1532-1540,2018