Factors affecting treatment decisions for lower-risk myelodysplastic syndromes across practice settings
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Outcomes and Patterns of Relapse of NPM1 Mutated Acute Myeloid Leukemia Treated With Venetoclax Based Therapies
Curing the Incurable: TP53 Mutated Myeloid Neoplasms
Abstract
ESCALATing care? Eltrombopag in pediatric aplastic anemia
The landscape of disease: mapping aplastic anemia
The development of antibody-based spatial multiplex assays, and the more recent introduction of spatial transcriptomic and proteomic platforms, now allows the characterization and profiling of human tissue samples at unprecedented depth, opening up a new exciting window for a better understanding of human pathology in situ, in both inflammatory and neoplastic conditions.
IHC Testing Could Serve as Surrogate to NGS for Early Detection of TP53-Mutant MDS/AML
A clinical guide to TP53 mutations in myeloid neoplasms
TP53 mutations are found in 10-15% of myeloid neoplasms and are one of its most important prognostic factors. Emerging data show that TP53 mutational allele status is a key determinant of clinical outcomes, with multi-hit TP53 mutant myeloid neoplasms having a very poor prognosis. Significant differences exist among the methods used in clinical and research settings to assess TP53 mutational status, leading to variability in reported patient characteristics, response to therapy, and survival.
Impaired cytotoxic function and exhausted phenotype of natural killer cells in VEXAS syndrome
Key Points
NK cells phenotyping reveals impaired cytotoxicity, chronic activation and exhaustion in VEXAS syndrome.
Decreased circulating NK cells were independently associated with an increased risk of severe infections in VEXAS syndrome.
Clinical Study on Targeted Drug Expands Treatment Options for Myelodysplastic Syndrome
Their research led to the 2022 approval of olutasidenib for certain patients with IDH1-mutant AML, which occurs in about 10% of AML. After that success, Dr. Watts and his team began to focus closely on testing the drug in MDS, a related condition that often progresses to AML.
IDH-1 mutations also occur in MDS, at a frequency of 3 to 5%.
Strong Responses
In the current study, the researchers tested olutasidenib in 22 MDS patients with IDH1-mutant tumors. All patients were classified with intermediate to high-risk disease, with 86% being high or very high risk.
