Clonality in acquired hematologic disorders.

Abstract:

:Clonal populations of cells can be identified by a number of different independent approaches, including analyses of karyotype, gene rearrangements, deletions or point mutations, X-linked polymorphisms, and integration of virus into the genome. Assessment of clonality has yielded valuable and surprising clues to the pathogenesis of acquired hematologic disorders. In the myeloproliferative states, clonal expansion of a mutated pluripotent stem cell can induce production of blood cells having a normal phenotype. The transition to acute leukemia is often associated with additional mutations. A similar progression has also been noted in lymphoproliferative disorders, again supporting a multistep pathogenesis of malignancy. Thus, a mutation inducing clonal growth may be a necessary but not sufficient step in induction of malignancy.

journal_name

Annu Rev Med

authors

Gilliland DG,Blanchard KL,Bunn HF

doi

10.1146/annurev.me.42.020191.002423

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

491-506

eissn

0066-4219

issn

1545-326X

journal_volume

42

pub_type

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