Ethnic and geographic diversity of chronic lymphocytic leukaemia.

Abstract:

:East Asians, Asian Indians and Amerindians have a five to ten-fold lower age-adjusted incidence rate (AAIR) of chronic lymphocytic leukaemia (CLL) compared with persons of predominately European descent. The data we review suggest a genetic rather than environmental basis for this discordance. All these populations arose from a common African Black ancestor but different clades have different admixture with archaic hominins including Neanderthals, Denisovans and Homo erectus, which may explain different CLL incidences. There are also some differences in clinical laboratory and molecular co-variates of CLL between these populations. Because the true age-adjusted incidence rate in African Blacks is unknown it is not possible to determine whether modern Europeans acquired susceptibility to CLL or the other populations lost susceptibility and/or developed resistance to developing CLL. We also found other B-cell lymphomas and T- and NK-cell cancers had different incidences in the populations we studied. These data provide clues to determining the cause(s) of CLL.

journal_name

Leukemia

journal_title

Leukemia

authors

Yang S,Varghese AM,Sood N,Chiattone C,Akinola NO,Huang X,Gale RP

doi

10.1038/s41375-020-01057-5

subject

Has Abstract

pub_date

2020-10-19 00:00:00

eissn

0887-6924

issn

1476-5551

pii

10.1038/s41375-020-01057-5

pub_type

杂志文章

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