Somatic SF3B1 Mutation in Myelodysplasia with Ring Sideroblasts. / Papaemmanuil, E.; Cazzola, M.; Boultwood, J.; Malcovati, L.; Vyas, P.; Bowen, D.; Pellagatti, A.; Wainscoat, J. S.; Hellstrom-Lindberg, E.; Gambacorti-Passerini, C.; Godfrey, A. L.; Rapado, I.; Cvejic, A.; Rance, R.; McGee, C.; Ellis, P.; Mudie, L. J.; Stephens, P. J.; McLaren, S.; Massie, C. E.; Tarpey, P. S.; Varela, I.; Nik-Zainal, S.; Davies, H. R.; Shlien, A.; Jones, D.; Raine, K.; Hinton, J.; Butler, A. P.; Teague, J. W.; Baxter, E. J.; Score, J.; Galli, A.; Della Porta, M. G.; Travaglino, E.; Groves, M.; Tauro, S.; Munshi, N. C.; Anderson, K. C.; El-Naggar, A.; Fischer, A.; Mustonen, V.; Warren, A. J.; Cross, N. C. P.; Green, A. R.; Futreal, P. A.; Stratton, M. R.; Campbell, P. J.; Int Canc Genome Consortium.
In: New England Journal of Medicine, Vol. 365, No. 15, 13.10.2011, p. 1384-1395.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Somatic SF3B1 Mutation in Myelodysplasia with Ring Sideroblasts
A1 - Papaemmanuil,E.
A1 - Cazzola,M.
A1 - Boultwood,J.
A1 - Malcovati,L.
A1 - Vyas,P.
A1 - Bowen,D.
A1 - Pellagatti,A.
A1 - Wainscoat,J. S.
A1 - Hellstrom-Lindberg,E.
A1 - Gambacorti-Passerini,C.
A1 - Godfrey,A. L.
A1 - Rapado,I.
A1 - Cvejic,A.
A1 - Rance,R.
A1 - McGee,C.
A1 - Ellis,P.
A1 - Mudie,L. J.
A1 - Stephens,P. J.
A1 - McLaren,S.
A1 - Massie,C. E.
A1 - Tarpey,P. S.
A1 - Varela,I.
A1 - Nik-Zainal,S.
A1 - Davies,H. R.
A1 - Shlien,A.
A1 - Jones,D.
A1 - Raine,K.
A1 - Hinton,J.
A1 - Butler,A. P.
A1 - Teague,J. W.
A1 - Baxter,E. J.
A1 - Score,J.
A1 - Galli,A.
A1 - Della Porta,M. G.
A1 - Travaglino,E.
A1 - Groves,M.
A1 - Tauro,S.
A1 - Munshi,N. C.
A1 - Anderson,K. C.
A1 - El-Naggar,A.
A1 - Fischer,A.
A1 - Mustonen,V.
A1 - Warren,A. J.
A1 - Cross,N. C. P.
A1 - Green,A. R.
A1 - Futreal,P. A.
A1 - Stratton,M. R.
A1 - Campbell,P. J.
A1 - Int Canc Genome Consortium
AU - Papaemmanuil,E.
AU - Cazzola,M.
AU - Boultwood,J.
AU - Malcovati,L.
AU - Vyas,P.
AU - Bowen,D.
AU - Pellagatti,A.
AU - Wainscoat,J. S.
AU - Hellstrom-Lindberg,E.
AU - Gambacorti-Passerini,C.
AU - Godfrey,A. L.
AU - Rapado,I.
AU - Cvejic,A.
AU - Rance,R.
AU - McGee,C.
AU - Ellis,P.
AU - Mudie,L. J.
AU - Stephens,P. J.
AU - McLaren,S.
AU - Massie,C. E.
AU - Tarpey,P. S.
AU - Varela,I.
AU - Nik-Zainal,S.
AU - Davies,H. R.
AU - Shlien,A.
AU - Jones,D.
AU - Raine,K.
AU - Hinton,J.
AU - Butler,A. P.
AU - Teague,J. W.
AU - Baxter,E. J.
AU - Score,J.
AU - Galli,A.
AU - Della Porta,M. G.
AU - Travaglino,E.
AU - Groves,M.
AU - Tauro,S.
AU - Munshi,N. C.
AU - Anderson,K. C.
AU - El-Naggar,A.
AU - Fischer,A.
AU - Mustonen,V.
AU - Warren,A. J.
AU - Cross,N. C. P.
AU - Green,A. R.
AU - Futreal,P. A.
AU - Stratton,M. R.
AU - Campbell,P. J.
AU - Int Canc Genome Consortium
PY - 2011/10/13
Y1 - 2011/10/13
N2 - <p>BACKGROUND</p><p>Myelodysplastic syndromes are a diverse and common group of chronic hematologic cancers. The identification of new genetic lesions could facilitate new diagnostic and therapeutic strategies.</p><p>METHODS</p><p>We used massively parallel sequencing technology to identify somatically acquired point mutations across all protein-coding exons in the genome in 9 patients with low-grade myelodysplasia. Targeted resequencing of the gene encoding RNA splicing factor 3B, subunit 1 (SF3B1), was also performed in a cohort of 2087 patients with myeloid or other cancers.</p><p>RESULTS</p><p>We identified 64 point mutations in the 9 patients. Recurrent somatically acquired mutations were identified in SF3B1. Follow-up revealed SF3B1 mutations in 72 of 354 patients (20%) with myelodysplastic syndromes, with particularly high frequency among patients whose disease was characterized by ring sideroblasts (53 of 82 [65%]). The gene was also mutated in 1 to 5% of patients with a variety of other tumor types. The observed mutations were less deleterious than was expected on the basis of chance, suggesting that the mutated protein retains structural integrity with altered function. SF3B1 mutations were associated with down-regulation of key gene networks, including core mitochondrial pathways. Clinically, patients with SF3B1 mutations had fewer cytopenias and longer event-free survival than patients without SF3B1 mutations.</p><p>CONCLUSIONS</p><p>Mutations in SF3B1 implicate abnormalities of messenger RNA splicing in the pathogenesis of myelodysplastic syndromes. (Funded by the Wellcome Trust and others.)</p>
AB - <p>BACKGROUND</p><p>Myelodysplastic syndromes are a diverse and common group of chronic hematologic cancers. The identification of new genetic lesions could facilitate new diagnostic and therapeutic strategies.</p><p>METHODS</p><p>We used massively parallel sequencing technology to identify somatically acquired point mutations across all protein-coding exons in the genome in 9 patients with low-grade myelodysplasia. Targeted resequencing of the gene encoding RNA splicing factor 3B, subunit 1 (SF3B1), was also performed in a cohort of 2087 patients with myeloid or other cancers.</p><p>RESULTS</p><p>We identified 64 point mutations in the 9 patients. Recurrent somatically acquired mutations were identified in SF3B1. Follow-up revealed SF3B1 mutations in 72 of 354 patients (20%) with myelodysplastic syndromes, with particularly high frequency among patients whose disease was characterized by ring sideroblasts (53 of 82 [65%]). The gene was also mutated in 1 to 5% of patients with a variety of other tumor types. The observed mutations were less deleterious than was expected on the basis of chance, suggesting that the mutated protein retains structural integrity with altered function. SF3B1 mutations were associated with down-regulation of key gene networks, including core mitochondrial pathways. Clinically, patients with SF3B1 mutations had fewer cytopenias and longer event-free survival than patients without SF3B1 mutations.</p><p>CONCLUSIONS</p><p>Mutations in SF3B1 implicate abnormalities of messenger RNA splicing in the pathogenesis of myelodysplastic syndromes. (Funded by the Wellcome Trust and others.)</p>
KW - ACUTE MYELOID-LEUKEMIA
KW - EXPRESSION PROFILES
KW - FREQUENT MUTATION
KW - DNMT3A MUTATIONS
KW - GENE ASXL1
KW - CANCER
KW - GENOME
KW - NEOPLASMS
KW - CELLS
KW - CLASSIFICATION
U2 - 10.1056/NEJMoa1103283
DO - 10.1056/NEJMoa1103283
M1 - Article
JO - New England Journal of Medicine
JF - New England Journal of Medicine
SN - 0028-4793
IS - 15
VL - 365
SP - 1384
EP - 1395
ER -