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Somatic Mutations and Clonal Hematopoiesis in Aplastic Anemia
Ist Teil von
The New England journal of medicine, 2015-10, Vol.373 (17), p.1673-1676
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
To the Editor:
In their study involving 439 patients with aplastic anemia, Yoshizato and colleagues (July 2 issue)
1
bring us closer to understanding clonal hematopoiesis in patients with this disease. However, a key conceptual aspect of the study is that the investigators prescreened patients for somatic mutations in genes that are mutated in myeloid cancers using targeted sequencing, followed by whole-exome sequencing, mainly in patients with mutations in the targeted genes. Furthermore, the study population included those with the post–aplastic anemia myelodysplastic syndrome (MDS), which further biased the identified pattern of clonal hematopoiesis toward MDS-associated mutations. Using an unbiased approach . . .