Novel germ line DDX41 mutations define families with a lower age of MDS/AML onset and lymphoid malignancies

作者：Lewinsohn Maya; Brown Anna L; Weinel Luke M; Phung Connie; Rafidi George; Lee Ming K; Schreiber Andreas W; Feng Jinghua; Babic Milena; Chong Chan Eng; Lee Young; Yong Agnes; Suthers Graeme K; Poplawski Nicola; Altree Meryl; Phillips Kerry; Jaensch Louise; Fine Miriam; D'Andrea Richard J; Lewis Ian D; Medeiros Bruno C; Pollyea Daniel A; King Mary Claire; Walsh Tom; Keel Sioban; Shimamura Akiko; Godley Lucy A^*; Hahn Christopher N^*; Churpek Jane E^*

来源：Blood, 2016, 127(8): 1017-1023.

DOI：10.1182/blood-2015-10-676098

Recently our group and others have identified DDX41 mutations both as germ line and acquired somatic mutations in families with multiple cases of late onset myelodysplastic syndrome (MDS) and/or acute myeloid leukemia (AML), suggesting that DDX41 acts as a tumor suppressor. To determine whether novel DDX41 mutations could be identified in families with additional types of hematologic malignancies, our group screened two cohorts of families with a diverse range of hematologic malignancy subtypes. Among 289 families, we identified nine (3%) with DDX41 mutations. As previously observed, MDS and AML were the most common malignancies, often of the erythroblastic subtype, and 1 family displayed early-onset follicular lymphoma. Five novel mutations were identified, including missense mutations within important functional domains and start-loss and splicing mutations predicted to result in truncated proteins. We also show that most asymptomatic mutation carriers have normal blood counts until malignancy develops. This study expands both the mutation and phenotypic spectra observed in families with germ line DDX41 mutations. With an increasing number of both inherited and acquired mutations in this gene being identified, further study of how DDX41 disruption leads to hematologic malignancies is critical.

• 出版日期2016-2-25