PMID- 24573383 OWN - NLM STAT- MEDLINE DCOM- 20141031 LR - 20211021 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 28 IP - 9 DP - 2014 Sep TI - MYD88 and beyond: novel opportunities for diagnosis, prognosis and treatment in Waldenstrom's Macroglobulinemia. PG - 1799-803 LID - 10.1038/leu.2014.88 [doi] AB - Waldenstrom's Macroglobulinemia (WM) is a rare disease of the elderly with a median age of 63-68 years at diagnosis. Despite recent progress in biological insights and therapeutics, WM remains clinically challenging to diagnose and is difficult to manage with significant morbidity and lack of established curative therapies. Recently, the use of whole-genome sequencing has helped to identify a highly recurrent somatic mutation, myeloid differentiation factor 88 [MYD88] L265P in WM. This has fueled major interest in the field and as newer evidence accumulates, it is clear that that discovery of MYD88 L265P mutation may represent an important breakthrough in understanding the pathogenesis of WM and lymphoproliferative disorders. Recent scientific work in this field has also guided the identification of new targets such as CXCR4 and PI3K-delta that may have major implications in the future treatment of WM. This review discusses the role of MYD88 L265P mutations as well as targets beyond MYD88 in the setting of pathogenesis and development of future rational therapeutic trials focusing on patients diagnosed with WM. FAU - Landgren, O AU - Landgren O AD - Multiple Myeloma Section, Metabolism Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA. FAU - Tageja, N AU - Tageja N AD - Multiple Myeloma Section, Metabolism Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA. LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review DEP - 20140227 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (NF-kappa B) SB - IM MH - Humans MH - *Mutation MH - Myeloid Differentiation Factor 88/*genetics/physiology MH - NF-kappa B/physiology MH - Prognosis MH - Waldenstrom Macroglobulinemia/diagnosis/etiology/*genetics/therapy EDAT- 2014/02/28 06:00 MHDA- 2014/11/02 06:00 CRDT- 2014/02/28 06:00 PHST- 2013/12/16 00:00 [received] PHST- 2014/01/13 00:00 [revised] PHST- 2014/01/15 00:00 [accepted] PHST- 2014/02/28 06:00 [entrez] PHST- 2014/02/28 06:00 [pubmed] PHST- 2014/11/02 06:00 [medline] AID - leu201488 [pii] AID - 10.1038/leu.2014.88 [doi] PST - ppublish SO - Leukemia. 2014 Sep;28(9):1799-803. doi: 10.1038/leu.2014.88. Epub 2014 Feb 27.