PMID- 28602946 OWN - NLM STAT- MEDLINE DCOM- 20170929 LR - 20180224 IS - 1873-2399 (Electronic) IS - 0301-472X (Linking) VI - 53 DP - 2017 Sep TI - Whole-genome analysis reveals unexpected dynamics of mutant subclone development in a patient with JAK2-V617F-positive chronic myeloid leukemia. PG - 48-58 LID - S0301-472X(17)30192-3 [pii] LID - 10.1016/j.exphem.2017.05.007 [doi] AB - We report here the first use of whole-genome sequencing (WGS) to examine the initial clonal dynamics in an unusual patient with chronic myeloid leukemia (CML), who presented in chronic phase (CP) with doubly marked BCR-ABL1(+)/JAK2(V617F)-mutant cells and, over a 9-year period, progressed into an accelerated phase (AP) and then terminal blast phase (BP). WGS revealed that the diagnostic cells also contained mutations in ASXL1, SEC23B, MAD1L1, and RREB1 as well as 12,000 additional uncommon DNA variants. WGS of endothelial cells generated from circulating precursors revealed many of these were shared with the CML clone. Surprisingly, WGS of induced pluripotent stem cells (iPSCs) derived from the AP cells revealed only six additional coding somatic mutations, despite retention by the hematopoietic progeny of the parental AP cell levels of BCR-ABL1 expression and sensitivity to imatinib and pimozide. Limited analysis of BP cells revealed independent subclonal progression to homozygosity of the MAD1L1 and RREB1 variants. MAD1L1 and SEC23B mutations were also identified in 2 of 101 cases of myeloproliferative neoplasms, but not in 42 healthy subjects. These findings challenge historic concepts of clonal evolution in CML. CI - Copyright (c) 2017 ISEH - International Society for Experimental Hematology. All rights reserved. FAU - Sloma, Ivan AU - Sloma I AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Service d'Hematologie Biologique, Institut Federatif d'Hematologie Interpole Paris Sud-IFHIPS (AP-HP) Kremlin Bicetre, Paris, France; Universite Paris-Sud, Faculte de Medecine Kremlin Bicetre, and INSERM UMS 33, Villejuif, France. FAU - Mitjavila-Garcia, Maria Teresa AU - Mitjavila-Garcia MT AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France. FAU - Feraud, Olivier AU - Feraud O AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - Griscelli, Frank AU - Griscelli F AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France; Universite Paris Descartes, Sorbonne Paris Cite, Faculte des Sciences Pharmaceutiques et Biologiques, Paris, France. FAU - Oudrhiri, Noufissa AU - Oudrhiri N AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - El Marsafy, Sanaa AU - El Marsafy S AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - Gobbo, Emilie AU - Gobbo E AD - Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - Divers, Dominique AU - Divers D AD - Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - Proust, Alexis AU - Proust A AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France. FAU - Smadja, David M AU - Smadja DM AD - Universite Paris Descartes, Sorbonne Paris Cite, Faculte des Sciences Pharmaceutiques et Biologiques, Paris, France; AP-HP, Hopital Europeen Georges Pompidou, Service d'Hematologie Biologique, Paris, France. FAU - Desterke, Christophe AU - Desterke C AD - Universite Paris-Sud, Faculte de Medecine Kremlin Bicetre, and INSERM UMS 33, Villejuif, France. FAU - Carles, Annaick AU - Carles A AD - University of British Columbia, Centre for High-Throughput Biology and Department of Microbiology & Immunology, Vancouver, BC, Canada. FAU - Ma, Yusanna AU - Ma Y AD - Canada's Michael Smith Genome Sciences Centre, BC Cancer Agency, Vancouver, BC, Canada. FAU - Hirst, Martin AU - Hirst M AD - University of British Columbia, Centre for High-Throughput Biology and Department of Microbiology & Immunology, Vancouver, BC, Canada; Canada's Michael Smith Genome Sciences Centre, BC Cancer Agency, Vancouver, BC, Canada. FAU - Marra, Marco A AU - Marra MA AD - Canada's Michael Smith Genome Sciences Centre, BC Cancer Agency, Vancouver, BC, Canada; Terry Fox Laboratory, BC Cancer Agency, Vancouver, BC, Canada. FAU - Eaves, Connie J AU - Eaves CJ AD - Terry Fox Laboratory, BC Cancer Agency, Vancouver, BC, Canada; Department of Medical Genetics, University of British Columbia, Vancouver, BC, Canada. FAU - Bennaceur-Griscelli, Annelise AU - Bennaceur-Griscelli A AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Service d'Hematologie Biologique, Institut Federatif d'Hematologie Interpole Paris Sud-IFHIPS (AP-HP) Kremlin Bicetre, Paris, France; Universite Paris-Sud, Faculte de Medecine Kremlin Bicetre, and INSERM UMS 33, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. FAU - Turhan, Ali G AU - Turhan AG AD - Institut National de la Sante et de la Recherche Medicale (INSERM) U935, Villejuif, France; Service d'Hematologie Biologique, Institut Federatif d'Hematologie Interpole Paris Sud-IFHIPS (AP-HP) Kremlin Bicetre, Paris, France; Universite Paris-Sud, Faculte de Medecine Kremlin Bicetre, and INSERM UMS 33, Villejuif, France; Human Pluripotent Stem Cell Core Facility, ESTeam Paris Sud-INGESTEM, Villejuif, France. Electronic address: turviv33@gmail.com. LA - eng GR - CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170608 PL - Netherlands TA - Exp Hematol JT - Experimental hematology JID - 0402313 RN - 0 (Cell Cycle Proteins) RN - 0 (DNA-Binding Proteins) RN - 0 (MAD1L1 protein, human) RN - 0 (Nuclear Proteins) RN - 0 (RREB1 protein, human) RN - 0 (Transcription Factors) RN - EC 2.7.10.2 (JAK2 protein, human) RN - EC 2.7.10.2 (Janus Kinase 2) SB - IM MH - Cell Cycle Proteins/genetics MH - DNA-Binding Proteins/genetics MH - Genome-Wide Association Study MH - Humans MH - Induced Pluripotent Stem Cells/physiology MH - Janus Kinase 2/*genetics MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics MH - Male MH - Middle Aged MH - *Mutation MH - Nuclear Proteins/genetics MH - Transcription Factors/genetics EDAT- 2017/06/13 06:00 MHDA- 2017/09/30 06:00 CRDT- 2017/06/13 06:00 PHST- 2017/05/01 00:00 [received] PHST- 2017/05/20 00:00 [revised] PHST- 2017/05/22 00:00 [accepted] PHST- 2017/06/13 06:00 [pubmed] PHST- 2017/09/30 06:00 [medline] PHST- 2017/06/13 06:00 [entrez] AID - S0301-472X(17)30192-3 [pii] AID - 10.1016/j.exphem.2017.05.007 [doi] PST - ppublish SO - Exp Hematol. 2017 Sep;53:48-58. doi: 10.1016/j.exphem.2017.05.007. Epub 2017 Jun 8.