PMID- 30195627 OWN - NLM STAT- MEDLINE DCOM- 20190520 LR - 20190520 IS - 1096-0961 (Electronic) IS - 1079-9796 (Linking) VI - 73 DP - 2018 Nov TI - The clinical features and prognosis of the monoclonal gammopathy undetermined significance: A single center study. PG - 9-13 LID - S1079-9796(18)30261-4 [pii] LID - 10.1016/j.bcmd.2018.08.002 [doi] AB - The aim of this study was to identify the clinical features and prognosis of monoclonal gammopathy of undetermined significance (MGUS) in China. This single center study enrolled 111 subjects visited in Peking University People's hospital including 62 males and 49 females. Among them, IgG subtype, IgA subtype and IgM subtype were 56.31%, 28.16%, 5.83% respectively. 10.7% patients had the abnormality of convectional cytogenetic testing, while the interphase fluorescence in situ hybridization (FISH) made the positive rate increased to 18.9%, and IgH rearrangement was most common. The positive rate of MAGE-C1/CT7 was 73.8% in MGUS, but the expression level was 0.33%, lower than that in MM. After a median follow-up of 15.9 months, 5 cases were determined disease progression (PD), and 1 patient had died of disease progression, two died of the complication. MGUS is becoming increasingly important in China. Male had higher prevalence of MGUS, the most common subtype was IgG, and the IgA subtype was much higher which may be related to the air pollution. MGUS patients had a high positive rate of MAGE-C1/CT7 gene, but the expression level was low. Some patients with MGUS could progress to MM, systemic amyloidosis and other malignant diseases. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Ma, Ling AU - Ma L AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. FAU - Xu, Shuang AU - Xu S AD - Peking University People's Hospital, Laboratory Medicine, Beijing 100044, China. FAU - Wen, Lei AU - Wen L AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. FAU - Liu, Yang AU - Liu Y AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. FAU - Kang, Ying AU - Kang Y AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. FAU - Huang, Xiaojun AU - Huang X AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. FAU - Lu, Jin AU - Lu J AD - Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China. Electronic address: lujinpeku@qq.com. LA - eng PT - Journal Article DEP - 20180806 PL - United States TA - Blood Cells Mol Dis JT - Blood cells, molecules & diseases JID - 9509932 RN - 0 (Antigens, Neoplasm) RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin M) RN - 0 (MAGEC1 protein, human) RN - 0 (Neoplasm Proteins) SB - IM MH - Adult MH - Aged MH - Antigens, Neoplasm/genetics MH - China MH - Chromosome Aberrations MH - Female MH - Humans MH - Immunoglobulin A MH - Immunoglobulin G MH - Immunoglobulin M MH - Male MH - Middle Aged MH - Monoclonal Gammopathy of Undetermined Significance/diagnosis/epidemiology/*pathology MH - Neoplasm Proteins/genetics MH - Prognosis OTO - NOTNLM OT - Clinical features OT - Monoclonal gammopathy of undetermined significance OT - Prognosis OT - Single center study OT - Survival analysis EDAT- 2018/09/10 06:00 MHDA- 2019/05/21 06:00 CRDT- 2018/09/10 06:00 PHST- 2018/07/30 00:00 [received] PHST- 2018/08/04 00:00 [accepted] PHST- 2018/09/10 06:00 [pubmed] PHST- 2019/05/21 06:00 [medline] PHST- 2018/09/10 06:00 [entrez] AID - S1079-9796(18)30261-4 [pii] AID - 10.1016/j.bcmd.2018.08.002 [doi] PST - ppublish SO - Blood Cells Mol Dis. 2018 Nov;73:9-13. doi: 10.1016/j.bcmd.2018.08.002. Epub 2018 Aug 6.