Acute Myeloid Leukemia with Myelodysplasia-Related Gene Mutations
Year: 2026
Type: article
Abstract: Background/Objectives: Acute Myeloid Leukemia (AML) with myelodysplasia-related gene mutations (AML-MR), often referred to as secondary AML (s-AML) or AML-MRC, is an aggressive form of leukemia that typically arises from an antecedent myelodysplastic syndrome (MDS) but may originate also de novo. It is characterized by mutations in key genes associated with MDS that include some epigenetic regulators (ASXL1, EZH2), splicing factors (SF3B1, SRSF2, U2AF1, ZRSR2) and transcription factors (BCOR, RUNX1, STAG2). The main objective of this review paper consists in analyzing recent studies that have improved the criteria for characterization, definition and classification of AML-MR. Methods: An extensive search of the most recent literature on the topic was performed, selecting and critically analyzing the most relevant studies. Results. The studies carried out in the last years have provided an extensive molecular characterization of AML-MR, supporting more sound criteria for their identification and for a better definition with respect to other AML subtypes, particularly with respect to TP53-mutant AML. Conclusions: A unifying classification of AML-MR is now possible, allowing its identification as a unique, well-defined and separate entity.
Source: Journal of Clinical Medicine
DOI: 10.3390/jcm15155958
Author: Ugo Testa
Institution: Istituto Superiore di Sanità
Language: English
Subfield: Hematology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,137
OpenAlex ID: W7171859541
