Recurrent somatic mutations and low germline predisposition mutations in Korean ALL patients

Sci Rep. 2021 Apr 26;11(1):8893. doi: 10.1038/s41598-021-88449-4.

Abstract

In addition to somatic mutations, germline genetic predisposition to hematologic malignancies is currently emerging as an area attracting high research interest. In this study, we investigated genetic alterations in Korean acute lymphoblastic leukemia/lymphoma (ALL) patients using targeted gene panel sequencing. To this end, a gene panel consisting of 81 genes that are known to be associated with 23 predisposition syndromes was investigated. In addition to sequence variants, gene-level copy number variations (CNVs) were investigated as well. We identified 197 somatic sequence variants and 223 somatic CNVs. The IKZF1 alteration was found to have an adverse effect on overall survival (OS) and relapse-free survival (RFS) in childhood ALL. We found recurrent somatic alterations in Korean ALL patients similar to previous studies on both prevalence and prognostic impact. Six patients were found to be carriers of variants in six genes associated with primary immunodeficiency disorder (PID). Of the 81 genes associated with 23 predisposition syndromes, this study found only one predisposition germline mutation (TP53) (1.1%). Altogether, our study demonstrated a low probability of germline mutation predisposition to ALL in Korean ALL patients.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asian People
  • Child
  • Child, Preschool
  • Female
  • Genetic Predisposition to Disease*
  • Germ-Line Mutation*
  • Humans
  • Ikaros Transcription Factor / genetics*
  • Male
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
  • Republic of Korea
  • Tumor Suppressor Protein p53 / genetics*

Substances

  • IKZF1 protein, human
  • TP53 protein, human
  • Tumor Suppressor Protein p53
  • Ikaros Transcription Factor