Is race important in genomic classification of hematological neoplasms?

Hematol Oncol. 2021 Dec;39(5):728-732. doi: 10.1002/hon.2909. Epub 2021 Aug 14.

Abstract

In recent years, genome-based classifications for hematological neoplasms have been proposed successively and proved to be more accurate than histologic classifications. However, some previous studies have reported the racial differences of genetic landscape in persons with hematological neoplasms including myelodysplastic syndromes (MDS), which may cause a genomic classification based on a particular ethnic group does not operate in other races. To determine whether race plays an important role in the genomic-based classification, we validated a newly proposed genomic classification of MDS (J Clin Oncol.2021; JCO2001659), which was based on a large European database, in Chinese patients from our center. Our results showed significant differences between Chinese and European patients including proportion of each group to overall cohort when applying this novel genomic classification. Our data indicate that a genomic classification of hematological neoplasms probably should be revised according to specific genetic features in different races.

Keywords: genetic topographies; genomic classification; hematological neoplasms; myelodysplastic syndromes; racial differences.

Publication types

  • Letter

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian People / genetics*
  • Biomarkers, Tumor / genetics*
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Genomics / methods*
  • Hematologic Neoplasms / classification*
  • Hematologic Neoplasms / genetics
  • Hematologic Neoplasms / mortality
  • High-Throughput Nucleotide Sequencing / methods*
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Survival Rate
  • White People / genetics*
  • Young Adult

Substances

  • Biomarkers, Tumor