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Disease-specific mutations in mature lymphoid neoplasms: recent advances.
[waldenström macroglobulinemia]
Mature
lymphoid
neoplasms
(
MLN
)
are
clinically
and
pathologically
more
complex
than
precursor
lymphoid
neoplasms
.
Until
recently
,
molecular
characterization
of
MLN
was
mainly
based
on
cytogenetics
/
fluorescence
in
situ
hybridization
,
allele
copy
number
,
and
mRNA
expression
,
approaches
that
yielded
scanty
gene
mutation
information
.
Use
of
massive
parallel
sequencing
technologies
has
changed
this
outcome
,
and
now
many
gene
mutations
have
been
discovered
.
Some
of
these
are
considerably
frequent
in
,
and
substantially
specific
to
,
distinct
MLN
subtypes
,
and
occur
at
single
or
several
hotspots
.
They
include
the
V
600
E
BRAF
mutation
in
hairy
cell
leukemia
,
the
L
265
P
MYD
88
mutation
in
Waldenström
macroglobulinemia
,
the
G
17
V
RHOA
mutation
in
angioimmunoblastic
T-
cell
lymphoma
and
peripheral
T-
cell
lymphoma
,
not
otherwise
specified
,
and
the
Y
640
F
/
/
D
661
Y
/
V
/
H
/
I
/
/
N
647
I
STAT
3
mutations
in
T
-
cell
large
granular
lymphocytic
leukemia
.
Detecting
these
mutations
is
highly
valuable
in
diagnosing
MLN
subtypes
.
Defining
these
mutations
also
sheds
light
on
the
molecular
pathogenesis
of
MLN
,
furthering
development
of
molecular
targeting
therapies
.
In
this
review
,
we
focus
on
the
disease-
specific
gene
mutations
in
MLN
discovered
by
recent
massive
sequencing
technologies
.
Diseases
Validation
Diseases presenting
"disease-specific gene mutations"
symptom
waldenström macroglobulinemia
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