Hematopoietic stem cell transplantation in children and adolescents with GATA2-related myelodysplastic syndrome
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Hematopoietic stem cell transplantation in children and adolescents with GATA2-related myelodysplastic syndrome. / Bortnick, Rachel; Wlodarski, Marcin; de Haas, Valerie; De Moerloose, Barbara; Dworzak, Michael; Hasle, Henrik; Masetti, Riccardo; Starý, Jan; Turkiewicz, Dominik; Ussowicz, Marek; Kozyra, Emilia; Albert, Michael; Bader, Peter; Bordon, Victoria; Cario, Gunnar; Beier, Rita; Schulte, Johannes; Bresters, Dorine; Müller, Ingo; Pichler, Herbert; Sedlacek, Petr; Sauer, Martin G; Zecca, Marco; Göhring, Gudrun; Yoshimi, Ayami; Noellke, Peter; Erlacher, Miriam; Locatelli, Franco; Niemeyer, Charlotte M; Strahm, Brigitte.
in: BONE MARROW TRANSPL, Jahrgang 56, Nr. 11, 11.2021, S. 2732-2741.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Hematopoietic stem cell transplantation in children and adolescents with GATA2-related myelodysplastic syndrome
AU - Bortnick, Rachel
AU - Wlodarski, Marcin
AU - de Haas, Valerie
AU - De Moerloose, Barbara
AU - Dworzak, Michael
AU - Hasle, Henrik
AU - Masetti, Riccardo
AU - Starý, Jan
AU - Turkiewicz, Dominik
AU - Ussowicz, Marek
AU - Kozyra, Emilia
AU - Albert, Michael
AU - Bader, Peter
AU - Bordon, Victoria
AU - Cario, Gunnar
AU - Beier, Rita
AU - Schulte, Johannes
AU - Bresters, Dorine
AU - Müller, Ingo
AU - Pichler, Herbert
AU - Sedlacek, Petr
AU - Sauer, Martin G
AU - Zecca, Marco
AU - Göhring, Gudrun
AU - Yoshimi, Ayami
AU - Noellke, Peter
AU - Erlacher, Miriam
AU - Locatelli, Franco
AU - Niemeyer, Charlotte M
AU - Strahm, Brigitte
N1 - © 2021. The Author(s).
PY - 2021/11
Y1 - 2021/11
N2 - GATA2 deficiency is a heterogeneous multi-system disorder characterized by a high risk of developing myelodysplastic syndrome (MDS) and myeloid leukemia. We analyzed the outcome of 65 patients reported to the registry of the European Working Group (EWOG) of MDS in childhood carrying a germline GATA2 mutation (GATA2mut) who had undergone hematopoietic stem cell transplantation (HSCT). At 5 years the probability of overall survival and disease-free survival (DFS) was 75% and 70%, respectively. Non-relapse mortality and relapse equally contributed to treatment failure. There was no evidence of increased incidence of graft-versus-host-disease or excessive rates of infections or organ toxicities. Advanced disease and monosomy 7 (-7) were associated with worse outcome. Patients with refractory cytopenia of childhood (RCC) and normal karyotype showed an excellent outcome (DFS 90%) compared to RCC and -7 (DFS 67%). Comparing outcome of GATA2mut with GATA2wt patients, there was no difference in DFS in patients with RCC and normal karyotype. The same was true for patients with -7 across morphological subtypes. We demonstrate that HSCT outcome is independent of GATA2 germline mutations in pediatric MDS suggesting the application of standard MDS algorithms and protocols. Our data support considering HSCT early in the course of GATA2 deficiency in young individuals.
AB - GATA2 deficiency is a heterogeneous multi-system disorder characterized by a high risk of developing myelodysplastic syndrome (MDS) and myeloid leukemia. We analyzed the outcome of 65 patients reported to the registry of the European Working Group (EWOG) of MDS in childhood carrying a germline GATA2 mutation (GATA2mut) who had undergone hematopoietic stem cell transplantation (HSCT). At 5 years the probability of overall survival and disease-free survival (DFS) was 75% and 70%, respectively. Non-relapse mortality and relapse equally contributed to treatment failure. There was no evidence of increased incidence of graft-versus-host-disease or excessive rates of infections or organ toxicities. Advanced disease and monosomy 7 (-7) were associated with worse outcome. Patients with refractory cytopenia of childhood (RCC) and normal karyotype showed an excellent outcome (DFS 90%) compared to RCC and -7 (DFS 67%). Comparing outcome of GATA2mut with GATA2wt patients, there was no difference in DFS in patients with RCC and normal karyotype. The same was true for patients with -7 across morphological subtypes. We demonstrate that HSCT outcome is independent of GATA2 germline mutations in pediatric MDS suggesting the application of standard MDS algorithms and protocols. Our data support considering HSCT early in the course of GATA2 deficiency in young individuals.
U2 - 10.1038/s41409-021-01374-y
DO - 10.1038/s41409-021-01374-y
M3 - SCORING: Journal article
C2 - 34244664
VL - 56
SP - 2732
EP - 2741
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 11
ER -