Case Report of a DDX41 Germline Mutation in a Family with Multiple Relatives Suffering from Leukemia

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@article{8f2a9045d5074e9693da8281f3de401b,
title = "Case Report of a DDX41 Germline Mutation in a Family with Multiple Relatives Suffering from Leukemia",
abstract = "INTRODUCTION: Previously, it was assumed that genetic influence played a minor role in acute myeloid leukemia (AML). Increasing evidence of germline mutations has emerged, such as DDX41 germline mutation associated with familial AML.CASE PRESENTATION: A 64-year-old male patient presented with reduced exercise tolerance and shortness of breath. Following confirmation of AML diagnosis, the patient was enrolled into the AMLSG-30-18 study with a requirement for allogenic stem cell transplantation. The sister was initially selected as a fully HLA-matched donor. However, the family history showed risks for familial AML. Due to the striking family history, further diagnostic steps were initiated to detect a germline mutation.METHODS: Using NGS in the patients' bone marrow AML sample, a DDX41 mutation with a VAF of 49% was detected, raising the possibility of a germline mutation. DNA from cheek swabs and eyebrows were tested for the presence of the DDX41 mutation in all siblings.RESULTS: DDX41 germline mutation was detected in 5 out of 6 siblings. The sister was excluded as a related donor and the search for an unrelated donor was initiated.CONCLUSION: Obtaining family history of cancer patients plays a crucial role in oncology. If a germline mutation is suspected, further family work-up should be initiated.",
author = "Wagner, {Jan Nicolai} and Maximilian Al-Bazaz and Anika Forstreuter and Hammada, {Mohammad Ibrahim} and Jurek Hille and Dzhoy Papingi and Carsten Bokemeyer and Walter Fiedler",
year = "2023",
month = dec,
day = "27",
doi = "10.3390/biomedicines12010064",
language = "English",
volume = "12",
journal = "BIOMEDICINES",
issn = "2227-9059",
publisher = "MDPI AG",
number = "1",

}

RIS

TY - JOUR

T1 - Case Report of a DDX41 Germline Mutation in a Family with Multiple Relatives Suffering from Leukemia

AU - Wagner, Jan Nicolai

AU - Al-Bazaz, Maximilian

AU - Forstreuter, Anika

AU - Hammada, Mohammad Ibrahim

AU - Hille, Jurek

AU - Papingi, Dzhoy

AU - Bokemeyer, Carsten

AU - Fiedler, Walter

PY - 2023/12/27

Y1 - 2023/12/27

N2 - INTRODUCTION: Previously, it was assumed that genetic influence played a minor role in acute myeloid leukemia (AML). Increasing evidence of germline mutations has emerged, such as DDX41 germline mutation associated with familial AML.CASE PRESENTATION: A 64-year-old male patient presented with reduced exercise tolerance and shortness of breath. Following confirmation of AML diagnosis, the patient was enrolled into the AMLSG-30-18 study with a requirement for allogenic stem cell transplantation. The sister was initially selected as a fully HLA-matched donor. However, the family history showed risks for familial AML. Due to the striking family history, further diagnostic steps were initiated to detect a germline mutation.METHODS: Using NGS in the patients' bone marrow AML sample, a DDX41 mutation with a VAF of 49% was detected, raising the possibility of a germline mutation. DNA from cheek swabs and eyebrows were tested for the presence of the DDX41 mutation in all siblings.RESULTS: DDX41 germline mutation was detected in 5 out of 6 siblings. The sister was excluded as a related donor and the search for an unrelated donor was initiated.CONCLUSION: Obtaining family history of cancer patients plays a crucial role in oncology. If a germline mutation is suspected, further family work-up should be initiated.

AB - INTRODUCTION: Previously, it was assumed that genetic influence played a minor role in acute myeloid leukemia (AML). Increasing evidence of germline mutations has emerged, such as DDX41 germline mutation associated with familial AML.CASE PRESENTATION: A 64-year-old male patient presented with reduced exercise tolerance and shortness of breath. Following confirmation of AML diagnosis, the patient was enrolled into the AMLSG-30-18 study with a requirement for allogenic stem cell transplantation. The sister was initially selected as a fully HLA-matched donor. However, the family history showed risks for familial AML. Due to the striking family history, further diagnostic steps were initiated to detect a germline mutation.METHODS: Using NGS in the patients' bone marrow AML sample, a DDX41 mutation with a VAF of 49% was detected, raising the possibility of a germline mutation. DNA from cheek swabs and eyebrows were tested for the presence of the DDX41 mutation in all siblings.RESULTS: DDX41 germline mutation was detected in 5 out of 6 siblings. The sister was excluded as a related donor and the search for an unrelated donor was initiated.CONCLUSION: Obtaining family history of cancer patients plays a crucial role in oncology. If a germline mutation is suspected, further family work-up should be initiated.

U2 - 10.3390/biomedicines12010064

DO - 10.3390/biomedicines12010064

M3 - Case report

C2 - 38255170

VL - 12

JO - BIOMEDICINES

JF - BIOMEDICINES

SN - 2227-9059

IS - 1

M1 - 64

ER -