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Navigating prognostic stratification and approach to TP53 -mutated myeloid neoplasms.

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Current opinion in hematology 2026 Vol.33(2) p. 51-57
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Badar T, Tefferi A, Gangat N

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[PURPOSE OF REVIEW] TP53- mutated ( TP53 -MT) myeloid neoplasms (MN) represent one of the most challenging disease subsets due to their distinct pathobiology, frequent association with therapy-related

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APA Badar T, Tefferi A, Gangat N (2026). Navigating prognostic stratification and approach to TP53 -mutated myeloid neoplasms.. Current opinion in hematology, 33(2), 51-57. https://doi.org/10.1097/MOH.0000000000000906
MLA Badar T, et al.. "Navigating prognostic stratification and approach to TP53 -mutated myeloid neoplasms.." Current opinion in hematology, vol. 33, no. 2, 2026, pp. 51-57.
PMID 41496439 ↗

Abstract

[PURPOSE OF REVIEW] TP53- mutated ( TP53 -MT) myeloid neoplasms (MN) represent one of the most challenging disease subsets due to their distinct pathobiology, frequent association with therapy-related disease, chemo-resistant phenotype, and dismal outcomes. The prognostic impact of TP53 -MT is not uniform and is influenced by disease state, allelic burden, and co-occurring cytogenetic and molecular aberrations that shape disease trajectory. While current prognostic models incorporate TP53 status, they incompletely capture the heterogeneity within TP53 -MT MN. Therapeutic options remain limited, with allogeneic stem cell transplantation being the only intervention offering long-term survival in selected patients.

[RECENT FINDINGS] Novel approaches, including p53 reactivators and anti-CD47 antibodies in combination with standard-of-care therapies, have been explored; however, none has yet transformed the natural history of TP53 -MT MN.

[SUMMARY] This review highlights the current understanding of TP53 -MT MN, evolving strategies of prognostic stratification and propose a practical framework for clinical management. We further discuss the critical unmet need for collaborative, biologically informed clinical trials to improve outcomes of this challenging disease entity.

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