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Insights into the biological features and improved diagnostics of adult acute myeloid leukemia via fusion genes identified through targeted next-generation sequencing.

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Cancer pathogenesis and therapy 📖 저널 OA 100% 2025: 5/5 OA 2026: 16/16 OA 2025~2026 2026 Vol.4(1) p. 64-71
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Guan W, Wang K, Shao Y, Zhou L, Wang N, Zhou W, Wang M, Wang L, Jing Y, Li Y, Liu D, Yu L

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[BACKGROUND] Fusion genes play a crucial role in the pathogenesis of acute myeloid leukemia (AML).

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APA Guan W, Wang K, et al. (2026). Insights into the biological features and improved diagnostics of adult acute myeloid leukemia via fusion genes identified through targeted next-generation sequencing.. Cancer pathogenesis and therapy, 4(1), 64-71. https://doi.org/10.1016/j.cpt.2025.06.003
MLA Guan W, et al.. "Insights into the biological features and improved diagnostics of adult acute myeloid leukemia via fusion genes identified through targeted next-generation sequencing.." Cancer pathogenesis and therapy, vol. 4, no. 1, 2026, pp. 64-71.
PMID 41446535 ↗

Abstract

[BACKGROUND] Fusion genes play a crucial role in the pathogenesis of acute myeloid leukemia (AML). This study investigated the utility of targeted next-generation sequencing (NGS) of RNA for detecting rare and unknown fusion genes in patients with AML.

[METHODS] A total of 85 adult AML samples previously identified as fusion gene-negative by multiplex nested reverse transcription-polymerase chain reaction (RT-PCR) were subjected to NGS analysis.

[RESULTS] Fusion genes were detected in 21 of 72 (29.2%) patients. Among the 26 primary refractory patients, 11 (42.3%) exhibited fusion genes, whereas among the 18 relapsed patients, fusion genes were identified in five (27.8%). Notably, and rearrangements were enriched in refractory/relapsed patients. Additionally, recurrent fusion transcripts involving were observed. The identification of additional fusion genes resulted in an approximate 20.8% (11/53) reclassification of medium-risk karyotypes to the high-risk category, thereby enhancing diagnostic accuracy.

[CONCLUSIONS] Targeted NGS may complement conventional methods for identifying novel fusions in refractory/relapsed AML; however, its prognostic utility requires verification in controlled trials.

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