scholarly journals Can we consider discontinuation of hypomethylating agents in patients with myelodysplastic syndrome : a retrospective study from The Korean Society of Hematology AML/MDS Working Party

Oncotarget ◽  
2017 ◽  
Vol 8 (45) ◽  
pp. 79414-79424
Author(s):  
Da Jung Kim ◽  
Ho Sup Lee ◽  
Joon-Ho Moon ◽  
Sang Kyun Sohn ◽  
Hyeoung Joon Kim ◽  
...  
2020 ◽  
Author(s):  
Yao-Chung Liu ◽  
Emiliano Fabiani ◽  
Junsu Kwon ◽  
Chong Gao ◽  
Giulia Falconi ◽  
...  

While hypomethylating agents (HMA) are currently used to treat myelodysplastic syndrome (MDS) patients, their effects on reactivation and/or upregulation of oncogenes have not been previously described. SALL4 is a known oncogene that plays an important role in MDS. In this study, we examined the relationship between SALL4 methylation and expression, and evaluated changes of SALL4 expression and their prognostic value in MDS patients undergoing HMA treatment. In no/low-SALL4 expressing leukemic cell lines, we identified that demethylation of a critical CpG region was associated with increased SALL4 expression, and HMA treatment led to demethylation of this region and upregulation of SALL4. In MDS patients, we observed SALL4 upregulation after four cycles of azacytidine (AZA) treatment in 40% of the cases. Significantly, patients in the responder group with SALL4 upregulation had the worst outcome. This is the first study focusing on demethylation and upregulation of an oncogene after HMA treatment. Our data indicate that MDS patients receiving HMA treatment should be monitored for upregulation of oncogenes such as SALL4 for poor outcome.


2013 ◽  
Vol 48 (3) ◽  
pp. 211 ◽  
Author(s):  
Eun Sil Park ◽  
Hye Lim Jung ◽  
Hee-Jin Kim ◽  
Sung Sup Park ◽  
Soon Hwan Bae ◽  
...  

2019 ◽  
Vol 54 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Young Kyung Lee ◽  
Hee-Jin Kim ◽  
Kyunghoon Lee ◽  
Sang Hyuk Park ◽  
Sang Hoon Song ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document