Table 2.

Common genetic alterations found in malignant progression of GATA2 deficiency

StudyKaryotype Cytogenetics
preleukemic
MDS/AMLGeneMutations
preleukemic, 
MDS/AML
McReynolds et al31  Trisomy 8 8% 36% ASXL1 23% 27% 
    STAG2 ND 27% 
    MLL ND 18% 
West et al32  Trisomy 8 ND 43% ASXL1 11% 16% 
 Monosomy 7 2% 18% STAG2 21% 31% 
 Der(1;7) 2% 8% DNMT3A 9% 10% 
Largeaud et al38  Monosomy 7 22% 47% SETBP1 5% 42% 
 Trisomy 8 27% 11% STAG2 37% 16% 
 Der(1;7) 8% 11% ASXL1 19% 32% 
    RUNX1 2% 21% 
    RAS§  ND 26% 
StudyKaryotype Cytogenetics
preleukemic
MDS/AMLGeneMutations
preleukemic, 
MDS/AML
McReynolds et al31  Trisomy 8 8% 36% ASXL1 23% 27% 
    STAG2 ND 27% 
    MLL ND 18% 
West et al32  Trisomy 8 ND 43% ASXL1 11% 16% 
 Monosomy 7 2% 18% STAG2 21% 31% 
 Der(1;7) 2% 8% DNMT3A 9% 10% 
Largeaud et al38  Monosomy 7 22% 47% SETBP1 5% 42% 
 Trisomy 8 27% 11% STAG2 37% 16% 
 Der(1;7) 8% 11% ASXL1 19% 32% 
    RUNX1 2% 21% 
    RAS§  ND 26% 

ND, not deleted.

The most common karyotypic alterations are shown.

Preleukemic includes germ line GATA2 patients without MDS/AML.

The Largeaud et al study includes patients with evidence of MDS but with <5% blasts; they are considered preleukemic here.

§

RAS pathway genes including PTPN11, NRAS, KRAS, and CBL.

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