The Molecular Pathology of Myelodysplastic Syndrome

Pathobiology. 2019;86(1):24-29. doi: 10.1159/000488712. Epub 2018 May 23.

Abstract

The diagnosis and classification of myelodysplastic syndromes (MDS) are based on cytomorphology and cytogenetics (WHO classification). Prognosis is best defined by the Revised International Prognostic Scoring System (IPSS-R). In recent years, an increasing number of molecular aberrations have been discovered. They are already included in the classification (e.g., SF3B1) and, more importantly, have emerged as valuable markers for better classification, particularly for defining risk groups. Mutations in genes such as SF3B1 and IDH1/2 have already had an impact on targeted treatment approaches in MDS.

Keywords: Cytopenia; Molecular pathology; Myelodysplastic syndrome.

Publication types

  • Review

MeSH terms

  • Biomarkers / analysis
  • Humans
  • Isocitrate Dehydrogenase / genetics
  • Mutation
  • Myelodysplastic Syndromes / classification
  • Myelodysplastic Syndromes / diagnosis
  • Myelodysplastic Syndromes / genetics*
  • Myelodysplastic Syndromes / pathology
  • Pathology, Molecular*
  • Phosphoproteins / genetics
  • Prognosis
  • RNA Splicing Factors / genetics

Substances

  • Biomarkers
  • Phosphoproteins
  • RNA Splicing Factors
  • SF3B1 protein, human
  • IDH2 protein, human
  • Isocitrate Dehydrogenase
  • IDH1 protein, human