The new genetics of chronic neutrophilic leukemia and atypical CML: implications for diagnosis and treatment

Blood. 2013 Sep 5;122(10):1707-11. doi: 10.1182/blood-2013-05-500959. Epub 2013 Jul 29.

Abstract

Although activation of tyrosine kinase pathways is a shared theme among myeloproliferative neoplasms, the pathogenetic basis of chronic neutrophilic leukemia (CNL) has remained elusive. Recently, we identified high-frequency oncogenic mutations in the granulocyte-colony stimulating factor receptor (CSF3R) in CNL and in some patients with atypical chronic myeloid leukemia. Inhibition of Janus kinase 2 or SRC kinase signaling downstream of mutated CSF3R is feasible and should be explored therapeutically. Herein, we discuss the potential impact of these findings for the classification and treatment of these disorders.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative / diagnosis*
  • Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative / genetics*
  • Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative / pathology
  • Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative / therapy
  • Leukemia, Neutrophilic, Chronic / diagnosis*
  • Leukemia, Neutrophilic, Chronic / genetics*
  • Leukemia, Neutrophilic, Chronic / pathology
  • Leukemia, Neutrophilic, Chronic / therapy
  • Mutation / genetics
  • Nuclear Proteins / genetics
  • Receptors, Granulocyte Colony-Stimulating Factor / genetics

Substances

  • Nuclear Proteins
  • Receptors, Granulocyte Colony-Stimulating Factor