KEGG   DISEASE: 骨髄異形成症候群
エントリ  
H01481                                                             
名称    
骨髄異形成症候群
  下位グループ
5q- 症候群 [DS:H01484]
概要    
Myelodysplastic syndrome (MDS) is a heterogeneous group of clonal hematologic stem cell disorders characterized by ineffective hematopoiesis resulting in low blood counts, and a risk of progression to acute myeloid leukemia. Currently, there are a few FDA-approved drugs for treatment of MDS none of which are curative. Allogeneic stem cell transplantation (ASCT) is the only curative therapy. But many MDS patients have been ineligible for transplants, since the median age at diagnosis for MDS is 75 years. Sequencing of MDS genomes has identified mutations in genes implicated in RNA splicing, DNA modification, chromatin regulation, and cell signaling.
カテゴリ  
血液疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 02 腫瘍
  造血またはリンパ組織の腫瘍
   骨髄異形成症候群
    2A36  単独のdel(5q)を伴う骨髄異形成症候群
     H01481  骨髄異形成症候群
    2A37  骨髄異形成症候群, 分類不能
     H01481  骨髄異形成症候群
    2A3Z  骨髄異形成症候群, 詳細不明
     H01481  骨髄異形成症候群
パスウェイに基づく疾患分類 [BR:jp08402]
 細胞プロセス
  nt06523  ポリコーム複合体によるエピジェネティック制御
   H01481  骨髄異形成症候群
パスウェイ 
hsa03040  Spliceosome
hsa04550  Signaling pathways regulating pluripotency of stem cells
ネットワーク
nt06523 Epigenetic regulation by Polycomb complexes
病因遺伝子 
TET2 [HSA:54790] [KO:K24309]
ASXL1 [HSA:171023] [KO:K11471]
GATA2 [HSA:2624] [KO:K17894]
SF3B1 [HSA:23451] [KO:K12828]
GNB1 [HSA:2782] [KO:K04536]
治療薬   
ルスパテルセプト [DR:D11701]
ダルベポエチンアルファ [DR:D03651]
シクロホスファミド水和物 [DR:D00287]
シタラビンオクホスファート水和物 [DR:D03046]
フルダラビンリン酸エステル [DR:D01907]
アザシチジン [DR:D03021]
リンク   
ICD-11: 2A36 2A37 2A3Z
ICD-10: D46
MeSH: D009190
OMIM: 614286
文献    
  著者
Gangat N, Patnaik MM, Tefferi A
  タイトル
Myelodysplastic syndromes: Contemporary review and how we treat.
  雑誌
Am J Hematol 91:76-89 (2016)
DOI:10.1002/ajh.24253
文献    
  著者
Jang JH, Harada H, Shibayama H, Shimazaki R, Kim HJ, Sawada K, Mitani K
  タイトル
A randomized controlled trial comparing darbepoetin alfa doses in red blood cell transfusion-dependent patients with low- or intermediate-1 risk myelodysplastic syndromes.
  雑誌
Int J Hematol 102:401-12 (2015)
DOI:10.1007/s12185-015-1862-5
文献    
  著者
Thol F, Kade S, Schlarmann C, Loffeld P, Morgan M, Krauter J, Wlodarski MW, Kolking B, Wichmann M, Gorlich K, Gohring G, Bug G, Ottmann O, Niemeyer CM, Hofmann WK, Schlegelberger B, Ganser A, Heuser M
  タイトル
Frequency and prognostic impact of mutations in SRSF2, U2AF1, and ZRSR2 in patients with myelodysplastic syndromes.
  雑誌
Blood 119:3578-84 (2012)
DOI:10.1182/blood-2011-12-399337
文献    
  著者
Cazzola M, Della Porta MG, Malcovati L
  タイトル
The genetic basis of myelodysplasia and its clinical relevance.
  雑誌
Blood 122:4021-34 (2013)
DOI:10.1182/blood-2013-09-381665
LinkDB    

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