Integrated genomic and transcriptomic analysis improves disease classification and risk stratification of MDS with ring sideroblasts
Citation and access
Citation and access
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Creator/Principal investigator(s):
Research principal:
Data contains personal data:
Yes
Type of personal data:
Genetic and health information
Code key exists:
Yes
Sensitive personal data:
Yes
Citation:
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Method and outcome
Method and outcome
Population:
Patients with Myelodysplastic neoplasms with ring sideroblasts (MDS-RS)
Study design:
- Observational study
Description of sampling:
We studied 129 MDS patients with ring sideroblasts within a population of 834 myeloid neoplasms evaluated at Karolinska University Hospital in Stockholm between February 2004 and August 2020. CD34+ cells were isolated from the MNC using AUTO-MACS with double-separation option (Miltenyi Biotec, Germany) and submitted for RNA extraction for all cases and controls. The RNA-sequencing (RNA-seq) libraries were prepared from total RNA using SMARTer Stranded Total RNA-Seq Kit v2 Pico Input Mammalian with enzymatic ribosomal depletion (Takara Bio, Japan). Libraries were sequenced using the Novaseq 6000 with paired-end 150bp configuration.
Time period(s) investigated:
Number of individuals/objects:
129
Samples/material - Existing from scientific collection/biobank
Samples/material - Existing from scientific collection/biobank
Name:
Type(s) of sample:
Geographic coverage
Geographic coverage
Geographic location:
Administrative information
Administrative information
Responsible department/unit:
Department of Medicine, Huddinge [H7]
Ethics Review:
Stockholm - 2017/1090-31/4
Funding
Funding
Funding agency:
- Swedish Research Council
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Award number:
2021-01404_VR
Award title:
Disease mechanisms and targeted treatment in myelodysplastic syndromes
Funding information:
This translational research program aims at improving outcome for patients with myelodysplastic syndromes (MDS) by unravelling cellular and molecular mechanisms underlying disease features and response to treatment. Using a world-unique database of clinically annotated MDS patients who have undergone targeted DNA sequencing and RNA sequencing of CD34+ BM cells and has been complemented with comprehensive information regarding transfusion patterns and response to treatment we aim to develop novel predictive models for estimation of age-related survival loss, risk for progression, and optimal management and treatment. By using advanced culture models for human hemopoietic stem cell (HSC) biology and erythroid maturation in combination with single cell sequencing we will explore SF3B1 mutated MDS with ring sideroblasts with the aim to understand the clonal advantage of mutated over normal HSC and explore new molecular routes to prevent ineffective erythropoiesis and chronic transfusion dependency. Finally, we aim to implement and further improve recently developed methods for personalized minimal residual disease monitoring in a prospective clinical trial and thereby improve the cure rate after allogeneic stem cell transplantation in high-risk MDS. The long-term goal is to implement precision medicine in MDS in order to be able to predict and implement optimal management for each patient.
