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HAEMATOLOGICAL CANCER

Next-generation sequencing for measuring minimal residual disease in AML

The prognostic significance of residual disease, measured by flow cytometry or PCR-based assays, has been established in patients with acute myeloid leukaemia (AML). The results of a recent study involving almost 500 patients in morphological remission demonstrate that detection of persistent mutations using next-generation sequencing provides information complementary to that obtained using the established methods and offer insights into AML evolution.

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References

  1. Hourigan, C. S. et al. Measurable residual disease testing in acute myeloid leukaemia. Leukemia 31, 1482–1490 (2017).

    Article  CAS  Google Scholar 

  2. Döhner, H., Weisdorf, D. J. & Bloomfield, C. D. Acute myeloid leukemia. N. Engl. J. Med. 373, 1136–1152 (2015).

    Article  Google Scholar 

  3. Döhner, H. et al. Diagnosis and management of AML in adults: 2017 ELN recommendations from an international expert panel. Blood 129, 424–447 (2017).

    Article  Google Scholar 

  4. Klco, J. M. et al. Association between mutation clearance after induction therapy and outcomes in acute myeloid leukemia. JAMA 314, 811–822 (2015).

    Article  CAS  Google Scholar 

  5. Getta, B. M. et al. Multicolor flow cytometry and multigene next-generation sequencing are complementary and highly predictive for relapse in acute myeloid leukemia after allogeneic transplantation. Biol. Blood Marrow Transplant. 23, 1064–1071 (2017).

    Article  CAS  Google Scholar 

  6. Jongen-Lavrencic, M. et al. Molecular minimal residual disease in acute myeloid leukemia. N. Engl. J. Med. 378, 1189–1199 (2018).

    Article  CAS  Google Scholar 

  7. Steensma, D. P. et al. Clonal hematopoiesis of indeterminate potential and its distinction from myelodysplastic syndromes. Blood 126, 9–16 (2015).

    Article  CAS  Google Scholar 

  8. Kayser, S. et al. Minimal residual disease-directed therapy in acute myeloid leukemia. Blood 125, 2331–2335 (2015).

    Article  CAS  Google Scholar 

  9. Salk, J. J., Schmitt, M. W. & Loeb, L. A. Enhancing the accuracy of next-generation sequencing for detecting rare and subclonal mutations. Nat. Rev. Genet. 19, 269–285 (2018).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

R.B.W. acknowledges funding support from the Leukemia & Lymphoma Society as a Scholar in Clinical Research. F.R.A. acknowledges funding support from the US NIH (grants P01 CA18029 and P30 CA15704).

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Correspondence to Frederick R. Appelbaum.

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Walter, R.B., Appelbaum, F.R. Next-generation sequencing for measuring minimal residual disease in AML. Nat Rev Clin Oncol 15, 473–474 (2018). https://doi.org/10.1038/s41571-018-0040-0

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