Publications by authors named "Christine Chomienne"

Despite the advances in the understanding and treatment of myeloproliferative neoplasm (MPN), the disease remains incurable with the risk of evolution to acute myeloid leukemia or myelofibrosis (MF). Unfortunately, the evolution of the disease to MF remains poorly understood, impeding preventive and therapeutic options. Recent studies in solid tumor microenvironment and organ fibrosis have shed instrumental insights on their respective pathogenesis and drug resistance, yet such precise data are lacking in MPN.

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European cancer research stakeholders met in October 2022 in Heidelberg, Germany, at the 5 Gago conference on European Cancer Policy, to discuss the current cancer research and cancer care policy landscape in Europe. Meeting participants highlighted gaps in the existing European programmes focusing on cancer research, including Europe's Beating Cancer Plan (EBCP), the Mission on Cancer (MoC), Understanding Cancer (UNCAN.eu), and the joint action CRANE, and put forward the next priorities, in the form of the Heidelberg Manifesto for cancer research.

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The potential for the use of real-world data (RWD) to generate real-world evidence (RWE) that can inform clinical decision-making and health policy is increasingly recognized, albeit with hesitancy in some circles. If used appropriately, the rapidly expanding wealth of health data could improve healthcare research, delivery of care, and patient outcomes. However, this depends on two key factors: (1) building structures that increase the confidence and willingness of European Union (EU) citizens to permit the collection and use of their data, and (2) development of EU health policy to support and shape data collection infrastructures, methodologies, transmission, and use.

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During transformation, myelodysplastic syndromes (MDS) are characterized by reducing apoptosis of bone marrow (BM) precursors. Mouse models of high risk (HR)-MDS and acute myelogenous leukemia (AML) post-MDS using mutant NRAS and overexpression of human BCL-2, known to be poor prognostic indicators of the human diseases, were created. We have reported the efficacy of the BCL-2 inhibitor, ABT-737, on the AML post-MDS model; here, we report that this BCL-2 inhibitor also significantly extended survival of the HR-MDS mouse model, with reductions of BM blasts and lineage negative/Sca1+/KIT+ (LSK) cells.

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Article Synopsis
  • * They found that low erythropoietin levels (≤3.3 mUI/ml) and JAK2 mutations had similar positive predictive values for identifying true polycythemia, around 90% for both tests.
  • * Notably, very low erythropoietin levels (≤1.99 mUI/ml) were 100% predictive for diagnosing polycythemia vera, suggesting a need to rethink how erythropoietin is used in diagnostic criteria for this disease.
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The transcription factor promyelocytic leukemia zinc finger (PLZF) is encoded by the BTB domain-containing 16 () gene. Its repressor function regulates specific transcriptional programs. During the development of invariant NKT cells, PLZF is expressed and directs their effector program, but the detailed mechanisms underlying PLZF regulation of multistage NKT cell developmental program are not well understood.

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Human SETD2 is the unique histone methyltransferase that generates H3K36 trimethylation (H3K36me3), an epigenetic mark that plays a key role in normal hematopoiesis. Interestingly, recurrent inactivating mutations of SETD2 and aberrant H3K36me3 are increasingly reported to be involved in hematopoietic malignancies. Benzene (BZ) is a ubiquitous environmental pollutant and carcinogen that causes leukemia.

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Etoposide is a semi-synthetic glycoside derivative of podophyllotoxin, also known as VP-16. It is a widely used anticancer medicine in clinics. Unfortunately, high doses or long-term etoposide treatment can induce therapy-related leukemia.

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Etoposide is an extensively prescribed anticancer drug that, unfortunately, causes therapy-related leukemia. The mechanisms by which etoposide induces secondary hematopoietic malignancies are poorly documented. However, etoposide-related leukemogenesis is known to depend on oxidative metabolites of etoposide, notably etoposide quinone, that can react with protein cysteine residues such as in topoisomerases II.

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Background: Whole exome sequencing and RNA sequencing (WES/RNASeq) should now be implemented in the clinical practice in order to increase access to optimal care for cancer patients. Providing results to Tumour Boards in a relevant time frame-that is, compatible with the clinical pathway-is crucial. Assessing the feasibility of this implementation in the French care system is the primary objective of the Multipli study, as one of the four pilot projects of the national France Genomic Medicine 2025 (FGM 2025) plan.

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Article Synopsis
  • - The development of myeloproliferative neoplasms (MPNs) is linked to specific gene mutations in JAK2, MPL, or CALR, which are critical for diagnosis according to WHO standards.
  • - In a study involving 1382 patients, rare and unexpected genetic profiles emerged, leading to challenges in accurately diagnosing MPNs due to mixed mutations and the need for additional genetic testing.
  • - The findings highlight the importance of confirming mutations through direct Sanger sequencing and considering germline DNA alongside next-generation sequencing (NGS) for accurate interpretation and treatment decisions.
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  • Myeloproliferative neoplasms (MPN) increase the risk of blood clots, and pegylated-interferon alpha (IFN) and hydroxyurea (HU) are common treatments for these conditions.
  • The study examined how IFN and HU affect blood clotting markers in 85 MPN patients, finding that IFN treated patients had significantly elevated hemostatic markers compared to those not on treatment.
  • The research suggests that IFN therapy has major and reversible effects on blood coagulation in MPN patients, but further studies are needed to explore its potential link to increased clotting risks.
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Despite considerable progress, the treatment of acute leukemia continues to be a challenge for a significant majority of patients. Using a well-characterized preclinical mouse model of acute promyelocytic leukemia (APL), we evaluated here the antileukemic efficacy of RT53, an anticancer peptide with potential immunological properties. Our results indicate that RT53 possesses a direct antileukemic effect, even at a late stage.

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Juvenile myelomonocytic leukemia (JMML) is a rare aggressive myelodysplastic/myeloproliferative neoplasm of early childhood, initiated by RAS-activating mutations. Genomic analyses have recently described JMML mutational landscape; however, the nature of JMML-propagating cells (JMML-PCs) and the clonal architecture of the disease remained until now elusive. Combining genomic (exome, RNA-seq), Colony forming assay and xenograft studies, we detect the presence of JMML-PCs that faithfully reproduce JMML features including the complex/nonlinear organization of dominant/minor clones, both at diagnosis and relapse.

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Protein tyrosine phosphatase, nonreceptor type 2 (PTPN2) is mainly expressed in hematopoietic cells, where it negatively regulates growth factor and cytokine signaling. PTPN2 is an important regulator of hematopoiesis and immune/inflammatory responses, as evidenced by loss-of-function mutations of in leukemia and lymphoma and knockout mice studies. Benzene is an environmental chemical that causes hematological malignancies, and its hematotoxicity arises from its bioactivation in the bone marrow to electrophilic metabolites, notably 1,4-benzoquinone, a major hematotoxic benzene metabolite.

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Etoposide is a widely prescribed anticancer drug that is, however, associated with an increased risk of secondary leukemia. Although the molecular basis underlying the development of these leukemias remains poorly understood, increasing evidence implicates the interaction of etoposide metabolites [i.e.

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  • Polycythemia vera is primarily caused by the JAK2V617F mutation, and standard treatments include hydroxyurea and interferon-alpha.
  • A study on the drug ropeginterferon alpha-2b demonstrated its effectiveness in inhibiting the growth of JAK2-mutant cells while not affecting normal cells.
  • After one year of treatment, patients receiving ropeginterferon showed a 64% reduction in JAK2-mutated erythroid colonies, significantly higher than the 25% reduction seen with hydroxyurea, highlighting its targeted action against malignant progenitors.
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  • The JAK2 mutation is crucial for diagnosing myeloproliferative neoplasms (MPN), and while qPCR is common, this study evaluates the effectiveness of next-generation sequencing (NGS) for detecting these mutations.
  • Analysis of 427 patient DNA samples revealed strong agreement between qPCR and NGS when allelic burdens exceeded 2%, but NGS was less sensitive for lower burdens, missing some with qPCR values between 0.1 and 1%.
  • The study identified various JAK2 variants through NGS, including a specific mutation that activates the JAK/STAT pathway, highlighting NGS as a reliable method to not only confirm mutations but also discover potentially significant new variants.
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  • Thromboembolic events, which are blood clots that can cause serious complications, are a leading cause of death in patients with BCR-ABL1-negative myeloproliferative neoplasms (MPNs), but the specific mechanisms behind this are not well understood.
  • The study focuses on the JAK2 mutation, the most common genetic defect associated with MPN, and investigates how it affects endothelial cells (ECs), which line blood vessels.
  • Findings indicate that JAK2-mutated ECs display increased inflammatory and thrombotic characteristics, including higher levels of certain adhesion proteins, leading to stronger adherence of white blood cells from MPN patients to these cells.
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Natural killer cells (NK) contribute significantly to eradication of cancer cells, and there is increased interest in strategies to enhance it's efficacy. Therapeutic agents used in the treatment of cancer can impact the immune system in a quantitative and qualitative manner. In this study, we evaluated the impact of arsenic trioxide (ATO) used in the management of acute promyelocytic leukemia (APL) on NK cell reconstitution and function.

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