[Role of ASXL1 mutation in myeloid malignancies].

Zhongguo Shi Yan Xue Ye Xue Za Zhi

State Key Laboratory of Experimental Hematology, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. E-mail:

Published: August 2014

AI Article Synopsis

  • ASXL1 is a gene that helps regulate other important genes involved in blood cell development and is associated with several myeloid cancers.
  • Mutations in ASXL1 have been found in various blood disorders, particularly in chronic myelomonocytic leukemia (CMML) and myelodysplastic syndrome (MDS).
  • The article examines how ASXL1 mutations affect cancer development and their significance in diagnosis and treatment, while highlighting that the exact role of ASXL1 in these diseases and normal blood cell formation is still not fully understood.

Article Abstract

Additional sex comb-like 1 ( ASXL1) is an enhancer of Trithorax and Polycomb family, which are necessary for the maintenance of stable repression of homeotic and other loci. Recently, alterations of ASXL1 gene were identified in the hematopoietic cells from patients with a variety of myeloid malignancies, including chronic myelomonocytic leukemia (CMML, 43% of cases), myelodysplastic syndrome (MDS, 20%), myeloproliferative neoplasms (MPN, 10%) and acute myeloid leukemia (AML, 20%). The majority of ASXL1 mutations are frameshift and nonsense mutations. These clinical data suggest an important role of ASXL1 in the pathogenesis and/or transformation of myeloid malignancies. However, the role of ASXL1 in the pathogenesis of myeloid malignancies and in normal hematopoiesis in vivo, as well as the underlying mechanisms remains unknown. This article reviews the structure and function of ASXL1, the clinical characteristic and prognostic significance of ASXL1 mutation, the association of ASXL1 with other gene mutation, as well as ASXL1 knock-down or silence in vitro and in vivo models.

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http://dx.doi.org/10.7534/j.issn.1009-2137.2014.04.057DOI Listing

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