2018
DOI: 10.1038/s41375-017-0007-7
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ERIC recommendations for TP53 mutation analysis in chronic lymphocytic leukemia—update on methodological approaches and results interpretation

Abstract: In chronic lymphocytic leukemia (CLL), TP53 gene defects, due to deletion of the 17p13 locus and/or mutation(s) within the TP53 gene, are associated with resistance to chemoimmunotherapy and a particularly dismal clinical outcome. On these grounds, analysis of TP53 aberrations has been incorporated into routine clinical diagnostics to improve patient stratification and optimize therapeutic decisions. The predictive implications of TP53 aberrations have increasing significance in the era of novel targeted thera… Show more

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Cited by 154 publications
(198 citation statements)
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“…Whereas previous nanopore sequencing studies in CLL focussed only on the detection of SNVs 37 , we were able to identify both SNVs and indels, as well as accurately defining the IgHV region, a patient-specific locus subject to somatic hypermutation. The unrestricted read length of nanopore sequencing enabled us to sequence the full exonic region of TP53, along with full length IgHV genes, in accordance with the current ERIC guidelines for screening CLL 31,38 .…”
Section: Discussionmentioning
confidence: 99%
“…Whereas previous nanopore sequencing studies in CLL focussed only on the detection of SNVs 37 , we were able to identify both SNVs and indels, as well as accurately defining the IgHV region, a patient-specific locus subject to somatic hypermutation. The unrestricted read length of nanopore sequencing enabled us to sequence the full exonic region of TP53, along with full length IgHV genes, in accordance with the current ERIC guidelines for screening CLL 31,38 .…”
Section: Discussionmentioning
confidence: 99%
“…The clinical utility of TP53 gene analysis is indisputable (Leroy et al., ). In CLL, analysis of TP53 aberrations has been incorporated into routine clinical diagnostics to improve patient stratification and optimize therapeutic decisions (Malcikova et al., ). Other cancers such as AML will also benefit from an accurate TP53 status analysis (Döhner et al., ).…”
Section: Discussion and Future Prospectsmentioning
confidence: 99%
“…This is also true for cancer, for which it is important to rapidly detect certain Copy Number Variations (CNVs), such as the 17p deletion, a recurrent abnormality in Chronic Lymphocytic Leukemia (CLL), with major therapeutic implications. Because this acquired chromosomal abnormality directly impairs the TP53 gene [2,3], it is now recommended to test this CNV before each treatment for CLL [4]. Indeed, TP53 alterations in CLL are responsible for primary resistance to fludarabine and survival of such patients is clearly improved by new-targeted therapies, such as ibrutinib [5,6].…”
Section: Introductionmentioning
confidence: 99%