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Mechanisms for effectiveness of hypo-methylating agent for TP53-mutated MDS

Research Project

Project/Area Number 18H02836
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 54010:Hematology and medical oncology-related
Research InstitutionKyoto University

Principal Investigator

Nannya Yasuhito  京都大学, 医学研究科, 特定教授 (60451811)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2020: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2019: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2018: ¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Keywords骨髄異形成症候群 / 脱メチル化剤 / 有効性マーカー / TP53 / MDS / アザシチジン / 有効性メカニズム / TP53
Outline of Final Research Achievements

TP53 mutated myelodysplastic syndromes are extremely refractory and there is still no effective treatment. Recently, the demethylating agent, azacitidine, has been reported to have a high remission rate, but many cases eventually relapse. In this study, we showed that TP53 mutated MDS cases have very different biological features and clinical significance depending on allele status (whether one or both of the two human genes are altered), and should be considered as distinct conditions. Furthermore, we examined the size of the mutant cell population (clone) before and after azacitidine treatment, and showed that it is important to examine the type of mutation and its size after treatment in order to understand the pathogenesis and predict prognosis.

Academic Significance and Societal Importance of the Research Achievements

TP53変異陽性骨髄異形成症候群をアレルの状態によって区別することで、予後予測が最適化され、移植適応などの治療方針も変化する。アザシチジン治療前後の変異パターンとその大きさを計測することで、病態の把握が正確になり、長期予後予測の精度が高まる。特に治療後クローン性造血がみられるという知見は、治療後残存クローンの正しい解釈に重要である。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (13 results)

All 2021 2020 2019 2018

All Journal Article (2 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (11 results) (of which Int'l Joint Research: 3 results,  Invited: 3 results)

  • [Journal Article] Absence of a common founder mutation in patients with cooccurring myelodysplastic syndrome and plasma cell disorder2021

    • Author(s)
      Klimkowska Monika、Nannya Yasuhito、Gran Charlotte、M?nsson Robert、Douagi Iyadh、Ogawa Seishi、Nahi Hareth、Tobiasson Magnus
    • Journal Title

      Blood

      Volume: 137 Issue: 9 Pages: 1260-1263

    • DOI

      10.1182/blood.2020007555

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Implications of TP53 allelic state for genome stability, clinical presentation and outcomes in myelodysplastic syndromes2020

    • Author(s)
      Bernard E, Nannya Y, Hasserjian RP, Ogawa S, Papaemmanuil E
    • Journal Title

      Nat Med

      Volume: 26(10) Issue: 10 Pages: 1549-1556

    • DOI

      10.1038/s41591-020-1008-z

    • Related Report
      2020 Annual Research Report 2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] The role of germline and somatic DDX41 mutations on myeloid malignancies2020

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      第79回日本癌学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] The role of germline and somatic DDX41 mutations on myeloid malignancies2020

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      第82回日本血液学会学術集会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Molecular characteristics that predict response to azacitidine therapy2019

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      第61回米国血液学会
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Molecular characteristics that predict response to azacitidine therapy2019

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      MDS symposium 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Novel classification of genetic events and subtypes in myeloid tumors revealed by Integrated omics analysis2019

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      第78回日本癌学会総会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Novel combinations of genetic events and subtypes in myeloid tumors revealed by Integrated analysis2019

    • Author(s)
      Yasuhito Nannya et., al
    • Organizer
      第81回日本血液学会学術集会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Comprehensive analysis for genetic factors predictive of azacitidine treatment for MDS.2018

    • Author(s)
      Yasuhito Nannya, et.,al
    • Organizer
      77th Anulal Meeeting of the Japanese Cancer Association
    • Related Report
      2018 Annual Research Report
  • [Presentation] Impact of genetic alterations on transplant outcomes for MDS2018

    • Author(s)
      Yasuhito Nannya
    • Organizer
      The 40th Japan Society of Hematopoietic Cell Transplantation
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 高リスクMDSの新規治療について2018

    • Author(s)
      南谷泰仁
    • Organizer
      The 80th Annual Meeting of the Japanese Society of Hematology
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Comprehensive analysis for genetic factors predictive of azacitidine treatment for MDS.2018

    • Author(s)
      Yasuhito Nannya, et.,al
    • Organizer
      The 80th Annual Meeting of the Japanese Society of Hematology
    • Related Report
      2018 Annual Research Report
  • [Presentation] Genome-wide analysis of non-coding alterations in pan-myeloid cancers using whole genome sequencing.2018

    • Author(s)
      Yasuhito Nannya, et.,al
    • Organizer
      60th American Society of Hematology Annual Meeting
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2022-01-27  

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