Incredibly proud of our stellar residents presenting posters and an oral presentation at the @SocietyofHemOnc annual meeting!
Congratulations to our young researchers on the important results for patients with AML and thank you @SocietyofHemOnc for the support!
@VU_LT#leusm
Great start to #SOHO2026 got to take first photo with my awesome fellow, Dr. Kate Feder presenting our experience at #MGH with ropeg. Excited to present this morning on novel therapies in ET and PV which included 2 new approved drugs! 🥳#mpnsm
TP53 mutations, by themselves, are usually insufficient to develop into AML/MDS
Classically, TP53 follows the "double-hit hypothesis" in AML/MDS: two sequential events—a point mutation in one allele followed by loss of the remaining wild-type copy—produce biallelic inactivation and drive disease evolution. However, the "multi-hit" hypothesis is too simplistic and ignores the importance of cell-extrinsic influences that affect the fitness of TP53 mutations. In some cellular contexts, cells harboring TP53 mutations are destined to remain in a truncated, low kinetic state; in others, they are favored expand at the expense of other cells.
One such context that favors the expansion of TP53 mutated cells is when a TP53 mutation event is followed by a chromosome 5q deletion. Loss of the long arm of chromosome 5 lays the clonal architecture that predisposes hematopoietic stem cells to develop complex cytogenetics and then evolve into high risk AML/MDS. In fact, del(5q) is the most common change found in over 80% of complex karyotypic AML!
When a mitotic checkpoint inhibitor is applied in a cell culture model, stem cells that carry both a 5q deletion and a TP53 mutation exhibit greater genomic instability than TP53-mutated controls. This instability generates clones with diverse chromosomal alterations, some of which confer a greater fitness advantage than others. In the bone marrow, evolution by natural selection then drives competition among these clones until a single "dominant species" emerges. That "winning" clone continues to evolve and accumulates new mutations and structural chromosomal aberrations.
Hematopoietic stem cells with a combined del(5q)-complex karyotype are theorized to have a survival advantage because of up-regulation in genetic pathways related to PTEN and cohesins. This enables aneuploid (chromosomally imbalanced) cells to stabilize chromosome pairing during cell division.
When del(5q)/complex-karyotype cells are exposed to the BCL-2 inhibitor venetoclax, resistance is facilitated by subclonal heterogeneity: the remaining smaller clones evolve into less primitive, more functional erythroid-megakaryocyte progenitors (they become less "stem cell"-like). These more mature progenitor cells have low BCL-2 expression. While initially only minor, the cells become evolutionarily selected to expand after venetoclax therapy, becoming the new dominant population in the bone marrow. To borrow a Jeff Goldblum aphorism: Life finds a way https://t.co/Azbq31u86F
@aamdsif
Cross-study analyses of the ropeginterferon alfa-2b effect on phlebotomy in low- and high-risk patients with polycythemia vera
https://t.co/lsJma4jwuY
#MPNsm@MPN_Hub
Characterisation of #TP53 mutational features and outcomes of acute myeloid leukaemia after allogeneic haematopoietic cell transplantation
https://t.co/3uocARngXj
#Leusm@BMTjournal@TheEBMT_Trainee
Incidence, prevalence, and survival outcomes of patients with myeloproliferative neoplasms in the United States: a Surveillance, Epidemiology, and End Results (SEER) database analysis, years 2000–2021
https://t.co/bGewLgHHYJ
#MPNsm@LeukemiaJnl@MPN_Hub
New publication 📝 Results from a cross-study analysis, published in Leukemia & Lymphoma, show a HIDAT regimen of ropeginterferon alfa-2b reduced annualized phlebotomy rates vs the slow titration regimen in patients with PV at Weeks 0–32 (0.37 vs 2.31 per year; p < 0.0001) and Weeks 20–32 (0.13 vs 0.60 per year; p = 0.0218).
Learn more about PV: https://t.co/5Y9t9WVsnw
#MPNsm #PolycythemiaVera #MedNews #MedEd
Anti-CCRL2 ADC shows prominent antileukemic effect in high-risk MDS/AML, including TP53-mutated in vitro and in vivo models. Anti-CCRL2 ADC demonstrates no significant toxicity against healthy hematopoietic cells and systemic toxicity in mice. Read here: https://t.co/568Ht7NbJA
Managing MPNs Through Nutrition 📷
September is Blood Cancer Awareness Month! While medical care is essential, finding practical ways to support your body can make a real difference in daily life.
In our YouTube presentation, Optimising Nutrition in MPNs, specialist dietitian Laura explains how dietary choices can help manage symptoms and lower inflammation.
Key Takeaways:
⚬ Managing Inflammation: MPN genetic mutations trigger internal inflammation. A Mediterranean-style diet filled with whole foods, healthy fats, and fewer processed meats can help lower this burden.
⚬ Preserving Muscle: Focus on body composition rather than just weight. Getting enough protein (like yogurt, nuts, seeds, or fish) supports muscle strength and energy.
⚬ Staying Hydrated: Dehydration is a surprisingly common cause of fatigue. Aiming for 30 to 35 ml of fluid per kg of body weight daily supports vascular health and energy.
⚬ Eating with a Reduced Appetite: If an enlarged spleen makes eating difficult, smaller, nutrient-dense snacks throughout the day can maintain your energy without causing discomfort.
Taking control of diet is a great way to feel empowered alongside your treatment.
📷 What daily tips or dietary changes have helped you feel better while living with an MPN?
Share your go-to advice in the comments below! 📷
#BloodCancerAwarenessMonth #MPNVoice #PolycythaemiaVera #EssentialThrombocythaemia #Myelofibrosis #MPNNutrition #LivingWellWithMPN
New publication 📝 The 2025 ONKOPEDIA guideline, published in @IntJCanc, provides updated recommendations for myelofibrosis (MF), including molecularly informed risk scoring, JAKi selection, and early referral for transplantation.
Learn more about MF: https://t.co/OaRCvhRe89
#Myelofibrosis #MPNsm #MedNews #MedEd