Sickle cell disease and acute leukemia: one case report and an extensive review.


Journal

Annals of hematology
ISSN: 1432-0584
Titre abrégé: Ann Hematol
Pays: Germany
ID NLM: 9107334

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 20 03 2023
accepted: 22 05 2023
medline: 14 6 2023
pubmed: 3 6 2023
entrez: 3 6 2023
Statut: ppublish

Résumé

Population-based studies and case reports suggest that there may be an increased risk of acute leukemia associated with sickle cell disease (SCD). Following the description of a new case report, an extensive review of the literature identified 51 previously described cases. Most cases study showed myelodysplastic features confirmed, when available, by genetic markers such as chromosome 5 and/or chromosome 7 abnormalities and TP53 gene mutations. The increased risk of leukemogenesis is certainly multifactorial and related to the pathophysiologic mechanisms of the clinical manifestations of SCD. Chronic hemolysis and secondary hemochromatosis may cause increased chronic inflammation, resulting in persistent marrow stress, which could potentially compromise the genomic stability of the hematopoietic stem cells generating genomic damage and somatic mutations over the course of SCD and its treatment, resulting in a clone that led to acute myeloid leukemia.

Identifiants

pubmed: 37269388
doi: 10.1007/s00277-023-05294-3
pii: 10.1007/s00277-023-05294-3
pmc: PMC10239223
doi:

Types de publication

Review Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1657-1667

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Giovanna Cannas (G)

Internal Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, 5, place d'Arsonval, Lyon cedex 03, 69437, Lyon, France. giovanna.cannas@chu-lyon.fr.
Constitutive reference center: Major sickle cell syndromes, thalassemias and other rare pathologies of red blood cell and erythropoiesis, Edouard Herriot Hospital, Lyon, France. giovanna.cannas@chu-lyon.fr.

Solène Poutrel (S)

Internal Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, 5, place d'Arsonval, Lyon cedex 03, 69437, Lyon, France.
Constitutive reference center: Major sickle cell syndromes, thalassemias and other rare pathologies of red blood cell and erythropoiesis, Edouard Herriot Hospital, Lyon, France.

Maël Heiblig (M)

Hematology, Hospices Civils de Lyon, Lyon-Sud Hospital, Pierre-Bénite, France.

Hélène Labussière (H)

Hematology, Hospices Civils de Lyon, Lyon-Sud Hospital, Pierre-Bénite, France.

Marie-Virginie Larcher (MV)

Hematology, Hospices Civils de Lyon, Lyon-Sud Hospital, Pierre-Bénite, France.

Xavier Thomas (X)

Constitutive reference center: Major sickle cell syndromes, thalassemias and other rare pathologies of red blood cell and erythropoiesis, Edouard Herriot Hospital, Lyon, France.

Arnaud Hot (A)

Internal Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, 5, place d'Arsonval, Lyon cedex 03, 69437, Lyon, France.
Constitutive reference center: Major sickle cell syndromes, thalassemias and other rare pathologies of red blood cell and erythropoiesis, Edouard Herriot Hospital, Lyon, France.

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