Inherited and Somatic Defects in DDX41 in Myeloid Neoplasms
- Cancer Cell. 2015 May 11;27(5):658-70. doi: 10.1016/j.ccell.2015.03.017.
- 1. Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland, OH 44195, USA; Department of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
- 2. Department of Hematology and Oncology, University of Halle, Halle 06108, Germany; Department of Hematology and Oncology, University of Muenster, Muenster 48149, Germany.
- 3. Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland, OH 44195, USA; Leukemia Program, Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH 44195, USA.
- 4. Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland, OH 44195, USA.
- 5. Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland, OH 44195, USA; First Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui, Fukui 910-8507, Japan.
- 6. Department of Molecular Genetics, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
- 7. Department of Biochemistry, Case Western Reserve University, Cleveland, OH 44106, USA.
- 8. Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
- 9. Leukemia Program, Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH 44195, USA.
- 10. Department of Hematology and Oncology, University of Halle, Halle 06108, Germany.
- 11. Department of Medicine, Comprehensive Cancer Center and Center for Clinical Cancer Genetics, University of Chicago, Chicago, IL 60637, USA.
- 12. University of Colorado School of Medicine and University of Colorado Cancer Center, Aurora, CO 80045, USA.
- 13. Department of Hematology and Oncology, University of Muenster, Muenster 48149, Germany.
- 14. Institute of Medical Informatics, University of Muenster, Muenster 48149, Germany.
- 15. Human Genome Center, Institute of Medical Science, University of Tokyo, Tokyo 113-8654, Japan.
- 16. Department of Pathology and Tumor Biology, Kyoto University, Kyoto 606-8501, Japan.
- 17. Department of Hematology and Oncology, University of Halle, Halle 06108, Germany; Department of Hematology and Oncology, University of Muenster, Muenster 48149, Germany. Electronic address: [email protected].
- 18. Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland, OH 44195, USA; Leukemia Program, Cleveland Clinic, Taussig Cancer Institute, Cleveland, OH 44195, USA. Electronic address: [email protected].
Most cases of adult myeloid neoplasms are routinely assumed to be sporadic. Here, we describe an adult familial acute myeloid leukemia (AML) syndrome caused by germline mutations in the DEAD/H-box helicase gene DDX41. DDX41 was also found to be affected by somatic mutations in sporadic cases of myeloid neoplasms as well as in a biallelic fashion in 50% of patients with germline DDX41 mutations. Moreover, corresponding deletions on 5q35.3 present in 6% of cases led to haploinsufficient DDX41 expression. DDX41 lesions caused altered pre-mRNA splicing and RNA processing. DDX41 is exemplary of Other RNA helicase genes also affected by somatic mutations, suggesting that they constitute a family of tumor suppressor genes.