Article
Patterns of somatic mutations in VH genes reveal pathways of clonal transformation from MGUS to multiple myeloma.
Blood - 15 May 2003
Zojer Niklas, Ludwig Heinz, Fiegl Michael, Stevenson Freda K, Sahota Surinder S
Abstract excerpt
Monoclonal gammopathy of undetermined significance (MGUS) can transform to multiple myeloma (MM). In myeloma, mutated V(H) genes with sequence homogeneity reveal a postfollicular origin. Previously, some MGUS cases showed mutated V(H) genes with intraclonal variation, indicating an earlier stage of arrest. We investigated progression from 2 of 2 MGUS to MM, in which V(H) genes confirmed clonal evolution. In one...
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