Article
Trisomy 8 clonal expansion during disease progression and azacitidine resistance in VEXAS syndrome: a case report.
Frontiers in immunology - 1 Jan 2026
Sato Keijiro, Zaimoku Yoshitaka, Kano Yui, Kobayashi Miku, Kazama Shintaro, Morikawa Takahiro, Kazumoto Hiroko, Ishii Wataru, Ueki Toshimitsu, Sumi Masahiko, Kobayashi Hikaru, Nannya Yasuhito, Ogawa Seishi, Ichikawa Naoaki
Abstract excerpt
Background: Vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) syndrome is an adult-onset autoinflammatory disorder driven by clonal hematopoiesis with somatic UBA1 mutations. Azacitidine can reduce the mutant clonal burden and improve inflammatory manifestations. However, the clonal basis of treatment resistance remains poorly understood. Case presentation: A 61-year-old man presented with...
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