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Mast cell disease associated with acute myeloid leukemia: Detection of a new c-kit mutation Asp816His

✍ Scribed by Vinod A. Pullarkat; Sheeja T. Pullarkat; David C. Calverley; Russell K. Brynes


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
68 KB
Volume
65
Category
Article
ISSN
0361-8609

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✦ Synopsis


Mast cell disease (MCD), a proliferation of mast cells (MC), is occasionally associated with hematologic malignancies. Neoplastic MC have activating c-kit mutations. c-kit is a receptor tyrosine kinase required for the development, proliferation, and survival of MC. Interaction of c-kit with its ligand stem cell factor induces dimerization, receptor phosphorylation, and signal transduction. The most common c-kit mutation detected in neoplastic MCD is Asp816Val, which results in ligand-independent autophosphorylation of the receptor leading to MC proliferation. We describe the rare occurrence of MCD associated with acute myeloid leukemia, report a novel c-kit mutation Asp816 His, and discuss the pathogenesis of MCD associated with hematologic malignancies.


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## Abstract The majority of patients with systemic mastocytosis with associated clonal, hematological non‐mast cell lineage disease (SM‐AHNMD) have a myeloid stem cell malignancy including myelodysplastic syndromes (MDS), myelodysplastic/myeloproliferative disorders, acute myeloid leukemia (AML), o