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         headline:ATM aberrations in chronic lymphocytic leukemia: del(11q) rather than ATM mutations is an adverse-prognostic biomarker
         description:Despite the well-established adverse impact of del(11q) in chronic lymphocytic leukemia (CLL), the prognostic significance of somatic ATM mutations remains uncertain. We evaluated the effects of ATM aberrations (del(11q) and/or ATM mutations) on time-to-first-treatment (TTFT) in 3631 untreated patients with CLL, in the context of IGHV gene mutational status and mutations in nine CLL-related genes. ATM mutations were present in 246 cases (6.8%), frequently co-occurring with del(11q) (112/246 cases, 45.5%). ATM-mutated patients displayed a different spectrum of genetic abnormalities when comparing IGHV-mutated (M-CLL) and unmutated (U-CLL) cases: M-CLL was enriched for SF3B1 and NFKBIE mutations, whereas U-CLL showed mutual exclusivity with trisomy 12 and TP53 mutations. Isolated ATM mutations were rare, affecting 1.2% of Binet A patients and <1% of M-CLL cases. While univariable analysis revealed shorter TTFT for Binet A patients with any ATM aberration compared to ATM-wildtype, multivariable analysis identified only del(11q), trisomy 12, SF3B1, and EGR2 mutations as independent prognosticators of shorter TTFT among Binet A patients and within M-CLL and U-CLL subgroups. These findings highlight del(11q), and not ATM mutations, as a key biomarker of increased risk of early progression and need for therapy, particularly in otherwise indolent M-CLL, providing insights into risk-stratification and therapeutic decision-making.
         datePublished:2025-04-24T00:00:00Z
         dateModified:2025-04-24T00:00:00Z
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            Chronic lymphocytic leukaemia
            Medicine/Public Health
            general
            Internal Medicine
            Intensive / Critical Care Medicine
            Cancer Research
            Oncology
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                        name:Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
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               name:Kostas Stamatopoulos
               url:http://orcid.org/0000-0001-8529-640X
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ScholarlyArticle:
      headline:ATM aberrations in chronic lymphocytic leukemia: del(11q) rather than ATM mutations is an adverse-prognostic biomarker
      description:Despite the well-established adverse impact of del(11q) in chronic lymphocytic leukemia (CLL), the prognostic significance of somatic ATM mutations remains uncertain. We evaluated the effects of ATM aberrations (del(11q) and/or ATM mutations) on time-to-first-treatment (TTFT) in 3631 untreated patients with CLL, in the context of IGHV gene mutational status and mutations in nine CLL-related genes. ATM mutations were present in 246 cases (6.8%), frequently co-occurring with del(11q) (112/246 cases, 45.5%). ATM-mutated patients displayed a different spectrum of genetic abnormalities when comparing IGHV-mutated (M-CLL) and unmutated (U-CLL) cases: M-CLL was enriched for SF3B1 and NFKBIE mutations, whereas U-CLL showed mutual exclusivity with trisomy 12 and TP53 mutations. Isolated ATM mutations were rare, affecting 1.2% of Binet A patients and <1% of M-CLL cases. While univariable analysis revealed shorter TTFT for Binet A patients with any ATM aberration compared to ATM-wildtype, multivariable analysis identified only del(11q), trisomy 12, SF3B1, and EGR2 mutations as independent prognosticators of shorter TTFT among Binet A patients and within M-CLL and U-CLL subgroups. These findings highlight del(11q), and not ATM mutations, as a key biomarker of increased risk of early progression and need for therapy, particularly in otherwise indolent M-CLL, providing insights into risk-stratification and therapeutic decision-making.
      datePublished:2025-04-24T00:00:00Z
      dateModified:2025-04-24T00:00:00Z
      pageStart:1650
      pageEnd:1660
      license:http://creativecommons.org/licenses/by/4.0/
      sameAs:https://doi.org/10.1038/s41375-025-02615-5
      keywords:
         Cancer genomics
         Chronic lymphocytic leukaemia
         Medicine/Public Health
         general
         Internal Medicine
         Intensive / Critical Care Medicine
         Cancer Research
         Oncology
         Hematology
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         name:Leukemia
         issn:
            1476-5551
            0887-6924
         volumeNumber:39
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            Periodical
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         name:Nature Publishing Group UK
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                  name:Karolinska Institutet
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                     name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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            name:Larry Mansouri
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            name:Lesley-Ann Sutton
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            name:Ferran Nadeu
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            name:Manja Meggendorfer
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                  name:MLL Munich Leukemia Laboratory
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                     name:MLL Munich Leukemia Laboratory, Munich, Germany
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            name:Helen Parker
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                  name:University of Southampton
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            name:Christian Brieghel
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                     name:Department of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
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                  name:Danish Cancer Institute
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                     name:Department of Hematology, Danish Cancer Institute, Copenhagen, Denmark
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            name:Stamatia Laidou
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                  name:Institute of Applied Biosciences
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                     name:Centre for Research and Technology Hellas, Institute of Applied Biosciences, Thessaloniki, Greece
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            name:Riccardo Moia
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                  name:University of Eastern Piedmont
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                     name:Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
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            name:Davide Rossi
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                  name:Ente Ospedaliero Cantonale
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                  name:Universita’ della Svizzera Italiana
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            name:Julio Delgado
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                  name:Hum-boldt-Universität zu Berlin
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                     name:Department of Hematology, Oncology and Cancer Immunology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Hum-boldt-Universität zu Berlin, Berlin, Germany
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            name:Florence Nguyen-Khac
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                  name:APHP
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                     name:Sorbonne Université, Service d’Hématologie Biologique, Hôpital Pitié-Salpêtrière, APHP, Paris, France
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            name:Thorsten Zenz
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                  name:University Hospital and University of Zurich
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                     name:Department of Oncology and Haematology, University Hospital and University of Zurich, Zurich, Switzerland
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            name:Maria Jose Terol
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                  name:University of Valencia
                  address:
                     name:Department of Hematology, INCLIVA Research Insitute, University of Valencia, Valencia, Spain
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            type:Person
            name:Antonio Cuneo
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                  name:University of Ferrara
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            name:María Hernández-Sánchez
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                     name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
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                  address:
                     name:Department of Biochemistry and Molecular Biology, Pharmacy School, Universidad Complutense de Madrid, Madrid, Spain
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               name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:Instituto de Investigación Biomédica (IBSAL)
            address:
               name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:University Hospital of Salamanca
            address:
               name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
      name:Gian Matteo Rigolin
      url:http://orcid.org/0000-0002-8370-5190
      affiliation:
            name:University of Ferrara
            address:
               name:Hematology - Department of Medical Sciences, University of Ferrara, Ferrara, Italy
               type:PostalAddress
            type:Organization
      name:Silvia Bonfiglio
      affiliation:
            name:IRCCS Ospedale San Raffaele
            address:
               name:IRCCS Ospedale San Raffaele, Milano, Italy
               type:PostalAddress
            type:Organization
      name:Lydia Scarfò
      url:http://orcid.org/0000-0002-0844-0989
      affiliation:
            name:IRCCS Ospedale San Raffaele
            address:
               name:IRCCS Ospedale San Raffaele, Milano, Italy
               type:PostalAddress
            type:Organization
            name:Università Vita-Salute San Raffaele
            address:
               name:Università Vita-Salute San Raffaele, Milano, Italy
               type:PostalAddress
            type:Organization
      name:Mattias Mattsson
      affiliation:
            name:Uppsala University
            address:
               name:Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden
               type:PostalAddress
            type:Organization
      name:Zadie Davis
      url:http://orcid.org/0000-0001-6959-4853
      affiliation:
            name:University Hospitals Dorset
            address:
               name:Molecular Pathology Department, University Hospitals Dorset, Bournemouth, UK
               type:PostalAddress
            type:Organization
      name:Panagiotis Baliakas
      url:http://orcid.org/0000-0002-5634-7156
      affiliation:
            name:Uppsala University
            address:
               name:Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden
               type:PostalAddress
            type:Organization
      name:Inmaculada Rapado
      affiliation:
            name:Hospital Universitario 12 Octubre
            address:
               name:Hospital Universitario 12 Octubre, Madrid, Spain
               type:PostalAddress
            type:Organization
            name:Spanish National Cancer Research (CNIO)
            address:
               name:Spanish National Cancer Research (CNIO), Madrid, Spain
               type:PostalAddress
            type:Organization
      name:Fatima Miras
      affiliation:
            name:Hospital Universitario 12 Octubre
            address:
               name:Hospital Universitario 12 Octubre, Madrid, Spain
               type:PostalAddress
            type:Organization
      name:Joaquín Martinez-Lopez
      affiliation:
            name:Hospital Universitario 12 Octubre
            address:
               name:Hospital Universitario 12 Octubre, Madrid, Spain
               type:PostalAddress
            type:Organization
            name:Spanish National Cancer Research (CNIO)
            address:
               name:Spanish National Cancer Research (CNIO), Madrid, Spain
               type:PostalAddress
            type:Organization
      name:Javier de la Serna
      affiliation:
            name:Hospital Universitario 12 Octubre
            address:
               name:Hospital Universitario 12 Octubre, Madrid, Spain
               type:PostalAddress
            type:Organization
            name:Spanish National Cancer Research (CNIO)
            address:
               name:Spanish National Cancer Research (CNIO), Madrid, Spain
               type:PostalAddress
            type:Organization
      name:Jesús María Hernández Rivas
      affiliation:
            name:Cancer Research Center (IBMCC) CSIC-University of Salamanca
            address:
               name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:Instituto de Investigación Biomédica (IBSAL)
            address:
               name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:University Hospital of Salamanca
            address:
               name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
      name:María José Larráyoz
      affiliation:
            name:Navarra Institute for Health Research
            address:
               name:Hematological Diseases Laboratory, CIMA LAB Diagnostics, University of Navarra, 31008 Pamplona, Spain, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
               type:PostalAddress
            type:Organization
      name:María José Calasanz
      affiliation:
            name:Navarra Institute for Health Research
            address:
               name:Hematological Diseases Laboratory, CIMA LAB Diagnostics, University of Navarra, 31008 Pamplona, Spain, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
               type:PostalAddress
            type:Organization
      name:Karin E. Smedby
      affiliation:
            name:Karolinska Institutet
            address:
               name:Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden
               type:PostalAddress
            type:Organization
      name:Blanca Espinet
      url:http://orcid.org/0000-0002-4294-8145
      affiliation:
            name:Hospital del Mar Research Institute (IMIM)
            address:
               name:Molecular Cytogenetics Laboratory, Pathology Department, Hospital del Mar and Translational Research on Hematological Neoplasms Group, Hospital del Mar Research Institute (IMIM), Barcelona, Spain
               type:PostalAddress
            type:Organization
      name:Anna Puiggros
      affiliation:
            name:Hospital del Mar Research Institute (IMIM)
            address:
               name:Molecular Cytogenetics Laboratory, Pathology Department, Hospital del Mar and Translational Research on Hematological Neoplasms Group, Hospital del Mar Research Institute (IMIM), Barcelona, Spain
               type:PostalAddress
            type:Organization
      name:Lars Bullinger
      url:http://orcid.org/0000-0002-5890-5510
      affiliation:
            name:Hum-boldt-Universität zu Berlin
            address:
               name:Department of Hematology, Oncology and Cancer Immunology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Hum-boldt-Universität zu Berlin, Berlin, Germany
               type:PostalAddress
            type:Organization
      name:Francesc Bosch
      url:http://orcid.org/0000-0001-9241-2886
      affiliation:
            name:Universitat Autònoma de Barcelona
            address:
               name:Department of Hematology, Hospital Universitari Vall d’Hebron (HUVH), Experimental Hematology, Vall d’Hebron Institute of Oncology (VHIO), Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
               type:PostalAddress
            type:Organization
      name:Bárbara Tazón-Vega
      affiliation:
            name:Universitat Autònoma de Barcelona
            address:
               name:Department of Hematology, Hospital Universitari Vall d’Hebron (HUVH), Experimental Hematology, Vall d’Hebron Institute of Oncology (VHIO), Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
               type:PostalAddress
            type:Organization
      name:Fanny Baran-Marszak
      url:http://orcid.org/0000-0002-3723-2927
      affiliation:
            name:Service d’hématologie biologique Hôpital Avicenne Assistance Publique des Hôpitaux de Paris Bobigny France
            address:
               name:Service d’hématologie biologique Hôpital Avicenne Assistance Publique des Hôpitaux de Paris Bobigny France, Bobigny, France
               type:PostalAddress
            type:Organization
      name:David Oscier
      url:http://orcid.org/0000-0001-8486-2051
      affiliation:
            name:University Hospitals Dorset
            address:
               name:Molecular Pathology Department, University Hospitals Dorset, Bournemouth, UK
               type:PostalAddress
            type:Organization
      name:Florence Nguyen-Khac
      affiliation:
            name:APHP
            address:
               name:Sorbonne Université, Service d’Hématologie Biologique, Hôpital Pitié-Salpêtrière, APHP, Paris, France
               type:PostalAddress
            type:Organization
      name:Thorsten Zenz
      url:http://orcid.org/0000-0001-7890-9845
      affiliation:
            name:University Hospital and University of Zurich
            address:
               name:Department of Oncology and Haematology, University Hospital and University of Zurich, Zurich, Switzerland
               type:PostalAddress
            type:Organization
      name:Maria Jose Terol
      affiliation:
            name:University of Valencia
            address:
               name:Department of Hematology, INCLIVA Research Insitute, University of Valencia, Valencia, Spain
               type:PostalAddress
            type:Organization
      name:Antonio Cuneo
      affiliation:
            name:University of Ferrara
            address:
               name:Hematology - Department of Medical Sciences, University of Ferrara, Ferrara, Italy
               type:PostalAddress
            type:Organization
      name:María Hernández-Sánchez
      affiliation:
            name:Cancer Research Center (IBMCC) CSIC-University of Salamanca
            address:
               name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:Instituto de Investigación Biomédica (IBSAL)
            address:
               name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:University Hospital of Salamanca
            address:
               name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
               type:PostalAddress
            type:Organization
            name:Universidad Complutense de Madrid
            address:
               name:Department of Biochemistry and Molecular Biology, Pharmacy School, Universidad Complutense de Madrid, Madrid, Spain
               type:PostalAddress
            type:Organization
      name:Sarka Pospisilova
      url:http://orcid.org/0000-0001-7136-2680
      affiliation:
            name:University Hospital Brno
            address:
               name:Department of Internal Medicine, Hematology & Oncology, University Hospital Brno, Brno, Czech Republic
               type:PostalAddress
            type:Organization
            name:Masaryk University
            address:
               name:Faculty of Medicine, Masaryk University, Brno, Czech Republic
               type:PostalAddress
            type:Organization
            name:Masaryk University
            address:
               name:Central European Institute of Technology, Masaryk University, Brno, Czech Republic
               type:PostalAddress
            type:Organization
      name:Gianluca Gaidano
      url:http://orcid.org/0000-0002-4681-0151
      affiliation:
            name:University of Eastern Piedmont
            address:
               name:Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
               type:PostalAddress
            type:Organization
      name:Carsten U. Niemann
      url:http://orcid.org/0000-0001-9880-5242
      affiliation:
            name:Copenhagen University Hospital
            address:
               name:Department of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
               type:PostalAddress
            type:Organization
            name:Danish Cancer Institute
            address:
               name:Department of Hematology, Danish Cancer Institute, Copenhagen, Denmark
               type:PostalAddress
            type:Organization
            name:University of Copenhagen
            address:
               name:Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
               type:PostalAddress
            type:Organization
      name:Elias Campo
      url:http://orcid.org/0000-0001-9850-9793
      affiliation:
            name:Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS)
            address:
               name:Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
               type:PostalAddress
            type:Organization
            name:Centro de Investigación Biomédica en Red de Cáncer (CIBERONC)
            address:
               name:Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain
               type:PostalAddress
            type:Organization
            name:Hospital Clínic of Barcelona
            address:
               name:Hospital Clínic of Barcelona, Barcelona, Spain
               type:PostalAddress
            type:Organization
            name:Universitat de Barcelona
            address:
               name:Universitat de Barcelona, Barcelona, Spain
               type:PostalAddress
            type:Organization
      name:Jonathan C. Strefford
      url:http://orcid.org/0000-0002-0972-2881
      affiliation:
            name:University of Southampton
            address:
               name:Cancer Genomics, School for Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK
               type:PostalAddress
            type:Organization
      name:Paolo Ghia
      url:http://orcid.org/0000-0003-3750-7342
      affiliation:
            name:IRCCS Ospedale San Raffaele
            address:
               name:IRCCS Ospedale San Raffaele, Milano, Italy
               type:PostalAddress
            type:Organization
            name:Università Vita-Salute San Raffaele
            address:
               name:Università Vita-Salute San Raffaele, Milano, Italy
               type:PostalAddress
            type:Organization
      name:Kostas Stamatopoulos
      url:http://orcid.org/0000-0001-8529-640X
      affiliation:
            name:Institute of Applied Biosciences
            address:
               name:Centre for Research and Technology Hellas, Institute of Applied Biosciences, Thessaloniki, Greece
               type:PostalAddress
            type:Organization
      name:Richard Rosenquist
      url:http://orcid.org/0000-0002-0211-8788
      affiliation:
            name:Karolinska Institutet
            address:
               name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
               type:PostalAddress
            type:Organization
            name:Karolinska University Hospital
            address:
               name:Clinical Genetics and Genomics, Karolinska University Hospital, Solna, Sweden
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
      name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
      name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
      name:Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
      name:Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain
      name:MLL Munich Leukemia Laboratory, Munich, Germany
      name:Cancer Genomics, School for Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK
      name:Department of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
      name:Department of Hematology, Danish Cancer Institute, Copenhagen, Denmark
      name:Centre for Research and Technology Hellas, Institute of Applied Biosciences, Thessaloniki, Greece
      name:Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
      name:Clinic of Hematology, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale, Bellinzona, Switzerland
      name:Laboratory of Experimental Hematology, Institute of Oncology Research, Universita’ della Svizzera Italiana, Bellinzona, Switzerland
      name:Department of Internal Medicine, Hematology & Oncology, University Hospital Brno, Brno, Czech Republic
      name:Faculty of Medicine, Masaryk University, Brno, Czech Republic
      name:Central European Institute of Technology, Masaryk University, Brno, Czech Republic
      name:Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
      name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
      name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
      name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
      name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
      name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
      name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
      name:Hematology - Department of Medical Sciences, University of Ferrara, Ferrara, Italy
      name:IRCCS Ospedale San Raffaele, Milano, Italy
      name:IRCCS Ospedale San Raffaele, Milano, Italy
      name:Università Vita-Salute San Raffaele, Milano, Italy
      name:Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden
      name:Molecular Pathology Department, University Hospitals Dorset, Bournemouth, UK
      name:Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden
      name:Hospital Universitario 12 Octubre, Madrid, Spain
      name:Spanish National Cancer Research (CNIO), Madrid, Spain
      name:Hospital Universitario 12 Octubre, Madrid, Spain
      name:Hospital Universitario 12 Octubre, Madrid, Spain
      name:Spanish National Cancer Research (CNIO), Madrid, Spain
      name:Hospital Universitario 12 Octubre, Madrid, Spain
      name:Spanish National Cancer Research (CNIO), Madrid, Spain
      name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
      name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
      name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
      name:Hematological Diseases Laboratory, CIMA LAB Diagnostics, University of Navarra, 31008 Pamplona, Spain, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
      name:Hematological Diseases Laboratory, CIMA LAB Diagnostics, University of Navarra, 31008 Pamplona, Spain, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
      name:Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden
      name:Molecular Cytogenetics Laboratory, Pathology Department, Hospital del Mar and Translational Research on Hematological Neoplasms Group, Hospital del Mar Research Institute (IMIM), Barcelona, Spain
      name:Molecular Cytogenetics Laboratory, Pathology Department, Hospital del Mar and Translational Research on Hematological Neoplasms Group, Hospital del Mar Research Institute (IMIM), Barcelona, Spain
      name:Department of Hematology, Oncology and Cancer Immunology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Hum-boldt-Universität zu Berlin, Berlin, Germany
      name:Department of Hematology, Hospital Universitari Vall d’Hebron (HUVH), Experimental Hematology, Vall d’Hebron Institute of Oncology (VHIO), Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
      name:Department of Hematology, Hospital Universitari Vall d’Hebron (HUVH), Experimental Hematology, Vall d’Hebron Institute of Oncology (VHIO), Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
      name:Service d’hématologie biologique Hôpital Avicenne Assistance Publique des Hôpitaux de Paris Bobigny France, Bobigny, France
      name:Molecular Pathology Department, University Hospitals Dorset, Bournemouth, UK
      name:Sorbonne Université, Service d’Hématologie Biologique, Hôpital Pitié-Salpêtrière, APHP, Paris, France
      name:Department of Oncology and Haematology, University Hospital and University of Zurich, Zurich, Switzerland
      name:Department of Hematology, INCLIVA Research Insitute, University of Valencia, Valencia, Spain
      name:Hematology - Department of Medical Sciences, University of Ferrara, Ferrara, Italy
      name:Cancer Research Center (IBMCC) CSIC-University of Salamanca, Salamanca, Spain
      name:Instituto de Investigación Biomédica (IBSAL), Salamanca, Spain
      name:Department of Hematology, University Hospital of Salamanca, Salamanca, Spain
      name:Department of Biochemistry and Molecular Biology, Pharmacy School, Universidad Complutense de Madrid, Madrid, Spain
      name:Department of Internal Medicine, Hematology & Oncology, University Hospital Brno, Brno, Czech Republic
      name:Faculty of Medicine, Masaryk University, Brno, Czech Republic
      name:Central European Institute of Technology, Masaryk University, Brno, Czech Republic
      name:Division of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
      name:Department of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
      name:Department of Hematology, Danish Cancer Institute, Copenhagen, Denmark
      name:Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
      name:Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
      name:Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain
      name:Hospital Clínic of Barcelona, Barcelona, Spain
      name:Universitat de Barcelona, Barcelona, Spain
      name:Cancer Genomics, School for Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK
      name:IRCCS Ospedale San Raffaele, Milano, Italy
      name:Università Vita-Salute San Raffaele, Milano, Italy
      name:Centre for Research and Technology Hellas, Institute of Applied Biosciences, Thessaloniki, Greece
      name:Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
      name:Clinical Genetics and Genomics, Karolinska University Hospital, Solna, Sweden

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