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Published on: May 1, 2015
[Inheritance in lymphoproliferative disorders]
Viggo Jønsson1, Jørgen H Olsen
1Oslo Universitet, Aker Universitetssygehus, Haematologisk Afdeling, N-0514 Oslo. viggo.jonsson@medisin.uio.no
Insights
Familial clustering of lymphoproliferative disorders like chronic lymphocytic leukemia (CLL) suggests a hereditary component. Research in Denmark indicates strong parent-child transmission patterns, particularly for CLL, hinting at a non-Mendelian inheritance.
Area of Science:
- Hematology
- Genetics
- Epidemiology
Context:
- Lymphoproliferative disorders, including chronic lymphocytic leukemia (CLL), non-Hodgkin's lymphoma, Hodgkin's lymphoma, and multiple myeloma, are recognized as having hereditary components.
- Denmark's high CLL incidence and comprehensive cancer registration since 1943 provide a unique setting for genetic and epidemiological studies.
Purpose:
- To investigate the genetic basis and inheritance patterns of lymphoproliferative disorders within families.
- To explore potential familial clustering and transmission of specific lymphoproliferative malignancies.
Summary:
- Genealogical and epidemiological data from Denmark reveal strong parent-child linkages for lymphoproliferative disorders, especially chronic lymphocytic leukemia (CLL).
- The study observed a predominant transmission pattern of CLL from parent to child, with similar conservative patterns noted for non-Hodgkin's and Hodgkin's lymphomas.
- No significant linkage to other cancer types was detected, and a non-Mendelian mode of inheritance is suggested for familial clustering.
Impact:
- Highlights the hereditary nature of lymphoproliferative disorders and identifies specific transmission patterns.
- Suggests potential avenues for future genetic research into the etiology of these hematological malignancies.
- Provides valuable insights for genetic counseling and understanding familial cancer risks.
Abstract:
Lymphoproliferative disorders, especially chronic lymphocytic leukaemia (CLL), non-Hodgkin's lymphomas, Hodgkin's lymphoma and multiple myeloma are regarded as a hereditary entity with pleiotropic clustering in families, although the genuine alleles have not been found so far. The world-wide highest incidence of CLL and the existence of a systematic cancer registration since 1943 make Denmark a perfect place for epidemiological and genealogical investigations in the search for the genetics of the lymphoproliferative disorders. In Scandinavia, we see no signs of anticipation but marked linkage between parents and children, where the combination CLL in parent and CLL in child is more predominant than CLL in parent and a child with any other type of lymphoproliferative disorder. This same conservative pattern is also seen in parent-children transportation of non-Hodgkin's lymphomas and Hodgkin's lymphoma. That no certain linkage to other cancers can be significantly detected is discussed. A non-Mendelian mode of inheritance seems not unlikely in the familial clustering of the lymphoproliferative disorders.
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