Revertant somatic mosaicism as a cause of cancer

Toshiya Inaba1, Akiko Nagamachi1

  • 1Department of Molecular Oncology and Leukemia Program Project, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.

Cancer Science
|February 14, 2021
PubMed

Insights

Revertant mosaicism, a natural gene correction, can paradoxically cause myelodysplastic syndrome and leukemia in SAMD9/9L syndromes through overcorrection. This study explores the complex mechanisms behind this "overcorrection" phenomenon in carcinogenesis.

Area of Science:

  • Genetics
  • Oncology
  • Molecular Biology

Background:

  • Revertant mosaicism spontaneously corrects mutations, acting as 'natural gene therapy' for congenital diseases.
  • However, overcorrection in SAMD9/9L syndromes can induce myelodysplastic syndrome (MDS) and acute myelogenous leukemia (AML).

Purpose of the Study:

  • To interpret the complex mechanisms underlying MDS/AML development in SAMD9/9L syndromes due to revertant mosaicism.
  • To highlight overcorrection by somatic mosaicism as a novel mechanism in carcinogenesis.

Main Methods:

  • Review of existing literature on SAMD9/9L syndromes, revertant mosaicism, MDS, and AML.
  • Analysis of genetic and cellular mechanisms involving chromosome 7 tumor suppressors and interferon sensitivity.

Main Results:

  • Overcorrection by revertant mosaicism in SAMD9/9L syndromes leads to MDS with monosomy 7, potentially progressing to AML.
  • Mechanisms involve haploinsufficiency of multiple myeloid tumor suppressors on chromosome 7 and differential interferon sensitivity.

Conclusions:

  • Somatic mosaicism-induced overcorrection represents a novel pathway to carcinogenesis.
  • Understanding these mechanisms is crucial for managing SAMD9/9L syndromes and preventing hematologic malignancies.

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