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Single-cell DNA sequencing reveals pervasive positive selection throughout preleukemic evolution.

Gladys Poon1, Aditi Vedi2, Mathijs Sanders3

  • 1Early Cancer Institute, University of Cambridge, Cambridge, UK.

Cell Genomics
|January 22, 2025
PubMed
Summary
This summary is machine-generated.

Understanding driver mutations in preleukemic hematopoietic stem cells (pHSCs) reveals acute myeloid leukemia (AML) evolution. Identifying early multiple-mutant clones can predict AML risk due to positive selection.

Keywords:
acute myeloid leukemiacancer evolutionclonal hematopoiesisearly detectionevolutionary dynamicspre-cancersomatic mutation

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Area of Science:

  • Hematology
  • Cancer Genomics
  • Evolutionary Biology

Background:

  • Driver mutations in preleukemic hematopoietic stem cells (pHSCs) offer insights into the somatic evolution preceding acute myeloid leukemia (AML).
  • Understanding this evolutionary process is crucial for early detection and intervention strategies.

Purpose of the Study:

  • To reconstruct phylogenetic trees of driver clones in pHSCs from AML patients.
  • To develop a computational framework for inferring positive selection during preleukemic evolution.
  • To assess the potential of identifying early multiple-mutant clones for AML risk prediction.

Main Methods:

  • Isolation of pHSCs from 16 AML patients.
  • Single-cell DNA sequencing of thousands of cells per patient.
  • Development of a computational framework to analyze phylogenetic tree properties and infer positive selection.
  • Integration of data with 67 previously published phylogenetic trees.

Main Results:

  • Reconstruction of major driver clone phylogenetic trees from patient pHSCs.
  • Demonstration that preleukemic tree structures arise from a simple somatic evolution model with pervasive positive selection (9%-24% per year).
  • Validation that identifying early multiple-mutant clones can predict future AML risk.

Conclusions:

  • Somatic evolution in preleukemia is characterized by pervasive positive selection.
  • The variability in preleukemic phylogenetic trees can be explained by a model of positive selection.
  • Early detection of multiple-mutant clones in pHSCs is a promising biomarker for AML risk stratification.