Related Experiment Video
Updated: May 24, 2025

Navigating MARRVEL, a Web-Based Tool that Integrates Human Genomics and Model Organism Genetics Information
Published on: August 15, 2019
Clinical management of three JMML siblings with germline CBL variation
Nihat Bugra Agaoglu1, Koray Yalcın2, Busra Unal3
1Department of Medical Genetics, Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey; IKF-The Frankfurt Institute of Clinical Cancer Research, 60488 Frankfurt am Main, Germany.
Insights
Germline CBL gene variants cause juvenile myelomonocytic leukemia (JMML). This study highlights varied clinical presentations and outcomes in three siblings with a specific CBL variant, even after hematopoietic stem cell transplantation.
Area of Science:
- Genetics
- Hematology
- Pediatric Oncology
Background:
- Germline pathogenic variants (PVs) in the CBL gene are identified in approximately 15% of juvenile myelomonocytic leukemia (JMML) cases.
- JMML is a rare and aggressive childhood leukemia.
- Understanding the genetic basis of JMML is crucial for diagnosis and treatment.
Abstract:
Germline pathogenic variants (PVs) in CBL are found in 15 % of juvenile myelomonocytic leukemia (JMML) cases. Here we report three siblings with CBL(NM_005188):c.1111T>C variation presenting a heterogenous JMML clinic and outcome. The index case was diagnosed at the age of seven, whereas the younger brother was 10 months old and the youngest was one month old. The hematopoietic stem cell transplantation was successful for the index and the youngest brother with event-free survival, but the middle brother showed severe graft versus host disease. This study shows the heterogeneity of JMML and how the outcome might differ even within the family.
Related Concept Videos
Sex-linked Disorders
Animal Mitochondrial Genetics
Inborn Errors of Metabolism
Mismatch Repair
The Mutator Protein Family Plays a Key Role in DNA Mismatch Repair
The human genome has more than 3 billion base pairs of DNA per cell. Prior to cell division, that vast amount of genetic...
Differentiation of Common Myeloid Progenitor Cells
Bone Marrow Sampling and Transplants
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...

