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Published on: September 20, 2016
Analysis of karyotype, SCE, and point mutation of RAS oncogene in Indian MDS patients
A M Mansoor1, T P Bharadwaj, S Sethuraman
1Department of Hematology, Hiroshima University, Japan.
Abstract:
Thirty Indian patients diagnosed as having primary myelodysplastic syndrome as per the French-American-British classification were investigated, on admission, for the frequencies of nonrandom karyotype abnormalities, sister chromatid exchange, and point mutations of the RAS oncogene. Successful karyotype analysis was possible in 24 patients, of whom 9 (37.5%) showed nonrandom karyotypic changes. Anomalies of chromosomes 5, 7, and 8 were detected in their bone marrow (BM). In addition, two new anomalies, del(8)(q22) and +19, were observed for the first time in our series. Six MDS patients were studied for SCE in either BM or peripheral blood. These data revealed a normal SCE incidence. Of the 10 MDS patients studied for point mutations of NRAS 12 and 61 and KRAS 12 and 61, one patient exhibited a base substitution at position 1 of the 12th codon of the KRAS gene. These data, gathered for the first time on the Indian patients, throw some light on the nature of genetic changes in MDS of our country.
Insights
This study investigated genetic changes in Indian patients with myelodysplastic syndromes (MDS). Karyotype abnormalities were found in 37.5% of patients, with no significant changes in sister chromatid exchange or RAS oncogene mutations.
Area of Science:
- Hematology
- Oncology
- Genetics
Background:
- Myelodysplastic syndromes (MDS) are a group of clonal hematopoietic stem cell disorders.
- Understanding the genetic landscape of MDS is crucial for diagnosis and treatment.
- Previous studies on genetic abnormalities in Indian MDS patients are limited.
Purpose of the Study:
- To investigate the frequencies of nonrandom karyotype abnormalities.
- To assess sister chromatid exchange (SCE) rates.
- To identify point mutations in RAS oncogenes (NRAS and KRAS) in Indian patients with primary MDS.
Main Methods:
- Karyotype analysis was performed on bone marrow cells of 24 patients.
- Sister chromatid exchange (SCE) was studied in 6 MDS patients.
- Point mutations in codons 12 and 61 of NRAS and KRAS genes were analyzed in 10 MDS patients.
Main Results:
- Nonrandom karyotypic changes were observed in 9 out of 24 (37.5%) patients.
- Commonly detected chromosomal anomalies involved chromosomes 5, 7, and 8.
- Two novel anomalies, del(8)(q22) and +19, were identified.
- Normal SCE incidence was noted.
- One patient showed a base substitution in the KRAS gene.
Conclusions:
- This study provides initial insights into the genetic alterations in primary MDS among Indian patients.
- Karyotypic abnormalities are prevalent in this population.
- Further research is warranted to elucidate the role of these genetic changes in MDS pathogenesis in India.
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