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pubmed-article:12588357pubmed:abstractTextSevere congenital neutropenia (SCN) is characterized by profound neutropenia, recurrent severe bacterial infections and maturation arrest in the myeloid lineage. Granulocyte colony-stimulating factor (G-CSF) treatment results in clinical improvement in over 90% of cases. Point mutations of the G-CSF receptor (G-CSFR) have been implicated in the progression of SCN to acute myeloid leukaemia (AML). Data are presented here on the 9-year follow-up of seven patients and the further screening of 18 other cases. One of the two original cases with a G-CSFR mutation has improved clinically; nevertheless, mutant DNA could still be detected at a very low level > 8 years after identification. The second child with a mutation progressed to myelodysplasia/AML 5 years after her mutation was detected. No mutations were found in the 18 new cases. One of three transformed cases had a G-CSFR mutation. This work is in agreement with the suggestion that G-CSFR mutations may provide a survival advantage to haemopoietic stem cells, but argues against the inevitability of leukaemic progression in their presence. Furthermore, the low frequency of G-CSFR mutations in SCN and the importance of regular screening and close clinical and laboratory follow-up if a mutation is found were demonstrated.lld:pubmed
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pubmed-article:12588357pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12588357pubmed:articleTitleLong-term follow-up of granulocyte colony-stimulating factor receptor mutations in patients with severe congenital neutropenia: implications for leukaemogenesis and therapy.lld:pubmed
pubmed-article:12588357pubmed:affiliationDepartment of Haematology, University College London, London, UK. p.ancliff@ucl.ac.uklld:pubmed
pubmed-article:12588357pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12588357pubmed:publicationTypeCase Reportslld:pubmed
pubmed-article:12588357pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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