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Blood, 15 March 2001, Vol. 97, No. 6, pp. 1882-1884
BRIEF REPORT
Time course of increasing numbers of mutations in the granulocyte
colony-stimulating factor receptor gene in a patient with
congenital neutropenia who developed leukemia
Christoph A. Tschan,
Christina Pilz,
Cornelia Zeidler,
Karl Welte, and
Manuela Germeshausen
From the Department of Paediatric Haematology and
Oncology, Hannover Medical School Hannover, Germany.
Point mutations in the granulocyte colony-stimulating factor
receptor (G-CSFR) gene have been linked to the
development of secondary leukemia in patients with congenital
neutropenia (CN). This report presents data on a now 18-year-old
patient with CN who has received G-CSF treatment since 1989 and who
developed acute myeloid leukemia (AML) in 1998. To evaluate whether
there is an association between the occurrence of point mutations of the G-CSFR gene and development of secondary AML,
DNA/messenger RNA of neutrophils and mononuclear cells from this
patient were analyzed at different time points by polymerase chain
reaction and subsequent cloning by DNA sequencing of representative
numbers of individual clones. Findings suggest an increasing
instability of the G-CSFR gene in time as judged by
increasing numbers of mutations proposed to be one important step in
the development of AML in this patient.

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