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Heme-Onc Gene Mutations Summary
Disease Gene / Mutation Cytogenetics Mechanism Lineage
Chronic Myeloid Leukemia (CML)BCR-ABL fusiont(9;22), Philadelphia chromosomeOncogene activationMyeloid
Acute Promyelocytic Leukemia (APL)PML-RARA fusiont(15;17)Oncogene activationMyeloid
Burkitt LymphomaMYC translocationt(8;14)Oncogene activationLymphoid
Mantle Cell LymphomaCyclin D1 (CCND1) translocationt(11;14)Oncogene activationLymphoid
Follicular LymphomaBCL2 translocationt(14;18)Apoptosis inhibitionLymphoid
Diffuse Large B-Cell LymphomaBCL6 mutationsvariousOncogene activationLymphoid
Hairy Cell LeukemiaBRAF V600E mutationpoint mutationMAPK pathway activationOther
Acute Lymphoblastic Leukemia (ALL)TEL-AML1, BCR-ABLvariousFusion oncogenesLymphoid
T-ALLNOTCH1 gain-of-functionpoint mutationT-cell proliferationLymphoid
Chronic Lymphocytic Leukemia (CLL)Deletion 13q14del(13q)Tumor suppressor lossLymphoid
Multiple MyelomaDeletion 17p (TP53)del(17p)Tumor suppressor lossOther
Myelodysplastic Syndromes (MDS)Deletion 5qdel(5q)Tumor suppressor lossMyeloid
Polycythemia VeraJAK2 V617Fpoint mutationTyrosine kinase activationMyeloid
Essential ThrombocythemiaJAK2, CALR, MPLpoint mutationsSignal transductionMyeloid
Primary MyelofibrosisJAK2, CALR, MPLpoint mutationsSignal transductionMyeloid
HemochromatosisHFE mutationChromosome 6p21.3Iron overload disorder (non-oncogenic)Other
Sickle Cell DiseaseHBB gene mutation (Glu6Val)Chromosome 11p15.5Structural hemoglobinopathyOther
Thalassemia (alpha)HBA1, HBA2 deletionsChromosome 16Reduced alpha-globin synthesisOther
Thalassemia (beta)HBB point mutationsChromosome 11Reduced beta-globin synthesisOther
G6PD DeficiencyG6PD mutationXq28Enzymopathy – hemolytic anemiaOther
Hereditary SpherocytosisANK1, SPTB, SPTA1, EPB42VariousMembrane defect (non-oncogenic)Other
Fanconi AnemiaFANC genesVariousDNA repair defect – pancytopenia, ↑ cancer riskOther
Aplastic Anemia (Fanconi-Independent) TERT, TERC, DKC1 Various Telomere maintenance failure → marrow failure Other
Waldenström Macroglobulinemia MYD88 L265P mutation Point mutation NF-κB activation, excess IgM production Lymphoid
Hemophilia A F8 gene mutation Xq28 Factor VIII deficiency Other
Hemophilia B F9 gene mutation Xq27.1–q27.2 Factor IX deficiency Other
Hemophilia C F11 gene mutation Chromosome 4q35 Factor XI deficiency Other
von Willebrand Disease VWF gene mutation 12p13.31 Defective platelet adhesion, low factor VIII Other
Bernard-Soulier Syndrome GPIb gene mutation 17p12 Platelet adhesion defect Other
Glanzmann Thrombasthenia ITGA2B, ITGB3 mutation 17q21.32, 17q21.32 Platelet aggregation defect (GPIIb/IIIa) Other
Factor V Leiden F5 gene (Arg506Gln) 1q24.2 Resistance to activated protein C → thrombosis Other
Prothrombin G20210A Mutation F2 gene 11p11.2 Increased prothrombin → thrombosis Other
Antithrombin III Deficiency SERPINC1 gene 1q25.1 Increased thrombin activity → thrombosis Other
Protein C Deficiency PROC gene mutation 2q13–q14 ↓ inactivation of Va and VIIIa → thrombosis Other
Protein S Deficiency PROS1 gene mutation 3p11.1 ↓ cofactor for Protein C → thrombosis Other