<i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges

High frequencies of <i>MYD88<sup>L265P</sup></i> mutation are observed in IgM monoclonal gammopathies, and specifically in Waldenström macroglobulinemia (WM), indicating this mutation as a potential disease biomarker. Given the fact that <i>MYD88<sup>L265P</sup...

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Main Authors: Tina Bagratuni, Alexandra Papadimou, Kostantina Taouxi, Meletios A. Dimopoulos, Efstathios Kastritis
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Hemato
Subjects:
Online Access:https://www.mdpi.com/2673-6357/4/3/21
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author Tina Bagratuni
Alexandra Papadimou
Kostantina Taouxi
Meletios A. Dimopoulos
Efstathios Kastritis
author_facet Tina Bagratuni
Alexandra Papadimou
Kostantina Taouxi
Meletios A. Dimopoulos
Efstathios Kastritis
author_sort Tina Bagratuni
collection DOAJ
description High frequencies of <i>MYD88<sup>L265P</sup></i> mutation are observed in IgM monoclonal gammopathies, and specifically in Waldenström macroglobulinemia (WM), indicating this mutation as a potential disease biomarker. Given the fact that <i>MYD88<sup>L265P</sup></i> mutation has been described as a key driver mutation, has increased our understanding of the biology behind MYD88 signaling and helped us to identify the functional components which could be targeted. On the other hand, the absence of the <i>MYD88<sup>L265P</sup></i> mutation in patients with IgM monoclonal gammopathies has been associated with a higher risk of transformation to aggressive lymphomas, resistance to several therapies, and shorter overall survival. The present review focuses on the molecular mechanisms that shape the signaling pattern in <i>MYD88<sup>WT</sup></i> cells, as well as on the clinical implications and therapeutic challenges of WM patients that harbor the <i>MYD88<sup>WT</sup></i> genotype.
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spelling doaj.art-3af5bcbe59144a44954e45aa9c7bee542023-11-19T10:57:21ZengMDPI AGHemato2673-63572023-09-014325927210.3390/hemato4030021<i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical ChallengesTina Bagratuni0Alexandra Papadimou1Kostantina Taouxi2Meletios A. Dimopoulos3Efstathios Kastritis4Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, GreeceHigh frequencies of <i>MYD88<sup>L265P</sup></i> mutation are observed in IgM monoclonal gammopathies, and specifically in Waldenström macroglobulinemia (WM), indicating this mutation as a potential disease biomarker. Given the fact that <i>MYD88<sup>L265P</sup></i> mutation has been described as a key driver mutation, has increased our understanding of the biology behind MYD88 signaling and helped us to identify the functional components which could be targeted. On the other hand, the absence of the <i>MYD88<sup>L265P</sup></i> mutation in patients with IgM monoclonal gammopathies has been associated with a higher risk of transformation to aggressive lymphomas, resistance to several therapies, and shorter overall survival. The present review focuses on the molecular mechanisms that shape the signaling pattern in <i>MYD88<sup>WT</sup></i> cells, as well as on the clinical implications and therapeutic challenges of WM patients that harbor the <i>MYD88<sup>WT</sup></i> genotype.https://www.mdpi.com/2673-6357/4/3/21Waldenström macroglobulinemiaMYD88wild typeIgM monoclonal gammopathies
spellingShingle Tina Bagratuni
Alexandra Papadimou
Kostantina Taouxi
Meletios A. Dimopoulos
Efstathios Kastritis
<i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
Hemato
Waldenström macroglobulinemia
MYD88
wild type
IgM monoclonal gammopathies
title <i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
title_full <i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
title_fullStr <i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
title_full_unstemmed <i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
title_short <i>MYD88</i> Wild Type in IgM Monoclonal Gammopathies: From Molecular Mechanisms to Clinical Challenges
title_sort i myd88 i wild type in igm monoclonal gammopathies from molecular mechanisms to clinical challenges
topic Waldenström macroglobulinemia
MYD88
wild type
IgM monoclonal gammopathies
url https://www.mdpi.com/2673-6357/4/3/21
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