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December 8, 2025BloodOpen Access

Phylogenetic reconstruction reveals early divergence and late expansion of focal lesions in multiple myeloma

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Authors

KMKylee MaclachlanPRPhilipp ReichertSHStefanie Huhn

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Overview

Phylogenetic reconstruction reveals multiple myeloma subclonal evolution in bone marrow, implying late emergence of focal lesions.

Key Points

  • Distinct subclones in multiple myeloma bone marrow show early divergence with focal lesions emerging later.
  • Median of 3 subclones identified per patient; additional mutations in focal lesions indicate recent clonal expansion.
  • Phylogenetic trees reveal that subclonal evolution triggers focal lesions shortly before diagnosis in multiple myeloma.
  • The long-term presence of certain mutations in precursor states hints at their role in poor prognosis and early disease development.

Cite This Study

Maclachlan et al. (2025) studied this question.

synapsesocial.com/papers/69362f4b4fa91c937236d75dhttps://doi.org/10.1182/blood-2025-685
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