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December 8, 2025BloodOpen Access

Double-hit alterations of TP53 identify ultra high-risk disease in previously treated, MYD88 mutated waldenstrom macroglobulinemia.

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Authors

HSHao SunABAndrew R. BranaganSTSteven Treon

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Overview

Assessment uncovers tp53 alterations and effects of chemotherapy in waldenström macroglobulinemia patients, indicating heightened risk of poor outcomes.

Key Points

  • Ultrahigh-risk waldenström macroglobulinemia patients exhibit double-hit tp53 alterations, suggesting an association with worse outcomes.
  • Patients with tp53 mutations showed a significantly lower overall survival rate compared to tp53 wild-type patients at 9 years.
  • Logistic regression analysis demonstrated a link between prior chemotherapy and acquisition of tp53 alterations and mutations.
  • Multivariate analysis confirmed double-hit tp53 alterations as a key predictor for overall survival in this patient group.

Cite This Study

Sun et al. (2025) studied this question.

synapsesocial.com/papers/69362f5d4fa91c937236dc61https://doi.org/10.1182/blood-2025-224
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