The clinical relevance of sole loss of chromosome Y in myeloid neoplasms - Summary - MDSpire

The clinical relevance of sole loss of chromosome Y in myeloid neoplasms

  • By

  • Sandra Huber

  • Stephan Hutter

  • Manja Meggendorfer

  • Christian Pohlkamp

  • Torsten Haferlach

  • Isolde Summerer

  • May 9, 2026

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Objective:

To genetically and clinically characterize patients with (suspected) myeloid neoplasms (MN) with sole loss of chromosome Y (LOY) to assess the relevance of LOY in routine hematologic diagnostics, particularly in distinguishing between incidental and disease-associated alterations.

Key Findings:
  • LOY clone size correlates with disease state, increasing from no MN to diagnosed MN, indicating its potential role in disease progression.
  • Higher LOY clone sizes are associated with a greater number of mutations, suggesting a link between LOY and genetic instability.
  • TET2 is the most frequently mutated gene across all groups, with varying frequencies, highlighting its significance in myeloid neoplasms.
Interpretation:

Isolated LOY is likely associated with myeloid neoplasms and may represent an early event in their pathogenesis, complicating the distinction between incidental age-related changes and disease-associated alterations, as evidenced by the correlation with mutation patterns.

Limitations:
  • Study limited to male patients, which may affect generalizability to female populations.
  • Potential biases in cytomorphological assessments could influence diagnostic accuracy.
Conclusion:

The findings support the clinical relevance of LOY in diagnosing myeloid neoplasms, suggesting it should be considered in routine diagnostics to improve patient outcomes.

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