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Association of Gene Mutations with Response to Arsenic-Containing Compound Qinghuang Powder (复方青黄散) in Patients with Myelodysplastic Syndromes

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Abstract

Objectives

To investigate the relationship between gene mutations and response to Compound Qinghuang Powder (复方青黄散, CQHP) in patients with myelodysplastic syndrome (MDS).

Methods

Forty-three MDS patients were genotyped by ultra-deep targeted sequencing and the clinical data of patients were collected and the relationship between them was analyzed.

Results

Up to 41.86% of patients harbored genet mutations, in most cases with more than one mutation. The most common mutations were in SF3B1, U2AF1, ASXL1, and DNMT3A. After treatment with CQHP, about 88.00% of patients no longer required blood transfusion, or needed half of prior transfusions.

Conclusions

CQHP is an effective treatment for patients with MDS, especially those with gene mutations in SF3B1, DNMT3A, U2AF1, and/or ASXL1.

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Correspondence to Chong-jian Chen or Xiao-mei Hu.

Additional information

Supported by the Beijing Municiple Science and Technology Commission (No. Z141100006014003), the National Natural Science Foundation of China (No. 81673821), and the Special Research Foundation of Central Level Public Scientific Research Institutes (No. ZZ10-016)

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Zhao, P., Liang, Jb., Deng, Zy. et al. Association of Gene Mutations with Response to Arsenic-Containing Compound Qinghuang Powder (复方青黄散) in Patients with Myelodysplastic Syndromes. Chin. J. Integr. Med. 25, 409–415 (2019). https://doi.org/10.1007/s11655-018-2977-3

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  • DOI: https://doi.org/10.1007/s11655-018-2977-3

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