General Information of Disease (ID: DISDN5P7)

Disease Name Chronic myelomonocytic leukaemia
Synonyms
leukemia, juvenile myelomonocytic; leukemia, chronic myelomonocytic; chronic myelomonocytic leukaemia; chronic myelomonocytic leukemia; juvenile chronic myeloid leukemia; juvenile chronic myeloid leukaemia; juvenile myelomonocytic leukemia; JCML; JMML; leukemia, juvenile myelomonocytic, autosomal dominant, somatic mutation; juvenile chronic myelogenous leukemia; juvenile chronic myelomonocytic leukemia; juvenile myelomonocytic leukemia, autosomal dominant, somatic mutation; juvenile chronic myelomonocytic leukaemia; juvenile chronic myelogenous leukaemia; leukemia, juvenile myelomonocytic, somatic
Disease Class 2A40: Chronic myelomonocytic leukaemia
Definition
A myelodysplastic/myeloproliferative neoplasm of childhood that is characterized by proliferation principally of the granulocytic and monocytic lineages. Myelomonocytic proliferation is seen in the bone marrow and the blood. The leukemic cells may infiltrate any tissue, however liver, spleen, lymph nodes, skin, and respiratory tract are the most common sites of involvement. (WHO, 2001)
Disease Hierarchy
DISIL8UR: Chronic myelomonocytic leukemia
DIS8I9FS: Hereditary disorder of connective tissue
DISDN5P7: Chronic myelomonocytic leukaemia
ICD Code
ICD-11
ICD-11: 2A40
ICD-10
ICD-10: C93.1
Expand ICD-10
C15,C16,C17,C18,C19,C20,C21,C22,C23,C24,C25,C26,C81,C82,C83,C84,C85,C86,C82,C83,C84,C85,C91,C92,D10,D11,D12,D13,D14,D15,D16,D17,D18,D19,D20,D21,D22,D23,D24,D25,D26,D27,D28,D29,D30,D31,D32,D33,D34,D35,D36,D3A
Expand ICD-9
140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,202,202.8,204.1,205.0,210,211,212,213,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229
Disease Identifiers
MONDO ID
MONDO_0011908
MESH ID
D054429
UMLS CUI
C0349639
OMIM ID
607785
MedGen ID
138109
HPO ID
HP:0012209
Orphanet ID
86834
SNOMED CT ID
128832006

Drug-Interaction Atlas (DIA) of This Disease

Drug-Interaction Atlas (DIA)
This Disease is Treated as An Indication in 2 Approved Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
Midostaurin DMI6E0R Approved Small molecular drug [1]
PF-04449913 DMSB068 Approved Small molecular drug [2]
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This Disease is Treated as An Indication in 3 Clinical Trial Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
H3B-8800 DML2VSZ Phase 2 NA [3]
IO-202 DMU03WD Phase 1 Antibody [4]
LP-108 DMYIXQZ Phase 1 NA [5]
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Molecular Interaction Atlas (MIA) of This Disease

Molecular Interaction Atlas (MIA)
This Disease Is Related to 22 DTT Molecule(s)
Gene Name DTT ID Evidence Level Mode of Inheritance REF
JAK3 TTT7PJU Limited Genetic Variation [6]
NRAS TTW2R9X Limited Genetic Variation [7]
PDGFRB TTI7421 Limited Biomarker [8]
CSF2 TTNYZG2 Disputed Biomarker [9]
EZH2 TT9MZCQ Disputed Biomarker [10]
FLT3 TTGJCWZ moderate Genetic Variation [11]
ABL1 TT6B75U Strong Biomarker [12]
CBL TT7QT13 Strong Autosomal dominant [13]
CBL TT7QT13 Strong Genetic Variation [14]
CSF2RA TT6MP2Z Strong Biomarker [15]
DNMT3A TTJUALD Strong Genetic Variation [16]
HOXA11 TTEX4ZA Strong Genetic Variation [17]
IL3RA TTENHJ0 Strong Altered Expression [18]
REL TT1ZCTH Strong Altered Expression [19]
RUNX1 TTWIN3H Strong Biomarker [20]
SF3B1 TTL2WUI Strong Biomarker [21]
SH2B3 TT36N7Z Strong Biomarker [10]
THPO TTCG5PE Strong Biomarker [22]
TNK2 TTIET93 Strong Biomarker [23]
CD6 TTMF6KC Definitive Biomarker [24]
KMT2A TT1GNDM Definitive Biomarker [25]
KRAS TTM8FR7 Definitive Genetic Variation [26]
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⏷ Show the Full List of 22 DTT(s)
This Disease Is Related to 43 DOT Molecule(s)
Gene Name DOT ID Evidence Level Mode of Inheritance REF
ARHGAP26 OTNGQU7A No Known Unknown [27]
ASXL1 OTX931AW Limited Genetic Variation [28]
HBG1 OTVL4NSU Limited Altered Expression [29]
HBG2 OT4J48JJ Limited Altered Expression [29]
HIP1 OT7AKCFQ Limited Biomarker [30]
MOGS OT99MBGB Limited Genetic Variation [31]
NUP98 OTNT12G2 Limited Biomarker [32]
TRIM33 OT0KS4J7 Limited Biomarker [33]
RAC2 OTAOHFNH Disputed Biomarker [34]
RARS1 OTHPZ6JN Disputed Genetic Variation [35]
BCR OTCN76C1 moderate Biomarker [12]
ETV6 OTCZMG61 moderate Genetic Variation [36]
FIP1L1 OTF91GTL moderate Altered Expression [37]
SOS1 OTTCWXC3 moderate Genetic Variation [38]
CBFA2T2 OTNOIB23 Strong Genetic Variation [39]
CBL OTTKELCU Strong Autosomal dominant [13]
ELL OTCBN5LF Strong Genetic Variation [40]
ETNK1 OTDKB4DQ Strong Genetic Variation [41]
EVPL OTZIAFEK Strong Altered Expression [42]
FANCB OTMZTXB5 Strong Biomarker [43]
FUT1 OTODG57A Strong Genetic Variation [44]
GATA2 OTBP2QQ2 Strong Altered Expression [45]
IL10RA OTOX3D1D Strong Genetic Variation [46]
IL2RG OTRZ3OMY Strong Biomarker [47]
KAT7 OTUN98IC Strong Biomarker [32]
KLF1 OT1FK08U Strong Posttranslational Modification [29]
MECOM OTP983W8 Strong Altered Expression [48]
NACA OTLP1KR3 Strong Altered Expression [49]
NELL2 OTS4MJZ7 Strong Biomarker [50]
OSBP2 OTDGLB4J Strong Genetic Variation [51]
PPP1R12C OT9Q86JO Strong Genetic Variation [39]
PPP1R13B OTC88VQO Strong Genetic Variation [39]
RABEP1 OTQROTGT Strong Biomarker [52]
RAP1GAP OTC31ONQ Strong Genetic Variation [53]
RASA4 OTW0178L Strong Biomarker [54]
RRAS OTBBF28C Strong Biomarker [10]
RRAS2 OT83NCEB Strong Biomarker [10]
SETBP1 OTKGCOSR Strong Genetic Variation [55]
SMC1A OT9ZMRK9 Strong Genetic Variation [36]
SPECC1 OTPEML48 Strong Biomarker [56]
TET2 OTKKT03T Strong Biomarker [57]
MYH10 OTXN2WXS Definitive Biomarker [58]
SRSF2 OTVDHO6U Definitive Genetic Variation [59]
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⏷ Show the Full List of 43 DOT(s)

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 5702).
2 2018 FDA drug approvals.Nat Rev Drug Discov. 2019 Feb;18(2):85-89.
3 ClinicalTrials.gov (NCT02841540) A Study of H3B-8800 in Participants With Myelodysplastic Syndromes, Acute Myeloid Leukemia, and Chronic Myelomonocytic Leukemia. U.S. National Institutes of Health.
4 ClinicalTrials.gov (NCT04372433) IO-202 as Monotherapy in Patients in AML and CMML. U.S. National Institutes of Health.
5 ClinicalTrials.gov (NCT04139434) Dose-escalation Study of Oral Administration of LP-108 in Patients With Relapsed or Refractory Myelodysplastic Syndromes (MDS), Chronic Myelomonocytic Leukemia (CMML), or Acute Myeloid Leukemia (AML). U.S. National Institutes of Health.
6 Mutations of SETBP1 and JAK3 in juvenile myelomonocytic leukemia: a report from the Italian AIEOP study group.Oncotarget. 2016 May 17;7(20):28914-9. doi: 10.18632/oncotarget.8016.
7 Juvenile myelomonocytic leukemia-associated variants are associated with neo-natal lethal Noonan syndrome.Eur J Hum Genet. 2017 Apr;25(4):509-511. doi: 10.1038/ejhg.2016.202. Epub 2017 Jan 18.
8 A novel fusion gene involving PDGFRB and GCC2 in a chronic eosinophilic leukemia patient harboring t(2;5)(q37;q31).Mol Genet Genomic Med. 2019 Apr;7(4):e00591. doi: 10.1002/mgg3.591. Epub 2019 Jan 29.
9 Robust patient-derived xenografts of MDS/MPN overlap syndromes capture the unique characteristics of CMML and JMML.Blood. 2017 Jul 27;130(4):397-407. doi: 10.1182/blood-2017-01-763219. Epub 2017 Jun 2.
10 The genomic landscape of juvenile myelomonocytic leukemia.Nat Genet. 2015 Nov;47(11):1326-1333. doi: 10.1038/ng.3400. Epub 2015 Oct 12.
11 Chronic myelomonocytic leukemia with double-mutations in DNMT3A and FLT3-ITD treated with decitabine and sorafenib.Cancer Biol Ther. 2017 Nov 2;18(11):843-849. doi: 10.1080/15384047.2017.1281491. Epub 2017 Jan 19.
12 Postallogeneic monitoring with molecular markers detected by pretransplant next-generation or Sanger sequencing predicts clinical relapse in patients with myelodysplastic/myeloproliferative neoplasms.Eur J Haematol. 2014 Mar;92(3):189-94. doi: 10.1111/ejh.12223. Epub 2013 Nov 21.
13 Germline CBL mutations cause developmental abnormalities and predispose to juvenile myelomonocytic leukemia. Nat Genet. 2010 Sep;42(9):794-800. doi: 10.1038/ng.641. Epub 2010 Aug 8.
14 Embryonal rhabdomyosarcoma in a patient with a germline CBL pathogenic variant.Cancer Genet. 2019 Feb;231-232:62-66. doi: 10.1016/j.cancergen.2018.12.006. Epub 2018 Dec 30.
15 Anti-proliferative effects of T cells expressing a ligand-based chimeric antigen receptor against CD116 on CD34(+) cells of juvenile myelomonocytic leukemia.J Hematol Oncol. 2016 Mar 16;9:27. doi: 10.1186/s13045-016-0256-3.
16 Rapid development of myeloproliferative neoplasm in mice with Ptpn11(D61Y) mutation and haploinsufficient for Dnmt3a.Oncotarget. 2017 Dec 26;9(5):6055-6061. doi: 10.18632/oncotarget.23680. eCollection 2018 Jan 19.
17 Juvenile myelomonocytic leukemia with t(7;11)(p15;p15) and NUP98-HOXA11 fusion.Am J Hematol. 2009 May;84(5):295-7. doi: 10.1002/ajh.21373.
18 In vitro expansion of CD34(+)CD38(-) cells under stimulation with hematopoietic growth factors on AGM-S3 cells in juvenile myelomonocytic leukemia.Leukemia. 2015 Mar;29(3):606-14. doi: 10.1038/leu.2014.239. Epub 2014 Aug 8.
19 Deoxyribonucleic acid triplex formation inhibits granulocyte macrophage colony-stimulating factor gene expression and suppresses growth in juvenile myelomonocytic leukemic cells.J Clin Invest. 1997 Jun 15;99(12):3000-8. doi: 10.1172/JCI119495.
20 Genetic compensation of RUNX family transcription factors in leukemia.Cancer Sci. 2018 Aug;109(8):2358-2363. doi: 10.1111/cas.13664.
21 Spliceosomal gene mutations are frequent events in the diverse mutational spectrum of chronic myelomonocytic leukemia but largely absent in juvenile myelomonocytic leukemia.Haematologica. 2013 Jan;98(1):107-13. doi: 10.3324/haematol.2012.064048. Epub 2012 Jul 6.
22 Panobinostat inhibits the proliferation of CD34(+) CD38(-) cells under stimulation of hematopoietic growth factors on AGM-S3 cells in juvenile myelomonocytic leukemia.Pediatr Blood Cancer. 2018 Nov;65(11):e27261. doi: 10.1002/pbc.27261. Epub 2018 Jul 16.
23 Synthetic lethality of TNK2 inhibition in PTPN11-mutant leukemia.Sci Signal. 2018 Jul 17;11(539):eaao5617. doi: 10.1126/scisignal.aao5617.
24 Myeloid neoplasms with t(12;22)(p13;q12)/MN1-EVT6: a systematic review of 12 cases.Ann Hematol. 2018 Mar;97(3):417-424. doi: 10.1007/s00277-017-3208-2. Epub 2017 Dec 22.
25 KMT2A-rearranged infantile acute myeloid leukemia masquerading as juvenile myelomonocytic leukemia.Int J Hematol. 2018 Dec;108(6):665-669. doi: 10.1007/s12185-018-2522-3. Epub 2018 Aug 24.
26 Sustained remission with azacitidine monotherapy and an aberrant precursor B-lymphoblast population in juvenile myelomonocytic leukemia.Pediatr Blood Cancer. 2019 Oct;66(10):e27905. doi: 10.1002/pbc.27905. Epub 2019 Jun 28.
27 Classification of Genes: Standardized Clinical Validity Assessment of Gene-Disease Associations Aids Diagnostic Exome Analysis and Reclassifications. Hum Mutat. 2017 May;38(5):600-608. doi: 10.1002/humu.23183. Epub 2017 Feb 13.
28 Complete Resolution of Lymphoid Interstitial Pneumonia in a Patient With Juvenile Myelomonocytic Leukemia Treated With Allogeneic Bone Marrow Transplant: Killing 2 Birds With 1 Stone.J Pediatr Hematol Oncol. 2018 Jul;40(5):e315-e318. doi: 10.1097/MPH.0000000000000977.
29 Epigenetic dysregulation of the erythropoietic transcription factor KLF1 and the -like globin locus in juvenile myelomonocytic leukemia.Epigenetics. 2017 Aug;12(8):715-723. doi: 10.1080/15592294.2017.1356959. Epub 2017 Jul 27.
30 Huntingtin interacting protein 1 Is a clathrin coat binding protein required for differentiation of late spermatogenic progenitors.Mol Cell Biol. 2001 Nov;21(22):7796-806. doi: 10.1128/MCB.21.22.7796-7806.2001.
31 Donor cell-derived acute myeloblastic leukemia after allogeneic peripheral blood hematopoietic stem cell transplantation for juvenile myelomonocytic leukemia.J Pediatr Hematol Oncol. 2006 Nov;28(11):763-7. doi: 10.1097/01.mph.0000243660.48808.72.
32 NUP98-HBO1-fusion generates phenotypically and genetically relevant chronic myelomonocytic leukemia pathogenesis.Blood Adv. 2019 Apr 9;3(7):1047-1060. doi: 10.1182/bloodadvances.2018025007.
33 Transcription intermediary factor 1 is a tumor suppressor in mouse and human chronic myelomonocytic leukemia.J Clin Invest. 2011 Jun;121(6):2361-70. doi: 10.1172/JCI45213. Epub 2011 May 2.
34 Juvenile myelomonocytic leukemia displays mutations in components of the RAS pathway and the PRC2 network.Nat Genet. 2015 Nov;47(11):1334-40. doi: 10.1038/ng.3420. Epub 2015 Oct 12.
35 Molecular pathogenesis of atypical CML, CMML and MDS/MPN-unclassifiable.Int J Hematol. 2015 Mar;101(3):229-42. doi: 10.1007/s12185-014-1670-3. Epub 2014 Sep 12.
36 Chronic myelomonocytic leukemia with ETV6-ABL1 rearrangement and SMC1A mutation.Cancer Genet. 2019 Oct;238:31-36. doi: 10.1016/j.cancergen.2019.07.004. Epub 2019 Jul 13.
37 Oncogenes in myeloproliferative disorders.Cell Cycle. 2007 Mar 1;6(5):550-66. doi: 10.4161/cc.6.5.3919. Epub 2007 Mar 24.
38 Expanding the SHOC2 mutation associated phenotype of Noonan syndrome with loose anagen hair: structural brain anomalies and myelofibrosis.Am J Med Genet A. 2013 Oct;161A(10):2420-30. doi: 10.1002/ajmg.a.36098. Epub 2013 Aug 5.
39 Juvenile myelomonocytic leukaemia-associated mutation in Cbl promotes resistance to apoptosis via the Lyn-PI3K/AKT pathway.Oncogene. 2015 Feb 5;34(6):789-97. doi: 10.1038/onc.2013.596. Epub 2014 Jan 27.
40 A novel variant form of MLL-ELL fusion transcript with t(11;19)(q23;p13.1) in chronic myelomonocytic leukemia transforming to acute myeloid leukemia.Cancer Genet Cytogenet. 2008 Jul 15;184(2):109-12. doi: 10.1016/j.cancergencyto.2008.04.001.
41 Novel recurrent mutations in ethanolamine kinase 1 (ETNK1) gene in systemic mastocytosis with eosinophilia and chronic myelomonocytic leukemia.Blood Cancer J. 2015 Jan 23;5(1):e275. doi: 10.1038/bcj.2014.94.
42 Childhood chronic myeloid leukemia with monocytosis.Indian J Pediatr. 2010 Oct;77(10):1143-5. doi: 10.1007/s12098-010-0200-4. Epub 2010 Sep 30.
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44 Yolk sac erythromyeloid progenitors expressing gain of function PTPN11 have functional features of JMML but are not sufficient to cause disease in mice.Dev Dyn. 2017 Dec;246(12):1001-1014. doi: 10.1002/dvdy.24598. Epub 2017 Oct 23.
45 GATA2 hypomorphism induces chronic myelomonocytic leukemia in mice.Cancer Sci. 2019 Apr;110(4):1183-1193. doi: 10.1111/cas.13959. Epub 2019 Feb 23.
46 Novel exonic mutation inducing aberrant splicing in the IL10RA gene and resulting in infantile-onset inflammatory bowel disease: a case report.BMC Gastroenterol. 2016 Jan 28;16:10. doi: 10.1186/s12876-016-0424-5.
47 Engraftment of NOD/SCID/gammac(null) mice with multilineage neoplastic cells from patients with juvenile myelomonocytic leukaemia.Br J Haematol. 2005 Jul;130(1):51-7. doi: 10.1111/j.1365-2141.2005.05578.x.
48 EVI-1 gene expression in myeloid clonogenic cells from juvenile myelomonocytic leukemia (JMML).Leukemia. 1997 Dec;11(12):2045-8. doi: 10.1038/sj.leu.2400865.
49 Expression analysis of alpha-NAC and ANX2 in juvenile myelomonocytic leukemia using SMART polymerase chain reaction and "virtual Northern" hybridization.Cancer Genet Cytogenet. 2003 Apr 15;142(2):149-52. doi: 10.1016/s0165-4608(02)00841-5.
50 Myeloid leukemias express a broad spectrum of VEGF receptors including neuropilin-1 (NRP-1) and NRP-2.Leuk Lymphoma. 2007 Oct;48(10):1997-2007. doi: 10.1080/10428190701534424.
51 Essential role of PTPN11 mutation in enhanced haematopoietic differentiation potential of induced pluripotent stem cells of juvenile myelomonocytic leukaemia.Br J Haematol. 2019 Oct;187(2):163-173. doi: 10.1111/bjh.16060. Epub 2019 Jun 20.
52 Rabaptin-5 is a novel fusion partner to platelet-derived growth factor beta receptor in chronic myelomonocytic leukemia.Blood. 2001 Oct 15;98(8):2518-25. doi: 10.1182/blood.v98.8.2518.
53 Sipa1 deficiency-induced bone marrow niche alterations lead to the initiation of myeloproliferative neoplasm.Blood Adv. 2018 Mar 13;2(5):534-548. doi: 10.1182/bloodadvances.2017013599.
54 RASA4 undergoes DNA hypermethylation in resistant juvenile myelomonocytic leukemia.Epigenetics. 2014 Sep;9(9):1252-60. doi: 10.4161/epi.29941. Epub 2014 Jul 31.
55 Clinical significance of CSF3R, SRSF2 and SETBP1 mutations in chronic neutrophilic leukemia and chronic myelomonocytic leukemia.Oncotarget. 2017 Mar 28;8(13):20834-20841. doi: 10.18632/oncotarget.15355.
56 HCMOGT-1 is a novel fusion partner to PDGFRB in juvenile myelomonocytic leukemia with t(5;17)(q33;p11.2).Cancer Res. 2004 Apr 15;64(8):2649-51. doi: 10.1158/0008-5472.can-03-4026.
57 Myeloid neoplasms with features intermediate between primary myelofibrosis and chronic myelomonocytic leukemia.Mod Pathol. 2018 Mar;31(3):429-441. doi: 10.1038/modpathol.2017.148. Epub 2017 Dec 1.
58 MYH10 protein expression in platelets as a biomarker of RUNX1 and FLI1 alterations.Blood. 2012 Sep 27;120(13):2719-22. doi: 10.1182/blood-2012-04-422352. Epub 2012 Jun 7.
59 Prognostic significance of SRSF2 mutations in myelodysplastic syndromes and chronic myelomonocytic leukemia: a meta-analysis.Hematology. 2018 Dec;23(10):778-784. doi: 10.1080/10245332.2018.1471794. Epub 2018 May 14.