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Leonie Saft

Researcher at Karolinska University Hospital

Publications -  37
Citations -  1405

Leonie Saft is an academic researcher from Karolinska University Hospital. The author has contributed to research in topics: Myelodysplastic syndromes & Lenalidomide. The author has an hindex of 15, co-authored 30 publications receiving 1207 citations. Previous affiliations of Leonie Saft include Karolinska Institutet.

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TP53 Mutations in Low-Risk Myelodysplastic Syndromes With del(5q) Predict Disease Progression

TL;DR: It is demonstrated that TP53 mutated populations may occur at an early disease stage in almost a fifth of low-risk MDS patients with del(5q) and could indicate a previously unrecognized heterogeneity of the disease which may significantly affect clinical decision making.
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p53 protein expression independently predicts outcome in patients with lower-risk myelodysplastic syndromes with del(5q)

TL;DR: For example, the authors showed that strong p53 expression in ≥ 1% of bone marrow progenitor cells, observed in 35% (30 of 85) of patients, was significantly associated with higher acute myeloid leukemia risk (P = 0.0006), shorter overall survival (P=0.0175), and a lower cytogenetic response rate, but not with achievement or duration of 26-week transfusion independence response.
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Clonal heterogeneity in the 5q- syndrome: p53 expressing progenitors prevail during lenalidomide treatment and expand at disease progression.

TL;DR: Molecular investigations in a patient with classical 5q- syndrome with complete erythroid and partial cytogenetic response to lenalidomide, who later developed high-risk myelodysplastic syndrome with a complex karyotype indicates a previously unknown heterogeneity of this disease.