VJHemOnc Podcast cover image

VJHemOnc Podcast

iwMyeloma Session I: genomics of high-risk and smoldering multiple myeloma

Apr 12, 2023
Leif Bergsagel, MD, Mayo Clinic, Phoenix, AZ, and Francesco Maura, MD, Sylvester Comprehensive Cancer Center, discuss genomics of high-risk and smoldering multiple myeloma. Topics cover next-generation sequencing (NGS), del(17p) and TP53 mutations, high-risk factors, controversy surrounding 17P deletion and TP53 mutation, challenges in determining and targeting cancer cells.
13:37

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Quick takeaways

  • Immunoglobulin transcription consistently decreases as myeloma progresses, highlighting the importance of accurate risk assessment.
  • Next-generation sequencing is a significant development in myeloma research, allowing for better understanding of risk factors and improved patient outcomes.

Deep dives

Genomics of High Risk Myeloma and Smoldering Myeloma

The podcast episode discussed the genomics of high risk myeloma and smoldering myeloma. One key point addressed was the level of immunoglobulin transcription, which consistently decreases as the disease progresses from normal plasma cell to smoldering myeloma to multiple myeloma. Next-generation sequencing was highlighted as an important tool in analyzing the genetic features of these conditions. The experts also discussed the crucial role of deletion 17p and TP53 mutations in determining prognosis, emphasizing the need for accurate risk assessment in myeloma.

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