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Myelodysplastic Neoplasms (MDS) and Myelodysplastic/Myeloproliferative Neoplasms (MDS/MPN): New Insights into Diagnosis and Targeted Therapy

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Molecular Cancer Biology".

Deadline for manuscript submissions: 15 July 2026 | Viewed by 625

Editors

Department of Hematopatholology and Laboratory Medicines, Moffitt Cancer Center, Tampa, FL 33612, USA
Interests: myeloid neoplasms; histiocytic and histiocytic neoplasms; lymphomas; molecular diagnosis; targeted therapy
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Guest Editor
Malignant Hematology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
Interests: myelofibrosis; myelodysplastic syndromes; acute myeloid leukemia; targeted therapy

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Guest Editor
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA
Interests: hematologic malignancies; sarcoma; leukemia

Special Issue Information

Dear Colleagues,

Myelodysplastic syndromes, newly reclassified as myelodysplastic neoplasms (both abbreviated as MDS), are a heterogeneous group of clonal myeloid neoplasms clinically manifested with peripheral cytopenia, ineffective hematopoiesis, and an increased risk of transformation to acute myeloid leukemia (AML). With the implementation of deep sequencing into routine clinical laboratories, people have better insights into molecular mechanisms of MDS development, highlighting the importance of personalized medicine and targetable therapy. However, an accurate diagnosis of MDS requires a constellation of intensive studies that includes not only histomorphology for dysplasia but also molecular and genetic consulting.

Myelodysplastic/myeloproliferative neoplasms (MDS/MPNs) encompass a broad spectrum of myeloid neoplasms defined by overlapping clinical, histomorphologic, and molecular features of both myelodysplastic and myeloproliferative neoplasms (MDS/MPNs). Clinically, they present with various combinations of cytopenias and cytoses. Chronic myelomonocytic leukemia (CMML) is the most common subtype.

The purpose of this Special Issue is to present new insights into acquired bone marrow failures including MDS and their precursor diseases (e.g., ICUS, CCUS, IDUS), as well as mixed myelodysplastic/myeloproliferative neoplasms, mainly CMML, CMUS, and CCMUS. Pediatric MDS, now termed “MDS of Childhood with low-blasts and high-blasts”, will also be included. Studies related to the harmonization of diagnostic criteria between new WHO and ICC classifications are of particular interest. Cases of MDS and/or MDS/MPNs developing post-cytotoxic therapy are also within the scope of this issue. However, studies on myeloid neoplasms and proliferations associated with antecedent or predisposing conditions—such as Myeloid neoplasms associated with Germline predisposition and Down Syndromes—are not preferred here and will be encouraged for submission to a separate issue.

This Special Issue welcomes both reviews and original research articles. The submission deadline is 15 July 2026.

Dr. Ling Zhang
Dr. David Sallman
Dr. Deniz Peker
Guest Editors

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Keywords

  • myelodysplastic syndromes/myelodysplastic neoplasms (MDS)
  • myelodysplastic/myeloproliferative neoplasm
  • chronic myelomonocytic leukemia (CMML)
  • diagnosis
  • mutations
  • IPSS-R
  • IPSS-M
  • hypomethylation agents
  • targeted therapy
  • hematopoietic stem cell transplant (HSCT)

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Published Papers (1 paper)

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Research

18 pages, 2529 KB  
Article
Clinical and Prognostic Significance of CEBPA Mutations in Myelodysplastic Syndromes
by Mohamed M. Khamis, Aref Al-Kali, Omar Alkharabsheh, Aleksandar Babic and Ranju Kunwor
Cancers 2026, 18(13), 2135; https://doi.org/10.3390/cancers18132135 - 1 Jul 2026
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Abstract
Background/Objectives: Myelodysplastic syndromes (MDS) carry a highly variable prognosis, stratified by the Revised International Prognostic Scoring System (IPSS-R) and the Molecular IPSS (IPSS-M). CEBPA mutations define a favorable-risk subgroup in acute myeloid leukemia (AML), yet their prognostic significance in MDS has not been [...] Read more.
Background/Objectives: Myelodysplastic syndromes (MDS) carry a highly variable prognosis, stratified by the Revised International Prognostic Scoring System (IPSS-R) and the Molecular IPSS (IPSS-M). CEBPA mutations define a favorable-risk subgroup in acute myeloid leukemia (AML), yet their prognostic significance in MDS has not been characterized. Methods: We analyzed 2442 patients from the International Working Group (IWG) 2022 multi-center MDS registry after pre-specified exclusions. Overall survival (OS) and leukemia-free survival (LFS) were compared between CEBPA-mutated (n = 66; 2.7%) and wild-type patients using Kaplan–Meier estimation and Cox proportional hazards regression, adjusting for age, sex, and IPSS-R score; pre-specified subgroup, sensitivity, competing-risk, and mutation subtype analyses were performed. Results:CEBPA-mutated patients had markedly inferior OS (median 17.2 versus 42.2 months; HR 2.05, 95% CI 1.50–2.79; p < 0.001). After IPSS-R adjustment, the hazard ratio remained adverse (HR 1.39, 95% CI 1.00–1.94; p = 0.053), with uniform directionality across all 13 evaluable subgroups and no significant interaction. Co-mutation adjustment for ASXL1 and STAG2 further attenuated the hazard ratio to HR 1.11 (95% CI 0.79–1.57; p = 0.54), suggesting part of the observed signal reflects co-mutation burden rather than an independent CEBPA effect. Competing-risk analysis suggested that the excess mortality is mediated through AML transformation (CEBPA-mutated versus wild-type subdistribution hazard ratio of 1.89, 95% CI 1.20–2.99; p = 0.006) rather than non-transformative MDS mortality (cause-specific HR 0.97; p = 0.890). Truncating mutations drove the adverse signal (HR 2.21; p = 0.023), while basic leucine zipper (bZIP) domain mutations showed no significant effect (HR 1.25; p = 0.470). Conclusions:CEBPA mutations identify a rare MDS subgroup with markedly inferior survival, driven by truncating loss-of-function mutations and associated with leukemic transformation; the AML-derived bZIP-favorable paradigm does not translate to MDS, and CEBPA mutation status merits a prospective study to assess clinical utility for risk stratification. Full article
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