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Molecular Research in Hematologic Malignancies

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 20 June 2026 | Viewed by 5628

Special Issue Editors


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Guest Editor
Institut de Recherche en Hématologie et Transplantation (IRHT), Hôpital du Hasenrain, 87 Avenue d’Altkirch, 68100 Mulhouse, France
Interests: stem cells; leukemia; biomarkers; mechanisms of multi-drug; epigenetic
Special Issues, Collections and Topics in MDPI journals
Institut de Recherche en Hématologie et Transplantation (IRHT), Hôpital du Hasenrain, 87 Avenue d’Altkirch, 68100 Mulhouse, France
Interests: stem cell research; cell therapy; epigenetic regulation in hematologic malignancies; molecular research; non-coding RNAs; DNA methylation; non-invasive diagnosis; regenerative medicine

Special Issue Information

Dear Colleagues,

The molecular regulation of hematopoietic stem cells (HSCs), including their proliferation, self-renewal, and differentiation, plays a central role in the development and progression of hematologic malignancies. A thorough understanding of these regulatory mechanisms, alongside the identification of novel pathways and biomarkers such as mutations, differentially methylated regions, and non-coding RNAs, is crucial for enhancing diagnostic precision, prognostic assessment, and the development of targeted therapies.

The field of molecular diagnostics and therapeutics in hematopoietic malignancies is currently at a pivotal juncture. Despite significant progress, the molecular determinants that predispose specific healthy cell populations to oncogenic reprogramming and the acquisition of aberrant self-renewal capacity remain insufficiently characterized.

This Special Issue aims to highlight recent advances in the molecular regulation of normal hematopoiesis and the mechanisms that promote leukemogenesis. It also seeks to address existing gaps in the knowledge and propose future directions for innovative diagnostic and therapeutic approaches. We welcome the submission of original research articles and comprehensive reviews on the following topics:

  • Molecular mechanisms regulating hematopoiesis;
  • Drivers of malignant transformation;
  • Non-invasive diagnostic and prognostic strategies and innovations;
  • Emerging targeted therapies in hematologic malignancies.

Dr. Rachid Lahlil
Dr. Anne Aries
Guest Editors

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Keywords

  • therapeutic targets
  • leukemogenesis
  • molecular regulation
  • cancer stem cells
  • epigenetics
  • novel biomarkers
  • non-coding RNA
  • DNA methylation
  • chemotherapy and genetic changes
  • cancer
  • hematologic malignancies

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Published Papers (4 papers)

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Research

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16 pages, 3691 KB  
Article
NETosis and Neutrophil Activity Quantification in Pediatric Patients with Essential Thrombocythemia
by Ekaterina-Iva A. Adamanskaya, Julia-Jessica D. Korobkin, Alexey V. Pshonkin, Alexey V. Bogdanov, Sofia V. Galkina, Nadezhda A. Podoplelova, Eugenia V. Yushkova, Mikhail A. Panteleev, Galina A. Novichkova, Nataliya S. Smetanina and Anastasia N. Sveshnikova
Int. J. Mol. Sci. 2025, 26(24), 11958; https://doi.org/10.3390/ijms262411958 - 11 Dec 2025
Abstract
Elevated levels of neutrophil extracellular traps (NETs) are associated with thrombotic risks, in particular, for patients with elevated platelet counts, such as those with essential thrombocythemia (ET). Here, the tendency for NETosis and neutrophil activity in such patients was assessed. A total of [...] Read more.
Elevated levels of neutrophil extracellular traps (NETs) are associated with thrombotic risks, in particular, for patients with elevated platelet counts, such as those with essential thrombocythemia (ET). Here, the tendency for NETosis and neutrophil activity in such patients was assessed. A total of forty-one pediatric patients with elevated platelet counts diagnosed with ET (nine with CALR driver mutation, eleven with JAK2, thirteen triple-negative, and one dual-negative (TN)) or secondary thrombocytosis (five) were recruited. The tendency for NETosis was determined in a leucocyte-rich blood plasma smear using immunofluorescence staining with antibodies against myeloperoxidase and elastase. Activity of neutrophils was assessed ex vivo in parallel-plate flow chambers. The mean level of NETosis in healthy volunteers was 2.7–6.7% (95% CI). Among the ET patients, there was no statistically significant difference in NETosis level between those with mutations in CALR (19–43%), JAK2 (22–58%), and TN ones (6–27%). Patients with secondary thrombocytosis also had an elevated level of NETosis (8–66%). The velocity of neutrophil chemotaxis was significantly increased in all patients, in particular for those with mutations in CALR. These data reveal a major shift in the neutrophil activity in ET and suggest that the immunomorphological techniques presented here may allow reproducible and widely available characterization of neutrophil status. Full article
(This article belongs to the Special Issue Molecular Research in Hematologic Malignancies)
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25 pages, 3945 KB  
Article
Synergistic MDM2-STAT3 Inhibition Demonstrates Strong Anti-Leukemic Efficacy in Acute Lymphoblastic Leukemia
by Erhan Aptullahoglu and Emrah Kaygusuz
Int. J. Mol. Sci. 2025, 26(17), 8648; https://doi.org/10.3390/ijms26178648 - 5 Sep 2025
Viewed by 2121
Abstract
Acute lymphoblastic leukemia (ALL) remains a formidable therapeutic challenge, particularly within high-risk cohorts. Advances in next-generation sequencing have elucidated critical mutations that significantly influence prognosis and therapeutic decision-making. Tyrosine kinase inhibitors (TKIs) have significantly improved treatment outcomes in Philadelphia chromosome-positive (Ph+) ALL. Meanwhile, [...] Read more.
Acute lymphoblastic leukemia (ALL) remains a formidable therapeutic challenge, particularly within high-risk cohorts. Advances in next-generation sequencing have elucidated critical mutations that significantly influence prognosis and therapeutic decision-making. Tyrosine kinase inhibitors (TKIs) have significantly improved treatment outcomes in Philadelphia chromosome-positive (Ph+) ALL. Meanwhile, emerging therapies such as monoclonal antibodies and chimeric antigen receptor (CAR) T-cell therapies show promise for B-cell ALL, although they are associated with considerable toxicities. These developments underscore the persistent need for alternative therapeutic strategies that can benefit a wider range of patients. In this study, human ALL cell lines—characterized by either wild-type or mutant tumor protein p53 (TP53) status—were treated with RG7388 (an MDM2 (mouse double minute 2 homolog) inhibitor) and BBI608 (a STAT3 (signal transducer and activator of transcription 3) inhibitor), both as single agents and in combination. Cell viability was quantified using XTT assays, while apoptosis was assessed via flow cytometry. Additionally, immunoblotting and qRT-PCR were employed to evaluate changes in protein and gene expression, respectively. RG7388 demonstrated potent growth inhibition in the majority of ALL cell lines, with p53-mutant cell lines exhibiting resistance. BBI608 reduced cell viability across all tested cell lines, though with variable sensitivity. Notably, the combination of RG7388 and BBI608 elicited synergistic anti-proliferative effects in p53 wild-type and partially functional p53-mutant cells, enhancing apoptosis and stabilizing p53 protein levels. In contrast, MOLT-4 cells, which harbor concurrent TP53 and STAT3 mutations, did not benefit from the combination treatment, indicating an inherent resistance phenotype within this subset. Collectively, these findings highlight the therapeutic potential of combined MDM2 and STAT3 inhibition in ALL, particularly in p53 wild-type and partially functional p53-mutant contexts. This combinatorial approach augments apoptosis and tumor growth suppression, offering a promising avenue for expanding treatment options for a broader patient population. Further investigation is warranted to validate these preclinical findings and to explore translational implications in genetically diverse ALL subsets. Full article
(This article belongs to the Special Issue Molecular Research in Hematologic Malignancies)
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17 pages, 4942 KB  
Article
Detection of XPO1E571K Gene Mutation from Cell-Free DNA in Blood Circulation of Lymphoma Patients by FAST-COLD PCR
by Suwit Duangmano, Natsima Viriyaadhammaa, Pinyaphat Khamphikham, Nutjeera Intasai, Adisak Tantiworawit, Teerada Daroontum, Sawitree Chiampanichayakul and Songyot Anuchapreeda
Int. J. Mol. Sci. 2025, 26(15), 7324; https://doi.org/10.3390/ijms26157324 - 29 Jul 2025
Viewed by 920
Abstract
The XPO1 (exportin 1) gene encodes exportin 1 protein responsible for transporting proteins and RNA from the nucleus to the cytoplasm. It has been used as a biomarker for lymphoma detection. XPO1E571K mutation has been frequently observed and identified as [...] Read more.
The XPO1 (exportin 1) gene encodes exportin 1 protein responsible for transporting proteins and RNA from the nucleus to the cytoplasm. It has been used as a biomarker for lymphoma detection. XPO1E571K mutation has been frequently observed and identified as a good prognostic indicator for lymphoma patients. The detection of a target molecule released by lymphoma cells into blood circulation (cell-free circulating tumor DNA, cfDNA) is a better method than tissue biopsy. However, cfDNA concentration in blood circulation is very low in cancer patients. Therefore, a precise and sensitive method is needed. In this study, cfDNA was extracted, and then the XPO1 gene was detected and amplified using conventional PCR. Sanger sequencing was employed to verify the DNA sequences. FAST-COLD-PCR was developed to detect XPO1E571K gene mutation using a CFX96 Touch Real-Time PCR System. The optimal critical temperature (Tc) was 73.3 °C, allowing selective amplification of XPO1E571K mutant DNA while wild-type XPO1 could not be amplified. XPO1E571K gene mutation can be detected by this method with high specificity and sensitivity in lymphoma patients. This approach facilitates rapid and straightforward detection in a timely manner after the diagnosis. Accordingly, the optimized FAST-COLD-PCR conditions can be used as a prototype for XPO1E571K mutant detection in lymphoma patients. Full article
(This article belongs to the Special Issue Molecular Research in Hematologic Malignancies)
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Review

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25 pages, 1035 KB  
Review
Liquid Biopsy and Epigenetic Signatures in AML, ALL, and CNS Tumors: Diagnostic and Monitoring Perspectives
by Anne Aries, Bernard Drénou and Rachid Lahlil
Int. J. Mol. Sci. 2025, 26(15), 7547; https://doi.org/10.3390/ijms26157547 - 5 Aug 2025
Cited by 2 | Viewed by 2099
Abstract
To deliver the most effective cancer treatment, clinicians require rapid and accurate diagnoses that delineate tumor type, stage, and prognosis. Consequently, minimizing the need for repetitive and invasive procedures like biopsies and myelograms, along with their associated risks, is a critical challenge. Non-invasive [...] Read more.
To deliver the most effective cancer treatment, clinicians require rapid and accurate diagnoses that delineate tumor type, stage, and prognosis. Consequently, minimizing the need for repetitive and invasive procedures like biopsies and myelograms, along with their associated risks, is a critical challenge. Non-invasive monitoring offers a promising avenue for tumor detection, screening, and prognostication. While the identification of oncogenes and biomarkers from circulating tumor cells or tissue biopsies is currently standard practice for cancer diagnosis and classification, accumulating evidence underscores the significant role of epigenetics in regulating stem cell fate, including proliferation, self-renewal, and malignant transformation. This highlights the importance of analyzing the methylome, exosomes, and circulating RNA for detecting cellular transformation. The development of diagnostic assays that integrate liquid biopsies with epigenetic analysis holds immense potential for revolutionizing tumor management by enabling rapid, non-invasive diagnosis, real-time monitoring, and personalized treatment decisions. This review covers current studies exploring the use of epigenetic regulation, specifically the methylome and circulating RNA, as diagnostic tools derived from liquid biopsies. This approach shows promise in facilitating the differentiation between primary central nervous system lymphoma and other central nervous system tumors and may enable the detection and monitoring of acute myeloid/lymphoid leukemia. We also discuss the current limitations hindering the rapid clinical translation of these technologies. Full article
(This article belongs to the Special Issue Molecular Research in Hematologic Malignancies)
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