Single-cell genotypic and phenotypic analysis of measurable residual disease in acute myeloid leukemia Journal Article


Authors: Robinson, T. M.; Bowman, R. L.; Persaud, S.; Liu, Y.; Neigenfind, R.; Gao, Q.; Zhang, J.; Sun, X.; Miles, L. A.; Cai, S. F.; Sciambi, A.; Llanso, A.; Famulare, C.; Goldberg, A.; Dogan, A.; Roshal, M.; Levine, R. L.; Xiao, W.
Article Title: Single-cell genotypic and phenotypic analysis of measurable residual disease in acute myeloid leukemia
Abstract: Measurable residual disease (MRD), defined as the population of cancer cells that persist following therapy, serves as the critical reservoir for disease relapse in acute myeloid leukemia and other malignancies. Understanding the biology enabling MRD clones to resist therapy is necessary to guide the development of more effective curative treatments. Discriminating between residual leukemic clones, preleukemic clones, and normal precursors remains a challenge with current MRD tools. Here, we developed a single-cell MRD (scMRD) assay by combining flow cytometric enrichment of the targeted precursor/blast population with integrated single-cell DNA sequencing and immunophenotyping. Our scMRD assay shows high sensitivity of approximately 0.01%, deconvolutes clonal architecture, and provides clone-specific immunophenotypic data. In summary, our scMRD assay enhances MRD detection and simultaneously illuminates the clonal architecture of clonal hematopoiesis/preleukemic and leukemic cells surviving acute myeloid leukemia therapy.
Keywords: genetics; leukemia, myeloid, acute; flow cytometry; genotype; bioassay; immunophenotyping; biological assay; acute myeloid leukemia; humans; human
Journal Title: Science Advances
Volume: 9
Issue: 38
ISSN: 2375-2548
Publisher: Amer Assoc Advancement Science  
Date Published: 2023-09-22
Start Page: eadg0488
Language: English
DOI: 10.1126/sciadv.adg0488
PUBMED: 37729414
PROVIDER: scopus
PMCID: PMC10881057
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding authors are Wenbin Xiao and Ross Levine -- Source: Scopus
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MSK Authors
  1. Ross Levine
    782 Levine
  2. Sheng Feng Cai
    49 Cai
  3. Robert L Bowman
    52 Bowman
  4. Ahmet Dogan
    467 Dogan
  5. Mikhail Roshal
    235 Roshal
  6. Linde Anne Miles
    22 Miles
  7. Qi   Gao
    68 Gao
  8. Aaron David Goldberg
    114 Goldberg
  9. Wenbin Xiao
    111 Xiao
  10. Ying Liu
    33 Liu
  11. Jing-Ping Zhang
    6 Zhang
  12. Xiaotian Sun
    9 Sun