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BIOMARKER:
ASXL1 G646Wfs*12
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Other names: ASXL1, ASXL Transcriptional Regulator 1, Additional Sex Combs Like 1, Transcriptional Regulator, Polycomb Group Protein ASXL1, Additional Sex Combs Like Transcriptional Regulator 1, Additional Sex Combs Like 1 (Drosophila), Putative Polycomb Group Protein ASXL1, Additional Sex Combs-Like Protein 1, KIAA0978, BOPS, MDS
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The ASXL1 c.1934dupG variant is now routinely detected in myeloid NGS data using Oncomine Myeloid Assay GX v2 at VAF ³ 10%. Variant calls between 5% and 10% VAF are confirmed by orthogonal testing using the PCR sizing assay. The updated pipeline and sizing assay protocol are available to other laboratories.
Variant calling improvements were made in the OMAv2 assay to enable robust detection of challenging variants in low complexity regions including ASXL1 p.G646Wfs*12. The capability to accurately report ASXL1 p.G646Wfs*12 within OMAv2 is important to provide complete results. Within the context of a rapid automated profiling solution, OMAv2 facilitates comprehensive detection of key myeloid variants.
Conclusion : In contrast to its role in chemo consolidation only, MRCH is a feasible marker for MRD assessment in AML pts in CR after HSCT. MRCH-based risk prediction was of similar value as that of established MRD markers & was superior to that of BM CD34 chimerism.