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Mutation allele burden remains unchanged in chronic myelomonocytic leukaemia responding to hypomethylating agents

Identifieur interne : 003177 ( Ncbi/Merge ); précédent : 003176; suivant : 003178

Mutation allele burden remains unchanged in chronic myelomonocytic leukaemia responding to hypomethylating agents

Auteurs : Jane Merlevede [France] ; Nathalie Droin [France] ; Tingting Qin [États-Unis] ; Kristen Meldi [États-Unis] ; Kenichi Yoshida [Japon] ; Margot Morabito [France] ; Emilie Chautard [France] ; Didier Auboeuf [France] ; Pierre Fenaux [France] ; Thorsten Braun [France] ; Raphael Itzykson [France] ; Stéphane De Botton [France] ; Bruno Quesnel [France] ; Thérèse Commes [France] ; Eric Jourdan [France] ; William Vainchenker [France] ; Olivier Bernard [France] ; Noemie Pata-Merci [France] ; Stéphanie Solier [France] ; Velimir Gayevskiy [Australie] ; Marcel E. Dinger [Australie] ; Mark J. Cowley [Australie] ; Dorothée Selimoglu-Buet [France] ; Vincent Meyer [France] ; François Artiguenave [France] ; Jean-François Deleuze [France] ; Claude Preudhomme [France] ; Michael R. Stratton [Royaume-Uni] ; Ludmil B. Alexandrov [Royaume-Uni, États-Unis] ; Eric Padron [États-Unis] ; Seishi Ogawa [Japon] ; Serge Koscielny [France] ; Maria Figueroa [États-Unis] ; Eric Solary [France]

Source :

RBID : PMC:4770084

Descripteurs français

English descriptors

Abstract

The cytidine analogues azacytidine and 5-aza-2'-deoxycytidine (decitabine) are commonly used to treat myelodysplastic syndromes, with or without a myeloproliferative component. It remains unclear whether the response to these hypomethylating agents results from a cytotoxic or an epigenetic effect. In this study, we address this question in chronic myelomonocytic leukaemia. We describe a comprehensive analysis of the mutational landscape of these tumours, combining whole-exome and whole-genome sequencing. We identify an average of 14±5 somatic mutations in coding sequences of sorted monocyte DNA and the signatures of three mutational processes. Serial sequencing demonstrates that the response to hypomethylating agents is associated with changes in DNA methylation and gene expression, without any decrease in the mutation allele burden, nor prevention of new genetic alteration occurence. Our findings indicate that cytosine analogues restore a balanced haematopoiesis without decreasing the size of the mutated clone, arguing for a predominantly epigenetic effect.


Url:
DOI: 10.1038/ncomms10767
PubMed: 26908133
PubMed Central: 4770084

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PMC:4770084

Le document en format XML

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<title xml:lang="en">Mutation allele burden remains unchanged in chronic myelomonocytic leukaemia responding to hypomethylating agents</title>
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<name sortKey="Merlevede, Jane" sort="Merlevede, Jane" uniqKey="Merlevede J" first="Jane" last="Merlevede">Jane Merlevede</name>
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<institution>INSERM U1170, Gustave Roussy</institution>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Droin, Nathalie" sort="Droin, Nathalie" uniqKey="Droin N" first="Nathalie" last="Droin">Nathalie Droin</name>
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<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
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<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
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<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
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<country xml:lang="fr">France</country>
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<name sortKey="Qin, Tingting" sort="Qin, Tingting" uniqKey="Qin T" first="Tingting" last="Qin">Tingting Qin</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Meldi, Kristen" sort="Meldi, Kristen" uniqKey="Meldi K" first="Kristen" last="Meldi">Kristen Meldi</name>
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<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Yoshida, Kenichi" sort="Yoshida, Kenichi" uniqKey="Yoshida K" first="Kenichi" last="Yoshida">Kenichi Yoshida</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Morabito, Margot" sort="Morabito, Margot" uniqKey="Morabito M" first="Margot" last="Morabito">Margot Morabito</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Chautard, Emilie" sort="Chautard, Emilie" uniqKey="Chautard E" first="Emilie" last="Chautard">Emilie Chautard</name>
<affiliation wicri:level="1">
<nlm:aff id="a6">
<institution>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard</institution>
, 16 rue Raphael Dubois, Lyon 69100,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author>
<name sortKey="Auboeuf, Didier" sort="Auboeuf, Didier" uniqKey="Auboeuf D" first="Didier" last="Auboeuf">Didier Auboeuf</name>
<affiliation wicri:level="1">
<nlm:aff id="a7">
<institution>Centre Léon Bérard, INSERM U1052, CNRS UMR5286</institution>
, 8 Prom. Léa et Napoléon Bullukian, 69008 Lyon,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fenaux, Pierre" sort="Fenaux, Pierre" uniqKey="Fenaux P" first="Pierre" last="Fenaux">Pierre Fenaux</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Braun, Thorsten" sort="Braun, Thorsten" uniqKey="Braun T" first="Thorsten" last="Braun">Thorsten Braun</name>
<affiliation wicri:level="1">
<nlm:aff id="a9">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris</institution>
, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Itzykson, Raphael" sort="Itzykson, Raphael" uniqKey="Itzykson R" first="Raphael" last="Itzykson">Raphael Itzykson</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Botton, Stephane" sort="De Botton, Stephane" uniqKey="De Botton S" first="Stéphane" last="De Botton">Stéphane De Botton</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Quesnel, Bruno" sort="Quesnel, Bruno" uniqKey="Quesnel B" first="Bruno" last="Quesnel">Bruno Quesnel</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Commes, Therese" sort="Commes, Therese" uniqKey="Commes T" first="Thérèse" last="Commes">Thérèse Commes</name>
<affiliation wicri:level="1">
<nlm:aff id="a11">
<institution>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier</institution>
, 80 avenue Augustin Fliche. 34295 Montpellier,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jourdan, Eric" sort="Jourdan, Eric" uniqKey="Jourdan E" first="Eric" last="Jourdan">Eric Jourdan</name>
<affiliation wicri:level="1">
<nlm:aff id="a12">
<institution>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes</institution>
, 4 Rue du Professeur Robert Debré, 30029 Nîmes,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vainchenker, William" sort="Vainchenker, William" uniqKey="Vainchenker W" first="William" last="Vainchenker">William Vainchenker</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bernard, Olivier" sort="Bernard, Olivier" uniqKey="Bernard O" first="Olivier" last="Bernard">Olivier Bernard</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
<affiliation wicri:level="1">
<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solier, Stephanie" sort="Solier, Stephanie" uniqKey="Solier S" first="Stéphanie" last="Solier">Stéphanie Solier</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gayevskiy, Velimir" sort="Gayevskiy, Velimir" uniqKey="Gayevskiy V" first="Velimir" last="Gayevskiy">Velimir Gayevskiy</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dinger, Marcel E" sort="Dinger, Marcel E" uniqKey="Dinger M" first="Marcel E." last="Dinger">Marcel E. Dinger</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cowley, Mark J" sort="Cowley, Mark J" uniqKey="Cowley M" first="Mark J." last="Cowley">Mark J. Cowley</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Selimoglu Buet, Dorothee" sort="Selimoglu Buet, Dorothee" uniqKey="Selimoglu Buet D" first="Dorothée" last="Selimoglu-Buet">Dorothée Selimoglu-Buet</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer, Vincent" sort="Meyer, Vincent" uniqKey="Meyer V" first="Vincent" last="Meyer">Vincent Meyer</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Artiguenave, Francois" sort="Artiguenave, Francois" uniqKey="Artiguenave F" first="François" last="Artiguenave">François Artiguenave</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R." last="Stratton">Michael R. Stratton</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B." last="Alexandrov">Ludmil B. Alexandrov</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a16">
<institution>Theoretical Biology and Biophysics, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a17">
<institution>Center for Nonlinear Studies, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
<affiliation wicri:level="1">
<nlm:aff id="a18">
<institution>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center</institution>
, 12902 USF Magnolia Drive, Tampa, Florida 33612,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ogawa, Seishi" sort="Ogawa, Seishi" uniqKey="Ogawa S" first="Seishi" last="Ogawa">Seishi Ogawa</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koscielny, Serge" sort="Koscielny, Serge" uniqKey="Koscielny S" first="Serge" last="Koscielny">Serge Koscielny</name>
<affiliation wicri:level="1">
<nlm:aff id="a19">
<institution>Department of Biostatistics, Gustave Roussy Cancer Center</institution>
, 114 rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Figueroa, Maria" sort="Figueroa, Maria" uniqKey="Figueroa M" first="Maria" last="Figueroa">Maria Figueroa</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solary, Eric" sort="Solary, Eric" uniqKey="Solary E" first="Eric" last="Solary">Eric Solary</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a20">
<institution>Department of Hematology, Faculty of Medicine, University Paris-Sud</institution>
, 63 Rue Gabriel Péri, 94270 Le Kremlin-Bicêtre,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">26908133</idno>
<idno type="pmc">4770084</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770084</idno>
<idno type="RBID">PMC:4770084</idno>
<idno type="doi">10.1038/ncomms10767</idno>
<date when="2016">2016</date>
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<idno type="wicri:Area/Pmc/Checkpoint">000755</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000755</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="wicri:Area/PubMed/Corpus">002227</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002227</idno>
<idno type="wicri:Area/PubMed/Curation">002201</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002201</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002201</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002201</idno>
<idno type="wicri:Area/Ncbi/Merge">003177</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Mutation allele burden remains unchanged in chronic myelomonocytic leukaemia responding to hypomethylating agents</title>
<author>
<name sortKey="Merlevede, Jane" sort="Merlevede, Jane" uniqKey="Merlevede J" first="Jane" last="Merlevede">Jane Merlevede</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Droin, Nathalie" sort="Droin, Nathalie" uniqKey="Droin N" first="Nathalie" last="Droin">Nathalie Droin</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Qin, Tingting" sort="Qin, Tingting" uniqKey="Qin T" first="Tingting" last="Qin">Tingting Qin</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meldi, Kristen" sort="Meldi, Kristen" uniqKey="Meldi K" first="Kristen" last="Meldi">Kristen Meldi</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Yoshida, Kenichi" sort="Yoshida, Kenichi" uniqKey="Yoshida K" first="Kenichi" last="Yoshida">Kenichi Yoshida</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Morabito, Margot" sort="Morabito, Margot" uniqKey="Morabito M" first="Margot" last="Morabito">Margot Morabito</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Chautard, Emilie" sort="Chautard, Emilie" uniqKey="Chautard E" first="Emilie" last="Chautard">Emilie Chautard</name>
<affiliation wicri:level="1">
<nlm:aff id="a6">
<institution>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard</institution>
, 16 rue Raphael Dubois, Lyon 69100,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Auboeuf, Didier" sort="Auboeuf, Didier" uniqKey="Auboeuf D" first="Didier" last="Auboeuf">Didier Auboeuf</name>
<affiliation wicri:level="1">
<nlm:aff id="a7">
<institution>Centre Léon Bérard, INSERM U1052, CNRS UMR5286</institution>
, 8 Prom. Léa et Napoléon Bullukian, 69008 Lyon,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fenaux, Pierre" sort="Fenaux, Pierre" uniqKey="Fenaux P" first="Pierre" last="Fenaux">Pierre Fenaux</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Braun, Thorsten" sort="Braun, Thorsten" uniqKey="Braun T" first="Thorsten" last="Braun">Thorsten Braun</name>
<affiliation wicri:level="1">
<nlm:aff id="a9">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris</institution>
, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Itzykson, Raphael" sort="Itzykson, Raphael" uniqKey="Itzykson R" first="Raphael" last="Itzykson">Raphael Itzykson</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Botton, Stephane" sort="De Botton, Stephane" uniqKey="De Botton S" first="Stéphane" last="De Botton">Stéphane De Botton</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Quesnel, Bruno" sort="Quesnel, Bruno" uniqKey="Quesnel B" first="Bruno" last="Quesnel">Bruno Quesnel</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Commes, Therese" sort="Commes, Therese" uniqKey="Commes T" first="Thérèse" last="Commes">Thérèse Commes</name>
<affiliation wicri:level="1">
<nlm:aff id="a11">
<institution>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier</institution>
, 80 avenue Augustin Fliche. 34295 Montpellier,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jourdan, Eric" sort="Jourdan, Eric" uniqKey="Jourdan E" first="Eric" last="Jourdan">Eric Jourdan</name>
<affiliation wicri:level="1">
<nlm:aff id="a12">
<institution>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes</institution>
, 4 Rue du Professeur Robert Debré, 30029 Nîmes,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vainchenker, William" sort="Vainchenker, William" uniqKey="Vainchenker W" first="William" last="Vainchenker">William Vainchenker</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bernard, Olivier" sort="Bernard, Olivier" uniqKey="Bernard O" first="Olivier" last="Bernard">Olivier Bernard</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
<affiliation wicri:level="1">
<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solier, Stephanie" sort="Solier, Stephanie" uniqKey="Solier S" first="Stéphanie" last="Solier">Stéphanie Solier</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gayevskiy, Velimir" sort="Gayevskiy, Velimir" uniqKey="Gayevskiy V" first="Velimir" last="Gayevskiy">Velimir Gayevskiy</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dinger, Marcel E" sort="Dinger, Marcel E" uniqKey="Dinger M" first="Marcel E." last="Dinger">Marcel E. Dinger</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cowley, Mark J" sort="Cowley, Mark J" uniqKey="Cowley M" first="Mark J." last="Cowley">Mark J. Cowley</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Selimoglu Buet, Dorothee" sort="Selimoglu Buet, Dorothee" uniqKey="Selimoglu Buet D" first="Dorothée" last="Selimoglu-Buet">Dorothée Selimoglu-Buet</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer, Vincent" sort="Meyer, Vincent" uniqKey="Meyer V" first="Vincent" last="Meyer">Vincent Meyer</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Artiguenave, Francois" sort="Artiguenave, Francois" uniqKey="Artiguenave F" first="François" last="Artiguenave">François Artiguenave</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R." last="Stratton">Michael R. Stratton</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B." last="Alexandrov">Ludmil B. Alexandrov</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a16">
<institution>Theoretical Biology and Biophysics, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a17">
<institution>Center for Nonlinear Studies, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
<affiliation wicri:level="1">
<nlm:aff id="a18">
<institution>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center</institution>
, 12902 USF Magnolia Drive, Tampa, Florida 33612,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ogawa, Seishi" sort="Ogawa, Seishi" uniqKey="Ogawa S" first="Seishi" last="Ogawa">Seishi Ogawa</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koscielny, Serge" sort="Koscielny, Serge" uniqKey="Koscielny S" first="Serge" last="Koscielny">Serge Koscielny</name>
<affiliation wicri:level="1">
<nlm:aff id="a19">
<institution>Department of Biostatistics, Gustave Roussy Cancer Center</institution>
, 114 rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Figueroa, Maria" sort="Figueroa, Maria" uniqKey="Figueroa M" first="Maria" last="Figueroa">Maria Figueroa</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solary, Eric" sort="Solary, Eric" uniqKey="Solary E" first="Eric" last="Solary">Eric Solary</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a20">
<institution>Department of Hematology, Faculty of Medicine, University Paris-Sud</institution>
, 63 Rue Gabriel Péri, 94270 Le Kremlin-Bicêtre,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nature Communications</title>
<idno type="eISSN">2041-1723</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alleles</term>
<term>Antimetabolites, Antineoplastic (pharmacology)</term>
<term>Antimetabolites, Antineoplastic (therapeutic use)</term>
<term>Azacitidine (analogs & derivatives)</term>
<term>Azacitidine (pharmacology)</term>
<term>Azacitidine (therapeutic use)</term>
<term>Cell Survival (drug effects)</term>
<term>DNA Methylation (drug effects)</term>
<term>Epigenesis, Genetic (drug effects)</term>
<term>Female</term>
<term>Gene Expression Regulation, Neoplastic (drug effects)</term>
<term>HEK293 Cells</term>
<term>High-Throughput Nucleotide Sequencing</term>
<term>Humans</term>
<term>Leukemia, Myelomonocytic, Chronic (drug therapy)</term>
<term>Leukemia, Myelomonocytic, Chronic (genetics)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Sequence Analysis, DNA</term>
<term>Sequence Analysis, RNA</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Analyse de séquence d'ADN</term>
<term>Analyse de séquence d'ARN</term>
<term>Antinéoplasiques antimétabolites (pharmacologie)</term>
<term>Antinéoplasiques antimétabolites (usage thérapeutique)</term>
<term>Azacitidine (analogues et dérivés)</term>
<term>Azacitidine (pharmacologie)</term>
<term>Azacitidine (usage thérapeutique)</term>
<term>Cellules HEK293</term>
<term>Femelle</term>
<term>Humains</term>
<term>Leucémie myélomonocytaire chronique (génétique)</term>
<term>Leucémie myélomonocytaire chronique (traitement médicamenteux)</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Méthylation de l'ADN ()</term>
<term>Régulation de l'expression des gènes tumoraux ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie cellulaire ()</term>
<term>Séquençage nucléotidique à haut débit</term>
<term>Épigenèse génétique ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en">
<term>Antimetabolites, Antineoplastic</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antimetabolites, Antineoplastic</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr">
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Cell Survival</term>
<term>DNA Methylation</term>
<term>Epigenesis, Genetic</term>
<term>Gene Expression Regulation, Neoplastic</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Leukemia, Myelomonocytic, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Leukemia, Myelomonocytic, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Leucémie myélomonocytaire chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr">
<term>Antinéoplasiques antimétabolites</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Leucémie myélomonocytaire chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antinéoplasiques antimétabolites</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alleles</term>
<term>Female</term>
<term>HEK293 Cells</term>
<term>High-Throughput Nucleotide Sequencing</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Sequence Analysis, DNA</term>
<term>Sequence Analysis, RNA</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Analyse de séquence d'ADN</term>
<term>Analyse de séquence d'ARN</term>
<term>Cellules HEK293</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Méthylation de l'ADN</term>
<term>Régulation de l'expression des gènes tumoraux</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie cellulaire</term>
<term>Séquençage nucléotidique à haut débit</term>
<term>Épigenèse génétique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>The cytidine analogues azacytidine and 5-aza-2'-deoxycytidine (decitabine) are commonly used to treat myelodysplastic syndromes, with or without a myeloproliferative component. It remains unclear whether the response to these hypomethylating agents results from a cytotoxic or an epigenetic effect. In this study, we address this question in chronic myelomonocytic leukaemia. We describe a comprehensive analysis of the mutational landscape of these tumours, combining whole-exome and whole-genome sequencing. We identify an average of 14±5 somatic mutations in coding sequences of sorted monocyte DNA and the signatures of three mutational processes. Serial sequencing demonstrates that the response to hypomethylating agents is associated with changes in DNA methylation and gene expression, without any decrease in the mutation allele burden, nor prevention of new genetic alteration occurence. Our findings indicate that cytosine analogues restore a balanced haematopoiesis without decreasing the size of the mutated clone, arguing for a predominantly epigenetic effect.</p>
</div>
</front>
<back>
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<name sortKey="Anders, S" uniqKey="Anders S">S. Anders</name>
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<name sortKey="Rozek, L S" uniqKey="Rozek L">L. S. Rozek</name>
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<name sortKey="Krueger, F" uniqKey="Krueger F">F. Krueger</name>
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<institution>INSERM U1170, Gustave Roussy</institution>
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<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
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<country xml:lang="fr">France</country>
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<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
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<country xml:lang="fr">États-Unis</country>
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<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<country>France</country>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris</institution>
, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
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<country xml:lang="fr">France</country>
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<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
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<country xml:lang="fr">France</country>
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, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<country>France</country>
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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, 4 Rue du Professeur Robert Debré, 30029 Nîmes,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
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<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
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<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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<country xml:lang="fr">France</country>
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<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a13">
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</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
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</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
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</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a14">
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, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
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<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
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<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R." last="Stratton">Michael R. Stratton</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
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, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B." last="Alexandrov">Ludmil B. Alexandrov</name>
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<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
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</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<nlm:aff id="a16">
<institution>Theoretical Biology and Biophysics, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a17">
<institution>Center for Nonlinear Studies, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
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<nlm:aff id="a18">
<institution>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center</institution>
, 12902 USF Magnolia Drive, Tampa, Florida 33612,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ogawa, Seishi" sort="Ogawa, Seishi" uniqKey="Ogawa S" first="Seishi" last="Ogawa">Seishi Ogawa</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koscielny, Serge" sort="Koscielny, Serge" uniqKey="Koscielny S" first="Serge" last="Koscielny">Serge Koscielny</name>
<affiliation wicri:level="1">
<nlm:aff id="a19">
<institution>Department of Biostatistics, Gustave Roussy Cancer Center</institution>
, 114 rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Figueroa, Maria" sort="Figueroa, Maria" uniqKey="Figueroa M" first="Maria" last="Figueroa">Maria Figueroa</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solary, Eric" sort="Solary, Eric" uniqKey="Solary E" first="Eric" last="Solary">Eric Solary</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a20">
<institution>Department of Hematology, Faculty of Medicine, University Paris-Sud</institution>
, 63 Rue Gabriel Péri, 94270 Le Kremlin-Bicêtre,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">26908133</idno>
<idno type="pmc">4770084</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770084</idno>
<idno type="RBID">PMC:4770084</idno>
<idno type="doi">10.1038/ncomms10767</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000759</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000759</idno>
<idno type="wicri:Area/Pmc/Curation">000758</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000758</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000755</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000755</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Mutation allele burden remains unchanged in chronic myelomonocytic leukaemia responding to hypomethylating agents</title>
<author>
<name sortKey="Merlevede, Jane" sort="Merlevede, Jane" uniqKey="Merlevede J" first="Jane" last="Merlevede">Jane Merlevede</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Droin, Nathalie" sort="Droin, Nathalie" uniqKey="Droin N" first="Nathalie" last="Droin">Nathalie Droin</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Qin, Tingting" sort="Qin, Tingting" uniqKey="Qin T" first="Tingting" last="Qin">Tingting Qin</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meldi, Kristen" sort="Meldi, Kristen" uniqKey="Meldi K" first="Kristen" last="Meldi">Kristen Meldi</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Yoshida, Kenichi" sort="Yoshida, Kenichi" uniqKey="Yoshida K" first="Kenichi" last="Yoshida">Kenichi Yoshida</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Morabito, Margot" sort="Morabito, Margot" uniqKey="Morabito M" first="Margot" last="Morabito">Margot Morabito</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Chautard, Emilie" sort="Chautard, Emilie" uniqKey="Chautard E" first="Emilie" last="Chautard">Emilie Chautard</name>
<affiliation wicri:level="1">
<nlm:aff id="a6">
<institution>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard</institution>
, 16 rue Raphael Dubois, Lyon 69100,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Auboeuf, Didier" sort="Auboeuf, Didier" uniqKey="Auboeuf D" first="Didier" last="Auboeuf">Didier Auboeuf</name>
<affiliation wicri:level="1">
<nlm:aff id="a7">
<institution>Centre Léon Bérard, INSERM U1052, CNRS UMR5286</institution>
, 8 Prom. Léa et Napoléon Bullukian, 69008 Lyon,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Fenaux, Pierre" sort="Fenaux, Pierre" uniqKey="Fenaux P" first="Pierre" last="Fenaux">Pierre Fenaux</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Braun, Thorsten" sort="Braun, Thorsten" uniqKey="Braun T" first="Thorsten" last="Braun">Thorsten Braun</name>
<affiliation wicri:level="1">
<nlm:aff id="a9">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris</institution>
, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Itzykson, Raphael" sort="Itzykson, Raphael" uniqKey="Itzykson R" first="Raphael" last="Itzykson">Raphael Itzykson</name>
<affiliation wicri:level="1">
<nlm:aff id="a8">
<institution>Department of Hematology, Assistance Publique–Hôpitaux de Paris, Hôpital Saint-Louis</institution>
, 1 Avenue Claude Vellefaux, 75010 Paris,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="De Botton, Stephane" sort="De Botton, Stephane" uniqKey="De Botton S" first="Stéphane" last="De Botton">Stéphane De Botton</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Quesnel, Bruno" sort="Quesnel, Bruno" uniqKey="Quesnel B" first="Bruno" last="Quesnel">Bruno Quesnel</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Commes, Therese" sort="Commes, Therese" uniqKey="Commes T" first="Thérèse" last="Commes">Thérèse Commes</name>
<affiliation wicri:level="1">
<nlm:aff id="a11">
<institution>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier</institution>
, 80 avenue Augustin Fliche. 34295 Montpellier,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jourdan, Eric" sort="Jourdan, Eric" uniqKey="Jourdan E" first="Eric" last="Jourdan">Eric Jourdan</name>
<affiliation wicri:level="1">
<nlm:aff id="a12">
<institution>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes</institution>
, 4 Rue du Professeur Robert Debré, 30029 Nîmes,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Vainchenker, William" sort="Vainchenker, William" uniqKey="Vainchenker W" first="William" last="Vainchenker">William Vainchenker</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bernard, Olivier" sort="Bernard, Olivier" uniqKey="Bernard O" first="Olivier" last="Bernard">Olivier Bernard</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
<affiliation wicri:level="1">
<nlm:aff id="a3">
<institution>INSERM US23, CNRS UMS3655, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solier, Stephanie" sort="Solier, Stephanie" uniqKey="Solier S" first="Stéphanie" last="Solier">Stéphanie Solier</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gayevskiy, Velimir" sort="Gayevskiy, Velimir" uniqKey="Gayevskiy V" first="Velimir" last="Gayevskiy">Velimir Gayevskiy</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dinger, Marcel E" sort="Dinger, Marcel E" uniqKey="Dinger M" first="Marcel E." last="Dinger">Marcel E. Dinger</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Cowley, Mark J" sort="Cowley, Mark J" uniqKey="Cowley M" first="Mark J." last="Cowley">Mark J. Cowley</name>
<affiliation wicri:level="1">
<nlm:aff id="a13">
<institution>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research</institution>
, 384 Victoria Street, Darlinghurst New South Wales 2010,
<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Selimoglu Buet, Dorothee" sort="Selimoglu Buet, Dorothee" uniqKey="Selimoglu Buet D" first="Dorothée" last="Selimoglu-Buet">Dorothée Selimoglu-Buet</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Meyer, Vincent" sort="Meyer, Vincent" uniqKey="Meyer V" first="Vincent" last="Meyer">Vincent Meyer</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Artiguenave, Francois" sort="Artiguenave, Francois" uniqKey="Artiguenave F" first="François" last="Artiguenave">François Artiguenave</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
<affiliation wicri:level="1">
<nlm:aff id="a14">
<institution>Centre National de Génotypage</institution>
, 2 rue Gaston Crémieux CP 5721, 91 057 Evry,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
<affiliation wicri:level="1">
<nlm:aff id="a10">
<institution>Cancer Research Institute de Lille, INSERM U837</institution>
, 1 Place de Verdun, 59000 Lille,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R." last="Stratton">Michael R. Stratton</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B." last="Alexandrov">Ludmil B. Alexandrov</name>
<affiliation wicri:level="1">
<nlm:aff id="a15">
<institution>Cancer Genome Project, Wellcome Trust Sanger Institute</institution>
, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a16">
<institution>Theoretical Biology and Biophysics, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a17">
<institution>Center for Nonlinear Studies, Los Alamos National Laboratory</institution>
, P.O. Box 1663, Los Alamos, New Mexico 87545,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
<affiliation wicri:level="1">
<nlm:aff id="a18">
<institution>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center</institution>
, 12902 USF Magnolia Drive, Tampa, Florida 33612,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ogawa, Seishi" sort="Ogawa, Seishi" uniqKey="Ogawa S" first="Seishi" last="Ogawa">Seishi Ogawa</name>
<affiliation wicri:level="1">
<nlm:aff id="a5">
<institution>Department of Pathology and Tumour Biology, Kyoto University</institution>
, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koscielny, Serge" sort="Koscielny, Serge" uniqKey="Koscielny S" first="Serge" last="Koscielny">Serge Koscielny</name>
<affiliation wicri:level="1">
<nlm:aff id="a19">
<institution>Department of Biostatistics, Gustave Roussy Cancer Center</institution>
, 114 rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Figueroa, Maria" sort="Figueroa, Maria" uniqKey="Figueroa M" first="Maria" last="Figueroa">Maria Figueroa</name>
<affiliation wicri:level="1">
<nlm:aff id="a4">
<institution>Department of Pathology, University of Michigan Medical School</institution>
, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109,
<country>USA</country>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Solary, Eric" sort="Solary, Eric" uniqKey="Solary E" first="Eric" last="Solary">Eric Solary</name>
<affiliation wicri:level="1">
<nlm:aff id="a1">
<institution>INSERM U1170, Gustave Roussy</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a2">
<institution>Department of Hematology, Gustave Roussy Cancer Center</institution>
, 114, rue Edouard Vaillant, 94805 Villejuif,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="a20">
<institution>Department of Hematology, Faculty of Medicine, University Paris-Sud</institution>
, 63 Rue Gabriel Péri, 94270 Le Kremlin-Bicêtre,
<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nature Communications</title>
<idno type="eISSN">2041-1723</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>The cytidine analogues azacytidine and 5-aza-2'-deoxycytidine (decitabine) are commonly used to treat myelodysplastic syndromes, with or without a myeloproliferative component. It remains unclear whether the response to these hypomethylating agents results from a cytotoxic or an epigenetic effect. In this study, we address this question in chronic myelomonocytic leukaemia. We describe a comprehensive analysis of the mutational landscape of these tumours, combining whole-exome and whole-genome sequencing. We identify an average of 14±5 somatic mutations in coding sequences of sorted monocyte DNA and the signatures of three mutational processes. Serial sequencing demonstrates that the response to hypomethylating agents is associated with changes in DNA methylation and gene expression, without any decrease in the mutation allele burden, nor prevention of new genetic alteration occurence. Our findings indicate that cytosine analogues restore a balanced haematopoiesis without decreasing the size of the mutated clone, arguing for a predominantly epigenetic effect.</p>
</div>
</front>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
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<nlm:affiliation>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109, USA.</nlm:affiliation>
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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pathology and Tumour Biology, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501</wicri:regionArea>
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<nlm:affiliation>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard, 16 rue Raphael Dubois, Lyon 69100, France.</nlm:affiliation>
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<wicri:regionArea>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard, 16 rue Raphael Dubois, Lyon 69100</wicri:regionArea>
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<nlm:affiliation>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny, France.</nlm:affiliation>
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<wicri:regionArea>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny</wicri:regionArea>
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<nlm:affiliation>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis, 1 Avenue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation>
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<wicri:regionArea>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis, 1 Avenue Claude Vellefaux, 75010 Paris</wicri:regionArea>
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<nlm:affiliation>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille, France.</nlm:affiliation>
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<wicri:regionArea>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier, 80 avenue Augustin Fliche. 34295 Montpellier</wicri:regionArea>
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<nlm:affiliation>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes, 4 Rue du Professeur Robert Debré, 30029 Nîmes, France.</nlm:affiliation>
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<wicri:regionArea>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes, 4 Rue du Professeur Robert Debré, 30029 Nîmes</wicri:regionArea>
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<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
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<nlm:affiliation>INSERM US23, CNRS UMS3655, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
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<name sortKey="Solier, Stephanie" sort="Solier, Stephanie" uniqKey="Solier S" first="Stéphanie" last="Solier">Stéphanie Solier</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
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<name sortKey="Gayevskiy, Velimir" sort="Gayevskiy, Velimir" uniqKey="Gayevskiy V" first="Velimir" last="Gayevskiy">Velimir Gayevskiy</name>
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<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<name sortKey="Dinger, Marcel E" sort="Dinger, Marcel E" uniqKey="Dinger M" first="Marcel E" last="Dinger">Marcel E. Dinger</name>
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<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010</wicri:regionArea>
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<name sortKey="Cowley, Mark J" sort="Cowley, Mark J" uniqKey="Cowley M" first="Mark J" last="Cowley">Mark J. Cowley</name>
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<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
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<name sortKey="Selimoglu Buet, Dorothee" sort="Selimoglu Buet, Dorothee" uniqKey="Selimoglu Buet D" first="Dorothée" last="Selimoglu-Buet">Dorothée Selimoglu-Buet</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
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<name sortKey="Meyer, Vincent" sort="Meyer, Vincent" uniqKey="Meyer V" first="Vincent" last="Meyer">Vincent Meyer</name>
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<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
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<name sortKey="Artiguenave, Francois" sort="Artiguenave, Francois" uniqKey="Artiguenave F" first="François" last="Artiguenave">François Artiguenave</name>
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<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
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<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
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<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
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<wicri:regionArea>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry</wicri:regionArea>
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<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
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<nlm:affiliation>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille, France.</nlm:affiliation>
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<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R" last="Stratton">Michael R. Stratton</name>
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<nlm:affiliation>Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B" last="Alexandrov">Ludmil B. Alexandrov</name>
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<nlm:affiliation>Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.</nlm:affiliation>
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<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
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<nlm:affiliation>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, Florida 33612, USA.</nlm:affiliation>
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<nlm:affiliation>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109</wicri:regionArea>
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<author>
<name sortKey="Meldi, Kristen" sort="Meldi, Kristen" uniqKey="Meldi K" first="Kristen" last="Meldi">Kristen Meldi</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109</wicri:regionArea>
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<author>
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<nlm:affiliation>Department of Pathology and Tumour Biology, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pathology and Tumour Biology, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501</wicri:regionArea>
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<name sortKey="Morabito, Margot" sort="Morabito, Margot" uniqKey="Morabito M" first="Margot" last="Morabito">Margot Morabito</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<author>
<name sortKey="Chautard, Emilie" sort="Chautard, Emilie" uniqKey="Chautard E" first="Emilie" last="Chautard">Emilie Chautard</name>
<affiliation wicri:level="1">
<nlm:affiliation>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard, 16 rue Raphael Dubois, Lyon 69100, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université Lyon 1, UMR CNRS 5558, Université Claude Bernard, 16 rue Raphael Dubois, Lyon 69100</wicri:regionArea>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Centre Léon Bérard, INSERM U1052, CNRS UMR5286, 8 Prom. Léa et Napoléon Bullukian, 69008 Lyon</wicri:regionArea>
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<name sortKey="Braun, Thorsten" sort="Braun, Thorsten" uniqKey="Braun T" first="Thorsten" last="Braun">Thorsten Braun</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Avicenne, 125 Rue de Stalingrad, 93000 Bobigny</wicri:regionArea>
<wicri:noRegion>93000 Bobigny</wicri:noRegion>
<wicri:noRegion>93000 Bobigny</wicri:noRegion>
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<author>
<name sortKey="Itzykson, Raphael" sort="Itzykson, Raphael" uniqKey="Itzykson R" first="Raphael" last="Itzykson">Raphael Itzykson</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis, 1 Avenue Claude Vellefaux, 75010 Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Hematology, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis, 1 Avenue Claude Vellefaux, 75010 Paris</wicri:regionArea>
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<settlement type="city">Paris</settlement>
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<name sortKey="De Botton, Stephane" sort="De Botton, Stephane" uniqKey="De Botton S" first="Stéphane" last="De Botton">Stéphane De Botton</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<name sortKey="Quesnel, Bruno" sort="Quesnel, Bruno" uniqKey="Quesnel B" first="Bruno" last="Quesnel">Bruno Quesnel</name>
<affiliation wicri:level="1">
<nlm:affiliation>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille</wicri:regionArea>
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<name sortKey="Commes, Therese" sort="Commes, Therese" uniqKey="Commes T" first="Thérèse" last="Commes">Thérèse Commes</name>
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<nlm:affiliation>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier, 80 avenue Augustin Fliche. 34295 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut de médecine régénératrice, Biothérapie et Institut de biologie computationnelle, INSERM U1040, Université de Montpellier, 80 avenue Augustin Fliche. 34295 Montpellier</wicri:regionArea>
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<name sortKey="Jourdan, Eric" sort="Jourdan, Eric" uniqKey="Jourdan E" first="Eric" last="Jourdan">Eric Jourdan</name>
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<nlm:affiliation>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes, 4 Rue du Professeur Robert Debré, 30029 Nîmes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Hematology, Centre Hospitalier Universitaire de Nîmes, Université Montpellier-Nîmes, 4 Rue du Professeur Robert Debré, 30029 Nîmes</wicri:regionArea>
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<name sortKey="Vainchenker, William" sort="Vainchenker, William" uniqKey="Vainchenker W" first="William" last="Vainchenker">William Vainchenker</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<wicri:noRegion>94805 Villejuif</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bernard, Olivier" sort="Bernard, Olivier" uniqKey="Bernard O" first="Olivier" last="Bernard">Olivier Bernard</name>
<affiliation wicri:level="1">
<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<wicri:noRegion>94805 Villejuif</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Pata Merci, Noemie" sort="Pata Merci, Noemie" uniqKey="Pata Merci N" first="Noemie" last="Pata-Merci">Noemie Pata-Merci</name>
<affiliation wicri:level="1">
<nlm:affiliation>INSERM US23, CNRS UMS3655, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM US23, CNRS UMS3655, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<name sortKey="Solier, Stephanie" sort="Solier, Stephanie" uniqKey="Solier S" first="Stéphanie" last="Solier">Stéphanie Solier</name>
<affiliation wicri:level="1">
<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<author>
<name sortKey="Gayevskiy, Velimir" sort="Gayevskiy, Velimir" uniqKey="Gayevskiy V" first="Velimir" last="Gayevskiy">Velimir Gayevskiy</name>
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<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010</wicri:regionArea>
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<name sortKey="Dinger, Marcel E" sort="Dinger, Marcel E" uniqKey="Dinger M" first="Marcel E" last="Dinger">Marcel E. Dinger</name>
<affiliation wicri:level="1">
<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010</wicri:regionArea>
<wicri:noRegion>Darlinghurst New South Wales 2010</wicri:noRegion>
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<name sortKey="Cowley, Mark J" sort="Cowley, Mark J" uniqKey="Cowley M" first="Mark J" last="Cowley">Mark J. Cowley</name>
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<nlm:affiliation>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Laboratory of Genome Informatics, Kinghor Center for Clinical Genomics, Garvan Institute of Medical Research, 384 Victoria Street, Darlinghurst New South Wales 2010</wicri:regionArea>
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<name sortKey="Selimoglu Buet, Dorothee" sort="Selimoglu Buet, Dorothee" uniqKey="Selimoglu Buet D" first="Dorothée" last="Selimoglu-Buet">Dorothée Selimoglu-Buet</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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</affiliation>
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<name sortKey="Meyer, Vincent" sort="Meyer, Vincent" uniqKey="Meyer V" first="Vincent" last="Meyer">Vincent Meyer</name>
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<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry</wicri:regionArea>
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</affiliation>
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<name sortKey="Artiguenave, Francois" sort="Artiguenave, Francois" uniqKey="Artiguenave F" first="François" last="Artiguenave">François Artiguenave</name>
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<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry</wicri:regionArea>
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<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
<affiliation wicri:level="1">
<nlm:affiliation>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre National de Génotypage, 2 rue Gaston Crémieux CP 5721, 91 057 Evry</wicri:regionArea>
<wicri:noRegion>91 057 Evry</wicri:noRegion>
<wicri:noRegion>91 057 Evry</wicri:noRegion>
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<name sortKey="Preudhomme, Claude" sort="Preudhomme, Claude" uniqKey="Preudhomme C" first="Claude" last="Preudhomme">Claude Preudhomme</name>
<affiliation wicri:level="1">
<nlm:affiliation>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Cancer Research Institute de Lille, INSERM U837, 1 Place de Verdun, 59000 Lille</wicri:regionArea>
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<name sortKey="Stratton, Michael R" sort="Stratton, Michael R" uniqKey="Stratton M" first="Michael R" last="Stratton">Michael R. Stratton</name>
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<nlm:affiliation>Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA</wicri:regionArea>
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<name sortKey="Alexandrov, Ludmil B" sort="Alexandrov, Ludmil B" uniqKey="Alexandrov L" first="Ludmil B" last="Alexandrov">Ludmil B. Alexandrov</name>
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<nlm:affiliation>Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire CB10 1SA, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Padron, Eric" sort="Padron, Eric" uniqKey="Padron E" first="Eric" last="Padron">Eric Padron</name>
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<nlm:affiliation>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, Florida 33612, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Hematology, Malignant hematology, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, Florida 33612</wicri:regionArea>
<wicri:noRegion>Florida 33612</wicri:noRegion>
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<name sortKey="Ogawa, Seishi" sort="Ogawa, Seishi" uniqKey="Ogawa S" first="Seishi" last="Ogawa">Seishi Ogawa</name>
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<nlm:affiliation>Department of Pathology and Tumour Biology, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pathology and Tumour Biology, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501</wicri:regionArea>
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<nlm:affiliation>Department of Biostatistics, Gustave Roussy Cancer Center, 114 rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Biostatistics, Gustave Roussy Cancer Center, 114 rue Edouard Vaillant, 94805 Villejuif</wicri:regionArea>
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<name sortKey="Figueroa, Maria" sort="Figueroa, Maria" uniqKey="Figueroa M" first="Maria" last="Figueroa">Maria Figueroa</name>
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<nlm:affiliation>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, Michigan 48109</wicri:regionArea>
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<name sortKey="Solary, Eric" sort="Solary, Eric" uniqKey="Solary E" first="Eric" last="Solary">Eric Solary</name>
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<nlm:affiliation>INSERM U1170, Gustave Roussy, 114, rue Edouard Vaillant, 94805 Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<title level="j">Nature communications</title>
<idno type="eISSN">2041-1723</idno>
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<date when="2016" type="published">2016</date>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Antimetabolites, Antineoplastic (pharmacology)</term>
<term>Antimetabolites, Antineoplastic (therapeutic use)</term>
<term>Azacitidine (analogs & derivatives)</term>
<term>Azacitidine (pharmacology)</term>
<term>Azacitidine (therapeutic use)</term>
<term>Cell Survival (drug effects)</term>
<term>DNA Methylation (drug effects)</term>
<term>Epigenesis, Genetic (drug effects)</term>
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<term>Gene Expression Regulation, Neoplastic (drug effects)</term>
<term>HEK293 Cells</term>
<term>High-Throughput Nucleotide Sequencing</term>
<term>Humans</term>
<term>Leukemia, Myelomonocytic, Chronic (drug therapy)</term>
<term>Leukemia, Myelomonocytic, Chronic (genetics)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Sequence Analysis, DNA</term>
<term>Sequence Analysis, RNA</term>
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<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Analyse de séquence d'ADN</term>
<term>Analyse de séquence d'ARN</term>
<term>Antinéoplasiques antimétabolites (pharmacologie)</term>
<term>Antinéoplasiques antimétabolites (usage thérapeutique)</term>
<term>Azacitidine (analogues et dérivés)</term>
<term>Azacitidine (pharmacologie)</term>
<term>Azacitidine (usage thérapeutique)</term>
<term>Cellules HEK293</term>
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<term>Humains</term>
<term>Leucémie myélomonocytaire chronique (génétique)</term>
<term>Leucémie myélomonocytaire chronique (traitement médicamenteux)</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Méthylation de l'ADN ()</term>
<term>Régulation de l'expression des gènes tumoraux ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie cellulaire ()</term>
<term>Séquençage nucléotidique à haut débit</term>
<term>Épigenèse génétique ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en">
<term>Antimetabolites, Antineoplastic</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antimetabolites, Antineoplastic</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="analogues et dérivés" xml:lang="fr">
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Cell Survival</term>
<term>DNA Methylation</term>
<term>Epigenesis, Genetic</term>
<term>Gene Expression Regulation, Neoplastic</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Leukemia, Myelomonocytic, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Leukemia, Myelomonocytic, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Leucémie myélomonocytaire chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr">
<term>Antinéoplasiques antimétabolites</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Leucémie myélomonocytaire chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antinéoplasiques antimétabolites</term>
<term>Azacitidine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alleles</term>
<term>Female</term>
<term>HEK293 Cells</term>
<term>High-Throughput Nucleotide Sequencing</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Sequence Analysis, DNA</term>
<term>Sequence Analysis, RNA</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Allèles</term>
<term>Analyse de séquence d'ADN</term>
<term>Analyse de séquence d'ARN</term>
<term>Cellules HEK293</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Méthylation de l'ADN</term>
<term>Régulation de l'expression des gènes tumoraux</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survie cellulaire</term>
<term>Séquençage nucléotidique à haut débit</term>
<term>Épigenèse génétique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">The cytidine analogues azacytidine and 5-aza-2'-deoxycytidine (decitabine) are commonly used to treat myelodysplastic syndromes, with or without a myeloproliferative component. It remains unclear whether the response to these hypomethylating agents results from a cytotoxic or an epigenetic effect. In this study, we address this question in chronic myelomonocytic leukaemia. We describe a comprehensive analysis of the mutational landscape of these tumours, combining whole-exome and whole-genome sequencing. We identify an average of 14±5 somatic mutations in coding sequences of sorted monocyte DNA and the signatures of three mutational processes. Serial sequencing demonstrates that the response to hypomethylating agents is associated with changes in DNA methylation and gene expression, without any decrease in the mutation allele burden, nor prevention of new genetic alteration occurence. Our findings indicate that cytosine analogues restore a balanced haematopoiesis without decreasing the size of the mutated clone, arguing for a predominantly epigenetic effect.</div>
</front>
</TEI>
</pubmed>
</double>
</record>

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