ANKRD26-related thrombocytopenia 2 with a baseline increase in blasts: implications for clinical surveillance

L Lara Wahlster (1Division of Hematology/Oncology, Boston Children’s Hospital, Harvard Medical School, Boston, MA) L Lucy A. Godley J Jason X. Cheng (3Department of Pathology, The University of Chicago, Chicago, IL) M Michael W. Drazer (4Sections of Hematology/Oncology and Genetic Medicine, Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL) C Christopher R. Reilly G Geraldine S. Pinkus (6Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA) J Jared H. Rowe (1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA) N Nina Weichert-Leahey (1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA) R R. Grant Rowe (Department of Hematology, Boston Children’s Hospital) L Lev Gorfinkel (1Boston Children's Hospital, Department of Pediatrics, Boston, United States) K Karyn Brundige (1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA) F Franziska Wachter (1Dana-Farber Cancer Institute, Boston, United States) L Luana Messa (1Division of Hematology/Oncology, Boston Children's Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, United States) A Alan D. Michelson (1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA) A Alan B. Cantor A Akiko Shimamura (Dana Farber/Boston Children's Cancer and Blood Disorders Center; Harvard Medical School, Boston, Massachusetts, United States) J Jacob R. Bledsoe

Abstract

Abstract We report on 8 patients with ankyrin repeat domain 26 (ANKRD26)–related thrombocytopenia 2 (ANKRD26-RT) with elevated bone marrow myeloblasts and dysmegakaryopoiesis, without somatic genetic abnormalities or progression to malignancy during long-term observation, findings which may constitute inherent ANKRD26-RT biology rather than progression to myeloid malignancy.

Article Details

Journal Blood
Volume / Issue Vol. 146, Issue 2
Published July 10, 2025
Pages 254-259
ISSN 0006-4971
Publisher Elsevier BV

Journal Info

Blood

Elsevier BV

ISSN: 0006-4971 Health Sciences

Authors (17)

L

Lara Wahlster

1Division of Hematology/Oncology, Boston Children’s Hospital, Harvard Medical School, Boston, MA

L

Lucy A. Godley

J

Jason X. Cheng

3Department of Pathology, The University of Chicago, Chicago, IL

M

Michael W. Drazer

4Sections of Hematology/Oncology and Genetic Medicine, Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL

C

Christopher R. Reilly

G

Geraldine S. Pinkus

6Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

J

Jared H. Rowe

1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA

N

Nina Weichert-Leahey

1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA

R

R. Grant Rowe

Department of Hematology, Boston Children’s Hospital

L

Lev Gorfinkel

1Boston Children's Hospital, Department of Pediatrics, Boston, United States

K

Karyn Brundige

1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA

F

Franziska Wachter

1Dana-Farber Cancer Institute, Boston, United States

L

Luana Messa

1Division of Hematology/Oncology, Boston Children's Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, United States

A

Alan D. Michelson

1Division of Hematology/Oncology, Boston Children’s Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA

A

Alan B. Cantor

A

Akiko Shimamura

Dana Farber/Boston Children's Cancer and Blood Disorders Center; Harvard Medical School, Boston, Massachusetts, United States

J

Jacob R. Bledsoe