biology Review From Clonal Hematopoiesis to Therapy-Related Myeloid Neoplasms: The Silent Way of Cancer Progression Carmelo Gurnari 1,2,3 , Emiliano Fabiani 1,4,* , Giulia Falconi 1 , Serena Travaglini 1 , Tiziana Ottone 1,5, Antonio Cristiano 1 and Maria Teresa Voso 1,5 1 Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy;
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[email protected] (M.T.V.) 2 Immunology, Molecular Medicine and Applied Biotechnology, University of Rome Tor Vergata, 00133 Rome, Italy 3 Department of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA 4 Saint Camillus International, University of Health Sciences, 00131 Rome, Italy 5 Laboratorio di Neuro-Oncoematologia, Fondazione Santa Lucia, 00179 Rome, Italy * Correspondence:
[email protected] Simple Summary: In the last decades the improved management of cancer patients and the overall prolonged life expectancy contributed to the increased number of patients at risk of late clonal events such as therapy-related myeloid neoplasms (t-MN). The discovery of clonal hematopoiesis of indeterminate potential (CHIP) in normal individuals has shed light on the pathophysiologic mecha- nism behind the process of myeloid evolution, defining CHIP carriers at higher risk of progression. Moreover, different patterns of clonal evolution have been identified in case of t-MN development after anti-cancer treatment exposure. The growing body of evidence in this field allowed the creation Citation: Gurnari, C.; Fabiani, E.; of dedicated cancer survivorship programs and “CHIP-Clinics” in order to specifically address the Falconi, G.; Travaglini, S.; Ottone, T.; issue of CHIP in patients undergoing anti-cancer treatment and develop measure of early detection Cristiano, A.; Voso, M.T.