Short and complex—Telomeres and genomes in CLL

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Autores principales: Billy Michael Chelliah Jebaraj, Stephan Stilgenbauer
Formato: Artículo Open Access
Publicado: Wiley 2026
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author Billy Michael Chelliah Jebaraj
Stephan Stilgenbauer
author_facet Billy Michael Chelliah Jebaraj
Stephan Stilgenbauer
Billy Michael Chelliah Jebaraj
Stephan Stilgenbauer
collection Wiley Open Access
contents Short and complex—Telomeres and genomes in CLL Billy Michael Chelliah Jebaraj Stephan Stilgenbauer British Journal of Haematology Chronic lymphocytic leukaemia (CLL) with complex karyotype (CK) represents a high‐risk subgroup, often associated with refractory disease. In a patient cohort enriched for CK CLL, short telomeres were found to be associated with poor‐risk characteristics such as unmutated immunoglobulin heavy chain variable region (IGHV), del(11q)/del(17p), CK/genomic complexity (GC) and chromothripsis. The presence of short telomeres was associated with shorter time to first treatment (TTFT) in the full cohort and in cases with CK or del(17p), and in multivariable analysis as a prognostic factor, indicating the potential importance of this biomarker for CLL risk stratification. Commentary on Ramos‐Campoy et al. Exploring the synergy between telomere length and genomic complexity in CLL. Br J Haematol 2026; 208:1121–1126. 10.1111/bjh.70430 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/bjh.70430
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license_str_mv http://creativecommons.org/licenses/by/4.0/
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spellingShingle Short and complex—Telomeres and genomes in CLL
Billy Michael Chelliah Jebaraj
Stephan Stilgenbauer
British Journal of Haematology
Short and complex—Telomeres and genomes in CLL Billy Michael Chelliah Jebaraj Stephan Stilgenbauer British Journal of Haematology Chronic lymphocytic leukaemia (CLL) with complex karyotype (CK) represents a high‐risk subgroup, often associated with refractory disease. In a patient cohort enriched for CK CLL, short telomeres were found to be associated with poor‐risk characteristics such as unmutated immunoglobulin heavy chain variable region (IGHV), del(11q)/del(17p), CK/genomic complexity (GC) and chromothripsis. The presence of short telomeres was associated with shorter time to first treatment (TTFT) in the full cohort and in cases with CK or del(17p), and in multivariable analysis as a prognostic factor, indicating the potential importance of this biomarker for CLL risk stratification. Commentary on Ramos‐Campoy et al. Exploring the synergy between telomere length and genomic complexity in CLL. Br J Haematol 2026; 208:1121–1126. 10.1111/bjh.70430 http://creativecommons.org/licenses/by/4.0/
title Short and complex—Telomeres and genomes in CLL
topic British Journal of Haematology
url https://onlinelibrary.wiley.com/doi/10.1111/bjh.70430