The negative association between TP53 mutations and clinical outcomes in myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) has been widely studied; however, the impact of these aberrations in myeloproliferative neoplasms (MPNs) has not been widely studied. In this interview, Akriti Jain, MD, Cleveland Clinic, Cleveland, Ohio, discusses the prognostic implications of the timing of TP53 mutation acquisition in MPNs and MDS/MPN overlap syndromes, highlighting that later emergence of the mutation in the disease course is associated with significantly poorer survival outcomes. Dr Jain emphasizes the potential importance of considering the timing of TP53 acquisition for improved risk stratification and clinical decision-making. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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