Fig. 1
![“Two-hit model” according to Gilliland [5]](https://sciendo-parsed.s3.eu-central-1.amazonaws.com/6470896671e4585e08a9f6cb/j_ahem-2022-0034_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA6AP2G7AKCDONMZAN%2F20260306%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Date=20260306T040353Z&X-Amz-Expires=3600&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEBAaDGV1LWNlbnRyYWwtMSJGMEQCIB8ZCgA%2BITwkrLg4cnkcH0tVrg7wv5sK6alW9sKaRKxzAiBBSg5OmnF7%2F1jtCsDBMVYEynvzFRAKOE5xlECGOFxzlirGBQjZ%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDk2MzEzNDI4OTk0MCIMSh2Fvmj%2BYJ6%2BFiFHKpoFcxj2xw7KvISCwH1sZjbeZrm00ICCP6Ukh2jgPIW0Liw5GZ5l1kxqph5PPXSq%2FYvg6PnJLnN%2BZdjqeAdSvDsQekqaIvGVEgidsjTbdoD3Qac7xVsRfX%2Fkva6c1f1mJLf2TevyZNPjmi4Xm2xareLUjdbR5hhtppSbX%2FRQMWPVDj6L3Q00KxoVWSVGHahflQP5Y1tJC1FdWR6oJ8HzmCNYUVP%2BJJbovvAwHYo8RPeKdRT7HgVqkwhu7ldFezF9LLxyi3a0SDJWicZE%2BdMgj3BJ5EulZodXYi2y3ogTvD0X064DGdaNILr2%2F9zjb4hEv%2B095o9ggYM0HV5Ygh1ymP2%2B%2BaSPPOIUaAhrt00KEmBdrJ%2FKxhKTzbNTrDwITf0TVMY0o04xGx7OZK1CgTxOpw2XkvGF4i3I2gI4ShVJZKPJFO0KqC0Sp0TSweAsE78NaLHzGMMHf74p5WheUWQPLNFIW3jO3Isxmi9q66jxGjVxOpXkGshxVgQrdStFsf1HYc3AJQEfeE2nQudzOjb7uVAgcqzahmsjQWKAxtQRbkzL6w9DejusPhGbTxH71UtCi542QG%2BSD1uA%2BmDvykaxiQD%2FI3SeA9sNZPikPCHfEBCzVgWI8x%2Bk8WoKArWdR8T%2FnVTjZi11bSozZIFQaoBJtjmn6AiEAA9NDvf2RqXB1B9uPCrX24Xi%2FotmhYXlm8BQA0wZQUvViJtCV1MfXvbd1GDkrMKQGe8fBahc8nwqhfJV5avSfUVeoR73%2F8MrVDKtiFoROZroDCOz4YmHkAKTxo%2BRVy%2FmfwJ5i%2FBl4auh%2FhqHz0IytWov2IKe3e2b3De40ODEX6YMNzsi03FkO1MrE7ZIp1q3MwjDbQPj18YrM2VLli4MvwZj7VtiWjanML2lqM0GOrIBP1LbySlujbP5H1A2gMMwwOQT7ZmxjRmm4tl%2B4oybsf2c378wHG%2BZjULMnmT4PpLnDc5B2Cq44GWkuqyURa2pGjJfMxWw%2BJiWgp2ix1pBBhMsxWMF1hPgBlgofobwrYWzcBNmxYXejlDmSou1sXRDnOhq9KFI4YAb9UNzvB1RNW1YlY6ndwwkGMCOaj1i%2FQH4ccph1FLpoOEUug4IesZijcbW8l2js12WkoIZVsT3s60QVA%3D%3D&X-Amz-Signature=4c966347a06970aa9730e1f04c5939802cafc09a03c51e2ee2ea4da55fcb7845&X-Amz-SignedHeaders=host&x-amz-checksum-mode=ENABLED&x-id=GetObject)
The most common mutations in the NPM1 gene [15]
| No | Mutation type/name | DNA sequences: wild-type (black) and mutated (red) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| 1. | No mutation (wt) | gatctct | - | g | - | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 2. | A | gatctct | - | g | TCTG | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 3. | B | gatctct | - | g | CATG | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 4. | C | gatctct | - | g | CGTG | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 5. | D | gatctct | - | g | CCTG | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 6. | E | gatctct | - | g | - | gcagt | CTCTTGCCC | - | aagtctctttaagaaaatag |
| 7. | F | gatctct | - | g | - | gcagt | CCCTGGAGA | - | aagtctctttaagaaaatag |
| 8. | G | gatctct | - | g | - | gcagt | GCTTCGCC | - | aagtctctttaagaaaatag |
| 9. | H | gatctct | - | g | - | gcagt | GTTTTTCAA | - | aagtctctttaagaaaatag |
| 10. | J | gatctct | - | g | - | gcagt | CTCTTTCTA | - | aagtctctttaagaaaatag |
| 11. | L | gatctct | CCCG | g | - | gcagt | - | - | aagtctctttaagaaaatag |
| 12. | K | gatctct | - | g | - | gcagt | CCCTTTCCA | - | aagtctctttaagaaaatag |
| 13. | M | gatctct | - | g | TAGC | gcagt | - | ggagg | aagtctctttaagaaaatag |
| 14. | N | gatctct | - | g | CCAC | gcagt | - | ggagg | TCTCTTTaagaaaatag |
Risk stratification of AML according to ELN [7]
| Risk category | Genetic abnormality |
|---|---|
| Favorable |
|
| Intermediate |
|
| Adverse |
|