Background
The balanced function of blood stem cells ensures normal production of blood cells. Individuals with inherited mutations in the RUNX1 gene have an increased lifetime risk of developing blood malignancies rising from the imbalance of these cells due to an abnormal clone. The clonal disorders result in ineffective production of blood cells and are on a spectrum from pre-leukemia, such as myelodysplastic syndromes (MDS), to acute myeloid leukemia (AML). For clonal disorders to initiate, genetic abnormalities in addition to RUNX1 are required.