The balanced function of blood stem cells ensures normal production of blood cells. Individuals with germline mutations in the RUNX1 gene (RUNX1-FPD), have an increased lifetime risk of developing leukemias. Leukemia is a state of imbalance of stem cells that produce genetically identical abnormal cancerous cells instead of diverse normal blood cells. For leukemias to initiate in RUNX1-FPD, additional genetic abnormalities are required.

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