Response to IST and clonal evolution to MDS/AML in patients with AA with or without HLA− cells. (A) The distribution of the HLA− granulocyte percentages in AA patients with HLA− cells. Red bars indicate the median clone size. (B) The distribution of the GPI− granulocyte percentages in AA patients with GPI− cells. (C) The response to IST in AA patients with or without HLA− cells. *A significant difference P < .05. (D) The cumulative incidence of clonal evolution to MDS/AML in the overall population of patiens with AA. (E) The cumulative incidence of clonal evolution to MDS/AML in AA patients with (red line) or without (black line) HLA− cells. (F) The pie diagram indicates the proportions of concomitant aberrant clones detected in 127 patients with AA with HLA− cells. The bar graphs depict the number of patients with AA with HLA− cells and concomitant aberrant clones. (G) The pie diagrams indicates the proportions of HLA− cells and concomitant aberrant clones in 2 representative cases (unique patient number [UPN] 313 and UPN 631).