Clinical correlates of JAK2V617F presence or allele burden in myeloproliferative neoplasms: a critical reappraisal

被引:0
作者
A M Vannucchi
E Antonioli
P Guglielmelli
A Pardanani
A Tefferi
机构
[1] UF di Ematologia,Dipartimento di Area Critica Medico
[2] Università degli Studi,Chirurgica
[3] Azienda Ospedaliera-Universitaria Careggi,Division of Hematology, Department of Medicine
[4] Mayo Clinic,undefined
[5] Istituto Toscano Tumori,undefined
来源
Leukemia | 2008年 / 22卷
关键词
JAK2V617F mutation; myeloproliferative neoplasms; allele burden; polycythemia vera; primary myelofibrosis; essential thrombocythemia;
D O I
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学科分类号
摘要
JAK2 and MPL mutations are recurrent in myeloproliferative neoplasms (MPNs). A JAK2 mutation, primarily JAK2V617F, is almost invariably associated with polycythemia vera (PV). However, JAK2V617F also occurs in the majority of patients with essential thrombocythemia (ET) or primary myelofibrosis (PMF) as well as in a much smaller percentage of those with other MPNs. The mechanism(s) behind this one allele-multiple phenotypes phenomenon has not been fully elucidated. The issue is further confounded by the presence of marked variation in JAK2V617F allele burden among mutation-positive patients. In the current communication, we discuss potential mechanisms for phenotypic diversity among JAK2V617F-positive MPNs as well as review the current literature in regard to genotype–phenotype correlations (that is clinical correlates and prognostic significance) in the context of both the presence or absence of the mutation (ET and PMF) and its allele burden (PV, ET and PMF).
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页码:1299 / 1307
页数:8
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