Abstract:
:An acquired gain-of-function mutation in the Janus kinase 2 (JAK2-V617F) is frequently found in patients with myeloproliferative disorders (MPDs). To test the hypothesis that JAK2-V617F is the disease-initiating mutation, we examined whether all cells of clonal origin carry the JAK2-V617F mutation. Using allele-specific polymerase chain reaction (PCR) assays for the JAK2 mutation and for the X-chromosomal clonality markers IDS and MPP1, we found that the percentage of granulocytes and platelets with JAK2-V617F was often markedly lower than the percentage of clonal granulocytes determined by IDS or MPP1 clonality assays in female patients. Using deletions of chromosome 20q (del20q) as an autosomal, X-chromosome-independent clonality marker, we found a similar discrepancy between the percentage of cells carrying JAK2-V617F and del20q. Our results suggest that in a proportion of patients with MPDs, JAK2-V617F occurs on the background of clonal hematopoiesis caused by a somatic mutation in an as-yet-unknown gene.
journal_name
Bloodjournal_title
Bloodauthors
Kralovics R,Teo SS,Li S,Theocharides A,Buser AS,Tichelli A,Skoda RCdoi
10.1182/blood-2005-11-009605subject
Has Abstractpub_date
2006-08-15 00:00:00pages
1377-80issue
4eissn
0006-4971issn
1528-0020pii
blood-2005-11-009605journal_volume
108pub_type
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