High percentage of JAK2 exon 12 mutation in Asian patients with polycythemia vera.

Abstract:

:We examined the occurrence of JAK2(V617F) and JAK2 exon 12 mutations in a clinical cohort of polycythemia vera (PV) in Taiwan. Of 22 patients with PV, 17 (77%) had the V617F mutation, and all 5 V617F-negative patients (23%) had the exon 12 mutation. We found 3 different exon 12 mutations: 3 N542-E543del, 1 F537-K539delinsL, and 1 novel mutation, I540-E543delinsKK. Patients with V617F showed significantly higher WBC and platelet counts at diagnosis than patients with exon 12 mutations (P = .021 and P = .038, respectively). We report a surprisingly high incidence of exon 12 mutations in Taiwanese patients with PV, a result quite different from reports in the Western literature (P = .001). Our data suggest that exon 12 mutation of JAK2 in patients with PV may have an uneven geographic distribution. A clinical laboratory providing the V617F test alone may risk missing a substantial number of patients with PV in areas with a high incidence of exon 12 mutation.

journal_name

Am J Clin Pathol

authors

Yeh YM,Chen YL,Cheng HY,Su WC,Chow NH,Chen TY,Ho CL

doi

10.1309/AJCPK7KGOWPHYWM0

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

266-70

issue

2

eissn

0002-9173

issn

1943-7722

pii

134/2/266

journal_volume

134

pub_type

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