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The allele burden of JAK2 mutations remains stable over several years in patients with myeloproliferative disorders
oleh: Alexandre Theocharides, Jakob R. Passweg, Michael Medinger, Renate Looser, Sai Li, Hui Hao-Shen, Andreas S. Buser, Alois Gratwohl, André Tichelli, Radek C. Skoda
Format: | Article |
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Diterbitkan: | Ferrata Storti Foundation 2008-12-01 |
Deskripsi
In a retrospective single center study we determined the time course of the JAK2-V617F or JAK2 exon 12 allele burden in DNA from purified granulocytes from 48 patients with myeloproliferative disorders. The percentage of change between the first and last sample in JAK2-V617F positive patients without cytoreductive therapy (n=16) was only +9% during a follow-up of 36±13 months, reflecting a remarkably stable mutant allele burden. When treatment with hydroxyurea was initiated during the course of the study, we observed a significant decrease of the JAK2-V617F allele burden (n=6). However, in JAK2-V617F positive patients who were already on hydroxyurea treatment before the first blood sampling (n=14), we observed stable allelic ratios with a variance of only +3% during a follow-up of 34±16 months. Our data suggest that in untreated myeloproliferative disorders patients, from whom samples at diagnosis are not available, the JAK2 allele burden determined at later stages could be equally informative.