Molecular characterization of triple-negative myeloproliferative neoplasms by next-generation sequencing.


Journal

Annals of hematology
ISSN: 1432-0584
Titre abrégé: Ann Hematol
Pays: Germany
ID NLM: 9107334

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 14 03 2022
accepted: 27 06 2022
pubmed: 16 7 2022
medline: 17 8 2022
entrez: 15 7 2022
Statut: ppublish

Résumé

The role of next-generation sequencing (NGS) in identifying mutations in the driver, epigenetic regulator, RNA splicing, and signaling pathway genes in myeloproliferative neoplasms (MPNs) has contributed substantially to our understanding of the disease pathogenesis as well as disease evolution. NGS aids in determining the clonal nature of the disease in a subset of these disorders where mutations in the driver genes are not detected. There is a paucity of real-world data on the utility of this test in the characterization of triple-negative myeloproliferative neoplasms (TN-MPN). In this study, 46 samples of TN-MPN (essential thrombocythemia (ET) = 17; primary myelofibrosis (PMF) = 23; & myeloproliferative neoplasm unclassified (MPN-u) = 6) were screened for markers of clonality using targeted NGS. Among these, 25 (54.3%) patients had mutations that would help determine the clonal nature of the disease. Eight of the 17 TN-ET (47%) and 13 of the 23 TN-PMF (56.5%) patients had noncanonical mutations in the driver genes and mutations in the genes involved in epigenetic regulation. Identification of mutations categorized as high molecular markers (HMR) in 2 patients helped classify them as PMF with high risk according to the MIPSS 70 scoring system. A novel mutation in the MPIG6B (C6orf25) gene associated with childhood myelofibrosis was detected in a 14-year-old girl. The presence of clonal hematopoiesis could be confirmed in four of the six MPN-u patients in this cohort. This study demonstrates the utility of NGS in improving the characterization of TN-MPN by establishing clonality and detecting noncanonical mutations in driver genes, thereby aiding in clinical decision-making.

Identifiants

pubmed: 35840818
doi: 10.1007/s00277-022-04920-w
pii: 10.1007/s00277-022-04920-w
doi:

Substances chimiques

Janus Kinase 2 EC 2.7.10.2

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1987-2000

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Madhavi Maddali (M)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Arvind Venkatraman (A)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Uday Prakash Kulkarni (UP)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Sathya Mani (S)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Santhosh Raj (S)

Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.

Elanthenral Sigamani (E)

Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.

Anu Korula (A)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Fouzia N A (FN)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Sharon Anbumalar Lionel (SA)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Sushil Selvarajan (S)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Marie Therese Manipadam (MT)

Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.

Aby Abraham (A)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Biju George (B)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Vikram Mathews (V)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India.

Poonkuzhali Balasubramanian (P)

Department of Haematology, Christian Medical College, Vellore, Tamil Nadu, India. bpoonkuzhali@cmcvellore.ac.in.

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