Concomitant neutrophil JAK2V617F mutation screening and PRV-1 expression analysis in myeloproliferative disorders and secondary polycythaemia

Ayalew Tefferi, Shireen Sirhan, Terra L. Lasho, Susan M. Schwager, Chin Yang Li, David Dingli, Alexandra P. Wolanskyj, David P. Steensma, Ruben Mesa, D. G. Gilliland

Research output: Contribution to journalArticlepeer-review

71 Scopus citations

Abstract

Polycythaemia vera (PV) is closely associated with both an acquired activating mutation of the JAK2 tyrosine kinase (JAK2V617F) in granulocyte-derived DNA and increased granulocyte polycythaemia rubra vera-1 (PRV-1) expression. In order to explore the correlation between these two biological markers and compare their diagnostic utility, mutation analysis for JAK2V617F and quantitative measurement of granulocyte PRV-1 expression were performed on the same study sample from 100 participants: 38 with PV, 22 with essential thrombocythaemia (ET), 10 with agnogenic myeloid metaplasia (AMM), 19 with secondary polycythaemia (SP) and 11 healthy volunteers. The respective overall (homozygous) JAK2V617F mutational frequencies were 95% (26%), 55% (0%), 30% (0%), 0% and 0%. The corresponding figures for increased PRV-1 expression were 89%, 18%, 20%, 21% and 9%. In patients with either ET or AMM, the likelihood of detecting JAK2V617F was significantly higher in the presence of an increased PRV-1 expression (83% vs. 38%; P = 0.05). Similarly, in patients with PV, homozygous as compared with heterozygous JAK2V617F correlated with higher levels of PRV-1 expression (P = 0.11). The present study suggests an allele dose-dependent effect of JAK2V617F on granulocyte PRV-1 expression. However, compared with the PRV-1 assay, mutation screening for JAK2V617F displayed greater accuracy in distinguishing PV from SP.

Original languageEnglish (US)
Pages (from-to)166-171
Number of pages6
JournalBritish journal of haematology
Volume131
Issue number2
DOIs
StatePublished - Oct 2005

Keywords

  • Diagnosis
  • Gene expression
  • Mutation
  • Myeloproliferative
  • Polycythaemia
  • Secondary

ASJC Scopus subject areas

  • Hematology

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