IDH1 and IDH2 mutation analysis in chronic-and blast-phase myeloproliferative neoplasms

A. Pardanani, T. L. Lasho, C. M. Finke, M. Mai, R. F. McClure, A. Tefferi

Research output: Contribution to journalArticlepeer-review

128 Scopus citations

Abstract

Bone marrow DNA was screened for isocitrate dehydrogenase (IDH) mutations in 200 patients with chronic (n166) or blast (n34) phase myeloproliferative neoplasms (MPN). Included among the former were 77 patients with primary myelofibrosis (PMF), 47 essential thrombocythemia and 38 polycythemia vera (PV). Nine IDH mutations (5 IDH1 and 4 IDH2) were detected; mutational frequencies were ∼ 21% (7 of 34) for blast-phase MPN and ∼ 4% (3 of 77) for PMF. IDH mutations were seen in only 1 of 12 paired chronic-blast-phase samples and in none of 27 concurrently studied acute myeloid leukemia (AML) patients without antecedent MPN. IDH1 mutations included R132C (n4; two post-PMF AML, one post-PV AML and one PMF) and R132S (n1; post-PMF AML). IDH2 mutations included R140Q (n3; one post-PMF AML, one post-PV AML and one PMF) and a novel R140W (n1; mutation found in both chronic-and blast-phase samples). The entire study cohort was also screened for JAK2 and MPL mutations and JAK2V617F was found in three IDH-mutated cases (two PMF and one PV). This study shows a relatively high incidence of IDH mutations in blast-phase MPN, regardless of JAK2 mutational status, and the occurrence of similar mutations in chronic-phase PMF.

Original languageEnglish (US)
Pages (from-to)1146-1151
Number of pages6
JournalLeukemia
Volume24
Issue number6
DOIs
StatePublished - Jun 2010

Keywords

  • IDH
  • isocitrate dehydrogenase
  • mutations

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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