JAK2V617F allele burden is associated with transformation to myelofibrosis

Leuk Lymphoma. 2012 Nov;53(11):2210-3. doi: 10.3109/10428194.2012.682308. Epub 2012 May 21.

Abstract

The JAK2V617F mutation has emerged in recent years as a diagnostic as well as treatment target in patients with polycythemia vera (PV). We analyzed JAK2V617F allele burden (JAK2(V617F)) in a Jewish population with PV. Results were correlated with disease symptoms and complications. Median JAK2(V617F) was 48% and 54% in patients of Ashkenazi and non-Ashkenazi origin, respectively (p =0.75). Higher JAK2(V617F) was seen in patients with imaging-proven splenomegaly (p =0.01). A correlation between JAK2(V617F) and the weekly hydoxyurea dose needed for disease control was found (p =0.043). In addition, a trend for higher allele burden in patients with longer disease duration (p =0.064) and those treated with cytoreductive drugs other than hydroxyurea (p =0.056) was noted. Higher JAK2(V617F) was seen in patients with transformation to myelofibosis (p =0.0001), but not in patients with vascular complications. JAK2(V617F) may assist in prognostic stratification of patients with PV.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alleles*
  • Cell Transformation, Neoplastic / genetics*
  • Female
  • Humans
  • Hydroxyurea / therapeutic use
  • Janus Kinase 2 / genetics*
  • Male
  • Middle Aged
  • Polycythemia Vera / drug therapy
  • Polycythemia Vera / genetics*
  • Primary Myelofibrosis / ethnology
  • Primary Myelofibrosis / genetics*

Substances

  • JAK2 protein, human
  • Janus Kinase 2
  • Hydroxyurea