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Published on: December 7, 2014
Occurrence of the JAK2 V617F mutation in the Budd-Chiari syndrome
Donatella Colaizzo1, Lucio Amitrano, Giovanni L Tiscia
1aAtherosclerosis and Thrombosis, Casa Sollievo della Sofferenza, S. Giovanni Rotondo, Italy.
Insights
The JAK2 V617F mutation is prevalent in Budd-Chiari syndrome patients, indicating a link to myeloproliferative diseases. Testing for this mutation can identify at-risk individuals for developing these conditions.
Area of Science:
- Hematology
- Oncology
- Genetics
Background:
- Myeloproliferative diseases are significant risk factors for Budd-Chiari syndrome.
- Budd-Chiari syndrome involves hepatic venous outflow obstruction, often linked to thrombotic events.
Purpose of the Study:
- To investigate the prevalence of the JAK2 V617F mutation in patients diagnosed with Budd-Chiari syndrome.
- To assess the association between the JAK2 V617F mutation and the presence of myeloproliferative diseases in these patients.
- To determine the utility of JAK2 V617F mutation detection for identifying patients at risk for myeloproliferative diseases.
Main Methods:
- Genotyping analysis was performed on 32 patients with Budd-Chiari syndrome to detect the JAK2 V617F mutation.
- Patient medical records were reviewed to ascertain diagnoses of myeloproliferative diseases before or at the time of venous thrombotic events.
Main Results:
- The JAK2 V617F mutation was identified in 11 out of 32 patients (34.4%) with Budd-Chiari syndrome, predominantly in a heterozygous state.
- A higher proportion of patients with the JAK2 V617F mutation (72.7%) had a pre-existing or concurrent diagnosis of myeloproliferative diseases compared to those without the mutation (28.6%).
- Three patients with the JAK2 V617F mutation did not have a diagnosed myeloproliferative disease at the time of the study.
Conclusions:
- The JAK2 V617F mutation is frequently observed in patients with Budd-Chiari syndrome, suggesting a strong association with myeloproliferative neoplasms.
- Detecting the JAK2 V617F mutation is a valuable tool for identifying patients with Budd-Chiari syndrome who have or are at risk of developing myeloproliferative diseases.
- This genetic marker aids in risk stratification and potentially early diagnosis of myeloproliferative diseases in the context of Budd-Chiari syndrome.
Abstract:
Myeloproliferative diseases represent a major risk factor for Budd-Chiari syndrome. In 32 patients with Budd-Chiari syndrome, the JAK2 V617F mutation was detected, in heterozygous state, in 11 individuals (34.4%; 95% confidence interval: 18.6-53.2). Eight patients with (72.7%; 95% confidence interval: 39.0-94.0) and six without (28.6%; 95% confidence interval: 11.3-52.2) the JAK2 V617F mutation had a diagnosis of myeloproliferative diseases before or at the occurrence of the venous thrombotic event. In three patients carrying the JAK2 V617F mutation, a myeloproliferative disease was not detected. Determination of the JAK2 V617F mutation may be useful to recognize patients with Budd-Chiari syndrome with or at risk for the subsequent development of overt myeloproliferative diseases.
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