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.

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