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Published on: December 27, 2017
Derivative (1;18)(q10;q10) in essential thrombocythemia
Taichi Azuma1, Jun Yamanouchi, Katsuji Inoue
1First Department of Internal Medicine, Ehime University School of Medicine, Toon, Japan. ataichi@m.ehime-u.ac.jp
A rare chromosomal abnormality, derivative (1;18)(q10;q10), was found in a patient with essential thrombocythemia (ET). This case also showed a Janus Kinase 2 (JAK2) V617F mutation, offering new insights into ET pathogenesis.
Area of Science:
- Hematology
- Cytogenetics
- Molecular Biology
Background:
- Essential thrombocythemia (ET) is a myeloproliferative neoplasm characterized by an elevated platelet count.
- The Janus Kinase 2 (JAK2) V617F mutation is a common driver mutation in ET.
- Chromosomal abnormalities can play a role in the development and progression of myeloid disorders.
Observation:
- A 75-year-old woman with essential thrombocythemia presented with a novel chromosomal abnormality: derivative (1;18)(q10;q10).
- Allele-specific polymerase chain reaction confirmed the presence of the JAK2 V617F mutation in the patient's platelets.
- The derivative (1;18)(q10;q10) abnormality has been previously identified in other myeloid disorders.
Findings:
- This study reports the first association of the derivative (1;18)(q10;q10) chromosomal abnormality with essential thrombocythemia.
- The co-occurrence of this specific chromosomal abnormality and the JAK2 V617F mutation in ET is a novel finding.
- The presence of the JAK2 mutation was confirmed specifically within the platelet compartment.
Implications:
- The etiological role of the derivative (1;18)(q10;q10) abnormality in essential thrombocythemia remains to be elucidated.
- This case highlights the potential for complex chromosomal rearrangements in ET beyond common mutations.
- Further research is needed to understand the combined impact of this chromosomal abnormality and JAK2 mutation on ET development and prognosis.
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