MOLECULAR GENETIC ABNORMALITIES IN THE GENOME OF PATIENTS WITH Ph-NEGATIVE MYELOPROLIFERATIVE NEOPLASIA AFFECTED BY
L O Poluben1, L V Neumerzhytska1, S V Klymenko1
1State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine.
Objective:
to determine the frequency of major somatic mutations in the JAK2, MPL and CALR genes in the genomeof patients with Ph-negative myeloproliferative neoplasms that occur in individuals who have been exposed to ionizing radiation as a result of the Chornobyl accident.
Materials And Methods:
Molecular genetic analysis of genomic DNA samples isolated from blood was performed in90 patients with Ph-negative myeloproliferative neoplasia (MPN) with a history of radiation exposure and 191patients with spontaneous MPN utilizing allele-specific polymerase chain reaction (PCR).
Results:
The presence of major mutations in the genes JAK2, CALR and MPL was revealed in patients with MPN witha history of radiation exposure with a frequency 58.9 % (53 of 90), 12.2 % (11 of 90), and 0 % respectively, and without exposure with frequency 75.4 % (144 of 191), 3.1 % (6 out of 191) and 1.6 % (3 out of 191) respectively.Mutations JAK2 V617F in patients with spontaneous MPN were observed in each clinical form: polycythemia vera (PV),essential thrombocythemia (ET) and primary myelofibrosis (PMF). CALR mutations were detected exclusively inpatients with PMF and ET, significantly more often in groups with a radiation exposure history (18.9 % and 33.3 %,vs. 4.2 % and 6.5 %) than without one. At the same time, the occurence of MPL mutations was determined only inpatients with spontaneous MPN in 1.6 % of casees. Triple negative mutation status of genes JAK2, MPL and CALR prevailed in the group of patients with MPN with a history of radiation exposure and was 27.8 %, against 16.2 % inpatients without radiation exposure (p = 0.05).
Conclusions:
Genomic research of patients with Ph-negative MPN revealed features of molecular genetic damage inthose patients who were exposed to IR as a result of the Chornobyl accident and those with spontaneous MPN. Thedata obtained by determining of JAK2, MPL and CALR genes mutational status in the genome of patients with MPN isnecessary to expand the understanding of the mechanism of leukogenesis, especially caused by radiation.
Insights
Radiation exposure from the Chornobyl accident altered JAK2, CALR, and MPL gene mutation frequencies in myeloproliferative neoplasm (MPN) patients. These findings highlight radiation
Area of Science:
- Hematology
- Oncology
- Radiation Biology
Background:
- Ph-negative myeloproliferative neoplasms (MPN) are a group of blood cancers.
- Ionizing radiation exposure, such as from the Chornobyl accident, is a known risk factor for various cancers.
- Understanding the molecular basis of MPN in radiation-exposed individuals is crucial.
Purpose of the Study:
- To investigate the frequency of major somatic mutations in JAK2, MPL, and CALR genes.
- To compare mutation frequencies in patients with Ph-negative MPN with and without a history of Chornobyl-related radiation exposure.
Main Methods:
- Genomic DNA was analyzed from 90 radiation-exposed MPN patients and 191 non-exposed MPN patients.
- Allele-specific polymerase chain reaction (PCR) was used to detect mutations in JAK2, MPL, and CALR genes.
- Statistical analysis was performed to compare mutation frequencies between the two groups.
Main Results:
- JAK2 mutations were found in 58.9% of exposed patients vs. 75.4% of non-exposed patients.
- CALR mutations were more frequent in exposed patients (12.2%) compared to non-exposed (3.1%), primarily in essential thrombocythemia and primary myelofibrosis.
- MPL mutations were rare, observed only in non-exposed patients (1.6%). Triple-negative status was more prevalent in the exposed group (27.8% vs. 16.2%).
Conclusions:
- Genomic analysis reveals distinct molecular genetic damage patterns in Chornobyl-exposed MPN patients compared to spontaneous MPN.
- Determining the mutational status of JAK2, MPL, and CALR is essential for understanding radiation-induced leukemogenesis.
- These findings contribute to the understanding of molecular mechanisms underlying MPN development following radiation exposure.
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