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.

Abstract

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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