Mutation profile in Indian primary myelofibrosis patients and its clinical implications

Background: Primary myelofibrosis (PMF) is a myeloproliferative neoplasm (MPN) characterized by abnormal proliferation of megakaryocytes, bone marrow fibrosis, and extramedullary hematopoiesis. We did mutation profile of 50 patients of PMF and tried to correlate it with initial clinical presentation...

Full description

Bibliographic Details
Main Authors: Vinod R Patil, S Chandrakala, Shruti Mantri, Rajesh Patil, Nilesh Wasekar, Farah Jijina
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2019-01-01
Series:South Asian Journal of Cancer
Subjects:
Online Access:http://journal.sajc.org/article.asp?issn=2278-330X;year=2019;volume=8;issue=3;spage=186;epage=188;aulast=Patil
_version_ 1818847107219456000
author Vinod R Patil
S Chandrakala
Shruti Mantri
Rajesh Patil
Nilesh Wasekar
Farah Jijina
author_facet Vinod R Patil
S Chandrakala
Shruti Mantri
Rajesh Patil
Nilesh Wasekar
Farah Jijina
author_sort Vinod R Patil
collection DOAJ
description Background: Primary myelofibrosis (PMF) is a myeloproliferative neoplasm (MPN) characterized by abnormal proliferation of megakaryocytes, bone marrow fibrosis, and extramedullary hematopoiesis. We did mutation profile of 50 patients of PMF and tried to correlate it with initial clinical presentation of these patients. Materials and Methods: All new and follow up patients who were diagnosed as PMF based on WHO 2016 definition of PMF were included. Mutation profile of these patients including JAK2 V617F, JAK2 exon 12, CALR and MPL mutations was done and all clinical, demographic and laboratory details were recorded. Results: Total 50 patients were enrolled out of which 29 were males and 21 were females. Out of these patients, 32 (64%) were JAK2 positive, 13 (26%) were CALR positive, 1 (2%) were MPL positive and 4 (8%) were triple negative. As compared to JAK2+ve patients and triple negative group, CALR positive patients were younger, had lower total leucocyte count, larger spleen size, lower dynamic international prognostic scoring system (DIPSS) score and higher grade of fibrosis of marrow. Conclusion: This study depicts that incidence of JAK2 and CALR mutations in Indian PMF patients is fairly similar to that in rest of the world. CALR positive patients have better clinical parameters at presentation and have better prognosis as compared to JAK2 positive patients.
first_indexed 2024-12-19T05:56:11Z
format Article
id doaj.art-da83a3a35d6b4eb4b49cab1da271a4bb
institution Directory Open Access Journal
issn 2278-330X
language English
last_indexed 2024-12-19T05:56:11Z
publishDate 2019-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series South Asian Journal of Cancer
spelling doaj.art-da83a3a35d6b4eb4b49cab1da271a4bb2022-12-21T20:33:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2019-01-018318618810.4103/sajc.sajc_276_18Mutation profile in Indian primary myelofibrosis patients and its clinical implicationsVinod R PatilS ChandrakalaShruti MantriRajesh PatilNilesh WasekarFarah JijinaBackground: Primary myelofibrosis (PMF) is a myeloproliferative neoplasm (MPN) characterized by abnormal proliferation of megakaryocytes, bone marrow fibrosis, and extramedullary hematopoiesis. We did mutation profile of 50 patients of PMF and tried to correlate it with initial clinical presentation of these patients. Materials and Methods: All new and follow up patients who were diagnosed as PMF based on WHO 2016 definition of PMF were included. Mutation profile of these patients including JAK2 V617F, JAK2 exon 12, CALR and MPL mutations was done and all clinical, demographic and laboratory details were recorded. Results: Total 50 patients were enrolled out of which 29 were males and 21 were females. Out of these patients, 32 (64%) were JAK2 positive, 13 (26%) were CALR positive, 1 (2%) were MPL positive and 4 (8%) were triple negative. As compared to JAK2+ve patients and triple negative group, CALR positive patients were younger, had lower total leucocyte count, larger spleen size, lower dynamic international prognostic scoring system (DIPSS) score and higher grade of fibrosis of marrow. Conclusion: This study depicts that incidence of JAK2 and CALR mutations in Indian PMF patients is fairly similar to that in rest of the world. CALR positive patients have better clinical parameters at presentation and have better prognosis as compared to JAK2 positive patients.http://journal.sajc.org/article.asp?issn=2278-330X;year=2019;volume=8;issue=3;spage=186;epage=188;aulast=PatilIndianmutationsmyelofibrosis
spellingShingle Vinod R Patil
S Chandrakala
Shruti Mantri
Rajesh Patil
Nilesh Wasekar
Farah Jijina
Mutation profile in Indian primary myelofibrosis patients and its clinical implications
South Asian Journal of Cancer
Indian
mutations
myelofibrosis
title Mutation profile in Indian primary myelofibrosis patients and its clinical implications
title_full Mutation profile in Indian primary myelofibrosis patients and its clinical implications
title_fullStr Mutation profile in Indian primary myelofibrosis patients and its clinical implications
title_full_unstemmed Mutation profile in Indian primary myelofibrosis patients and its clinical implications
title_short Mutation profile in Indian primary myelofibrosis patients and its clinical implications
title_sort mutation profile in indian primary myelofibrosis patients and its clinical implications
topic Indian
mutations
myelofibrosis
url http://journal.sajc.org/article.asp?issn=2278-330X;year=2019;volume=8;issue=3;spage=186;epage=188;aulast=Patil
work_keys_str_mv AT vinodrpatil mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications
AT schandrakala mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications
AT shrutimantri mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications
AT rajeshpatil mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications
AT nileshwasekar mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications
AT farahjijina mutationprofileinindianprimarymyelofibrosispatientsanditsclinicalimplications