Assessment of relation between JAK2 gene and thrombosis in myeloproliferative neoplasms

S. Kahraman, F. Demirkan
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Abstract

Background Thrombotic complications are the most considerable etiology causing morbidity and mortality in patients with philadelphia (Ph) negative myeloproliferative neoplasms (MPN). There are many studies evaluating the association of JAK2 mutation and risk of thrombosis in MPN with inconclusive results. We also investigated the relation between JAK2 mutation in all Ph negative MPN and thrombosis. Material and Methods Thrombotic events and demographic features of 177 patients with Ph negative MPN were evaluated retrospectively. Results JAK2 V617 F mutation was detected in 57% of patients with essential thrombocythemia (ET), %90.3 of pateints with polycythemia vera (PV), 100% of pateints with primary myelofibrosis (PMF). Thrombotic complications occured more frequently with JAK2 mutation in all MPN patients than without (p=0.014). In JAK 2 mutation positive groups, the median age, thrombosis risk scores and leucocyte values are higher, splenomegaly and arterial and/or venous thrombosis are detected more frequently (p
骨髓增生性肿瘤中JAK2基因与血栓形成关系的研究
背景:血栓性并发症是导致费城(Ph)阴性骨髓增生性肿瘤(MPN)患者发病率和死亡率的最重要的病因。有许多研究评估JAK2突变与MPN血栓形成风险的关系,但结果不确定。我们还研究了所有Ph阴性MPN中JAK2突变与血栓形成的关系。材料与方法回顾性分析177例Ph阴性MPN患者的血栓事件及人口学特征。结果57%的原发性血小板增多症(ET)、90.3%的真性红细胞增多症(PV)和100%的原发性骨髓纤维化(PMF)患者检测到JAK2 v617f突变。在所有MPN患者中,JAK2突变患者的血栓并发症发生率高于未突变患者(p=0.014)。在JAK 2突变阳性组中,中位年龄、血栓形成风险评分和白细胞值更高,脾肿大和动脉和/或静脉血栓形成的检测频率更高(p
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