Am J Hematol. 2010 Jan;85(1):81-3. doi: 10.1002/ajh.21562.
is a putative tumor suppressor gene located at chromosome 4q24. mutations were recently described in several myeloid neoplasms but correlations with cytogenetic findings have not been studied. Among a recently described cohort of patients with myeloproliferative neoplasms (MPN) who underwent mutation analysis, 199 had information on karyotype at diagnosis or time of testing: 71 polycythemia vera (PV), 55 primary myelofibrosis (PMF), 43 essential thrombocythemia (ET), 13 post-PV MF, 7 post-ET MF, and 10 blast phase MPN. Forty eight patients (24%) exhibited abnormal karyotype: 15 favorable (sole 20q-, 13q-, or +9), 8 unfavorable (complex karyotype or sole +8), and 25 “other” cytogenetic abnormalities. We found no significant difference either in the incidence or type of cytogenetic abnormalities between mutated ( = 25) and unmutated ( = 174) cases. Seventy nine patients, including 14 with mutations, underwent follow-up cytogenetic testing and the findings were again not affected by mutational status. We conclude that mutated MPN patients are not cytogenetically different than their unmutated counterparts.
是一个位于染色体 4q24 的假定肿瘤抑制基因。最近在几种髓系肿瘤中描述了 突变,但与细胞遗传学发现的相关性尚未研究。在最近描述的一组接受 突变分析的骨髓增殖性肿瘤 (MPN) 患者中,有 199 名患者有诊断时或 检测时的核型信息:71 名真性红细胞增多症 (PV)、55 名原发性骨髓纤维化 (PMF)、43 名原发性血小板增多症 (ET)、13 名 PV 后 MF、7 名 ET 后 MF 和 10 名急变期 MPN。48 名患者(24%)表现出异常核型:15 名核型良好(仅存在 20q-、13q-或 +9)、8 名核型不良(复杂核型或仅存在 +8)和 25 名“其他”细胞遗传学异常。我们发现突变(=25)和未突变(=174)病例之间细胞遗传学异常的发生率或类型没有显著差异。79 名患者,包括 14 名携带 突变,接受了随访细胞遗传学检测,结果也不受 突变状态的影响。我们得出结论,携带 突变的 MPN 患者与未携带 突变的患者在细胞遗传学上没有区别。