Analysis of the Ten-Eleven Translocation 2 (TET2) gene mutation in myeloproliferative neoplasms

JS Ha, DS Jeon, JR Kim, NH Ryoo… - Annals of Clinical & …, 2014 - Assoc Clin Scientists
JS Ha, DS Jeon, JR Kim, NH Ryoo, JS Suh
Annals of Clinical & Laboratory Science, 2014Assoc Clin Scientists
Loss-of-function mutations in the putative tumor suppressor gene, Ten-Eleven Ttranslocation
2 (TET2), have been identified recently in myeloproliferative neoplasms (MPNs). The
present study analyzed the TET2 gene in 99 MPNs patients. The overall TET2 mutational
frequency was 12.1%(22.2% in polycythemia vera (PV), 9.7% in essential thrombocythemia
(ET), 18.2% in primary myelofibrosis (PMF,) and 0% in unclassified MPNs), and 11
mutations (p. Lys95Asnfs* 18, p. Gln967Asnfs* 40, p. Lys1022Glufs* 4, p. Asp1314Metfs* 49 …
Loss-of-function mutations in the putative tumor suppressor gene, Ten-Eleven Ttranslocation 2(TET2), have been identified recently in myeloproliferative neoplasms (MPNs). The present study analyzed the TET2 gene in 99 MPNs patients. The overall TET2 mutational frequency was 12.1% (22.2% in polycythemia vera (PV), 9.7% in essential thrombocythemia (ET), 18.2% in primary myelofibrosis (PMF,) and 0% in unclassified MPNs), and 11 mutations (p.Lys95Asnfs*18, p.Gln967Asnfs*40, p.Lys1022Glufs*4, p.Asp1314Metfs*49, p.Gln1534Alafs*43, p.Tyr1618Leufs*4, p.Leu1609Glufs*45, p.Gly1735*, Q599R, c.3409+1G>T, c.4044+2insT) were identified. All the patients with TET2 mutation were accompanied by the JAK2 V617F mutation. The existence of the TET2 mutation was not related to the patient’s age, hematologic indices, JAK2 V617F allele burden, frequencies of organomegaly, marrow fibrosis, or thrombotic/hemorrhagic complications in entire MPN patients. However, tendencies toward higher JAK2 V617F allele burdens (88.0±4.3% vs. 19.1±28.7%, P=0.034) and higher Hct (47.4±5.4% vs. 25.5±6.2%, P=0.037) were detected in PMF patients harboring TET2 mutations. Moreover, a significantly higher frequency of organomegaly was identified in ET patients harboring the TET2 mutation (50% vs. 19.6%, P=0.018). The TET2 mutation most likely contributes to clinical phenotypes and shows a high accompanying rate with JAK2 V617F; larger scale studies involving more MPN patients are needed.
Assoc Clin Scientists