The Roles of Genetics and Epigenetics in the Diagnosis of Chronic Myeloproliferative Disorders

Jerry L. Spivak , Alison R. Moliterno
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Abstract

The diagnosis of the chronic myeloproliferative disorders, polycythemia vera, idiopathic myelofibrosis, and essential thrombocytosis is confounded by their low frequency of occurrence, phenotypic variability over time, phenotypic mimicry among themselves, and phenotypic mimicry between them and other malignant and benign disorders of the blood. Recent discoveries of epigenetic and genetic abnormalities shared by these disorders have not only provided insight into their pathogenesis but also an opportunity to reassess the diagnostic approaches to these disorders. The purpose of this review is to integrate the information provided by these new genetic and epigenetic markers into the diagnostic strategies for polycythemia vera, idiopathic myelofibrosis, and essential thrombocytosis.

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遗传学和表观遗传学在慢性骨髓增生性疾病诊断中的作用
慢性骨髓增生性疾病、真性红细胞增多症、特发性骨髓纤维化和原发性血小板增多症的诊断由于其发生频率低、表型随时间变化、它们之间的表型相似性以及它们与其他恶性和良性血液疾病之间的表型相似性而混淆。这些疾病所共有的表观遗传和遗传异常的最新发现不仅提供了对其发病机制的深入了解,而且为重新评估这些疾病的诊断方法提供了机会。本综述的目的是将这些新的遗传和表观遗传标记提供的信息整合到真性红细胞增多症、特发性骨髓纤维化和原发性血小板增多症的诊断策略中。
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