Effect of Anagrelide on JAK2 Mutational Status in Patients with Essential Thrombocythemia

Emma Cacciola, Ernesto Di Francesco, Francesca Pezzella, Daniele Tibullo, Rossella Cacciola
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引用次数: 4

Abstract

We evaluated the effect of anagrelide (ANA) in 9 of 22 patients with essential thrombocythemia (ET) who had a JAK2 V617F mutation and polycythemia vera (PV)–like disease. First, we observed a successful reduction of JAK2 mutation, which was associated with disappearance of PV-like phenotype. Second, we found that a level of JAK2 mutation < 50% was associated with a response to ANA similar to that of JAK2-negative patients. These data indicate that ANA may reverse the JAK2 mutational status and provide a better prognosis in patients with ET.

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阿那格列特对原发性血小板增多症患者JAK2突变状态的影响
我们评估了阿纳格列特(ANA)对22例具有JAK2 V617F突变和真性红细胞增多症(PV)样疾病的原发性血小板增多症(ET)患者中的9例的疗效。首先,我们观察到JAK2突变的成功减少,这与pv样表型的消失有关。其次,我们发现JAK2突变<50%的患者对ANA的反应与jak2阴性患者相似。这些数据表明,ANA可能逆转JAK2突变状态,并为ET患者提供更好的预后。
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