JAK2异常在血液肿瘤中的作用

M. Alabdulaali
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引用次数: 6

摘要

2005年,在相当比例的骨髓增殖性肿瘤(主要是真性红细胞增多症、原发性血小板增多症和原发性骨髓纤维化)患者中发现了Janus激酶2 (JAK2)的激活突变。在JAK-STAT通路中已经发现了许多类型的突变,其中大多数与JAK2有关。目前,JAK2突变在髓系肿瘤的诊断领域非常重要,但它在确认克隆性之外的作用正在增加,并扩大了我们对这些疾病的认识。除此之外,针对JAK2-STAT通路的临床试验将拓宽我们的知识,并有望提供更多的治疗选择。在这篇综述中,我们将讨论JAK2异常在血液肿瘤的发病机制、诊断、分类、严重程度和治疗中的作用。
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The role of JAK2 abnormalities in hematologic neoplasms
In 2005, an activating mutation in the Janus kinase 2 (JAK2) was identified in a significant proportion of patients with myeloproliferative neoplasms, mainly polycythemia vera, essential thrombocythemia and primary myelofibrosis. Many types of mutations in the JAK-STAT pathway have been identified, the majority are related to JAK2. Currently JAK2 mutations are important in the area of diagnosis of myeloid neoplasms, but its role beyond the confirmation of clonality is growing and widening our knowledge about these disorders. In addition to that, clinical trials to target JAK2-STAT pathway will widen our knowledge and hopefully will offer more therapeutic options. In this review, we will discuss the role of JAK2 abnormalities in the pathogenesis, diagnosis, classification, severity and management of hematologic neoplasms.
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