PMID- 19819015 OWN - NLM STAT- MEDLINE DCOM- 20100607 LR - 20131121 IS - 1873-5835 (Electronic) IS - 0145-2126 (Linking) VI - 34 IP - 6 DP - 2010 Jun TI - JAK2(V617F) mutation in myelodysplastic syndrome (MDS) with del(5q) arises in genetically discordant clones. PG - 821-3 LID - 10.1016/j.leukres.2009.09.016 [doi] AB - The 2008 World Health Organization (WHO) proposed revision of the classification of MDS recognizes a deletion (5q) subtype with mutation of Janus kinase-2 (JAK2(V617F)). We investigated the clonal origin of this gene mutation in a patient with del(5q) MDS presenting with thrombocytosis and normal hemoglobin. Analysis of colony forming units-granulocyte-monocyte (CFU-GM) and erythropoietin-independent growth of bone marrow (BM) and peripheral blood (PB) burst forming units-erythroid (BFU-E) showed that del(5q) and JAK2(V617F) existed in progenitors derived from independent clones. Fifty percent of endogenous erythroid colonies (EEC) harbored the JAK2(V617F) mutation whereas fluorescent in situ hybridization (Fish) with a chromosome 5 (q31.1) probe showed only a diploid allele compliment. Assessment of transcriptional clonality by iduronate-2-sulfatase (IDS) gene polymorphism suggested that JAK2(V617F) was acquired in at least two independent multipotent stem cell progeny. Our findings indicate that JAK2(V617F) mutant clones may arise in genetically discordant clones independent of del(5q). CI - Copyright 2009 Elsevier Ltd. All rights reserved. FAU - Sokol, L AU - Sokol L AD - Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL 33612, USA. Lubomir.Sokol@moffitt.org FAU - Caceres, G AU - Caceres G FAU - Rocha, K AU - Rocha K FAU - Stockero, K J AU - Stockero KJ FAU - Dewald, D W AU - Dewald DW FAU - List, A F AU - List AF LA - eng PT - Case Reports PT - Journal Article DEP - 20091009 PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 RN - 47E5O17Y3R (Phenylalanine) RN - EC 2.7.10.2 (JAK2 protein, human) RN - EC 2.7.10.2 (Janus Kinase 2) RN - HG18B9YRS7 (Valine) SB - IM MH - Amino Acid Substitution MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 5 MH - Clone Cells/metabolism/*pathology MH - Erythroid Precursor Cells/metabolism/pathology MH - Female MH - Humans MH - Janus Kinase 2/*genetics MH - Middle Aged MH - Mutation, Missense/physiology MH - Myelodysplastic Syndromes/*genetics/pathology MH - Phenylalanine/genetics MH - Valine/genetics EDAT- 2009/10/13 06:00 MHDA- 2010/06/09 06:00 CRDT- 2009/10/13 06:00 PHST- 2009/07/20 00:00 [received] PHST- 2009/09/12 00:00 [revised] PHST- 2009/09/12 00:00 [accepted] PHST- 2009/10/13 06:00 [entrez] PHST- 2009/10/13 06:00 [pubmed] PHST- 2010/06/09 06:00 [medline] AID - S0145-2126(09)00476-7 [pii] AID - 10.1016/j.leukres.2009.09.016 [doi] PST - ppublish SO - Leuk Res. 2010 Jun;34(6):821-3. doi: 10.1016/j.leukres.2009.09.016. Epub 2009 Oct 9.