Document Detail


Identification of genomic aberrations associated with disease transformation by means of high-resolution SNP array analysis in patients with myeloproliferative neoplasm.
MedLine Citation:
PMID:  21953568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myeloproliferative neoplasms (MPN) include polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF). These disorders may undergo phenotypic shifts, and may specifically evolve into secondary myelofibrosis (MF) or acute myeloid leukemia (AML). We studied genomic changes associated with these transformations in 29 patients who had serial samples collected in different phases of disease. Genomic DNA from granulocytes, i.e., the myeloproliferative genome, was processed and hybridized to genome-wide human SNP 6.0 arrays. Most patients in chronic phase had chromosomal regions with uniparental disomy (UPD) and/or copy number changes. Disease progression to secondary MF or AML was associated with the acquisition of additional chromosomal aberrations in granulocytes (P = 0.002). A close relationship was observed between aberrations of chromosome 9p (UPD and/or gain) and progression from PV to post-PV MF (P = 0.002). The acquisition of one or more aberrations involving chromosome 5, 7, or 17p was specifically associated with progression to AML (OR 5.9, 95% CI 1.2-27.7, P = 0.006), and significantly affected overall survival (HR 18, 95% CI 1.9-164, P = 0.01). These observations indicate that disease progression from chronic-phase MPN to secondary MF or AML is associated with specific chromosomal aberrations that can be detected by means of high-resolution SNP array analysis of granulocyte DNA.
Authors:
Elisa Rumi; Ashot Harutyunyan; Chiara Elena; Daniela Pietra; Thorsten Klampfl; Klaudia Bagienski; Tiina Berg; Ilaria Casetti; Cristiana Pascutto; Francesco Passamonti; Robert Kralovics; Mario Cazzola
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Publication Detail:
Type:  Journal Article     Date:  2011-09-22
Journal Detail:
Title:  American journal of hematology     Volume:  86     ISSN:  1096-8652     ISO Abbreviation:  Am. J. Hematol.     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-17     Completed Date:  2012-01-03     Revised Date:  2012-06-05    
Medline Journal Info:
Nlm Unique ID:  7610369     Medline TA:  Am J Hematol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  974-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy. elisarumi@hotmail.com.
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MeSH Terms
Descriptor/Qualifier:
Blast Crisis / etiology,  genetics,  metabolism
Cell Transformation, Neoplastic / genetics*
Chromosome Aberrations*
DNA / chemistry,  metabolism
Disease Progression
Female
Genome-Wide Association Study
Granulocytes / metabolism
Humans
Italy
Janus Kinase 2 / genetics,  metabolism
Leukemia, Myeloid / genetics,  metabolism,  physiopathology
Male
Mutation
Myeloproliferative Disorders / genetics*,  metabolism,  pathology,  physiopathology
Oligonucleotide Array Sequence Analysis
Polycythemia Vera / etiology,  genetics,  metabolism
Polymorphism, Single Nucleotide*
Primary Myelofibrosis / etiology,  genetics,  metabolism
Receptors, Thrombopoietin / genetics,  metabolism
Survival Analysis
Thrombocythemia, Essential / etiology,  genetics,  metabolism
Chemical
Reg. No./Substance:
0/Receptors, Thrombopoietin; 143641-95-6/MPL protein, human; 9007-49-2/DNA; EC 2.7.10.1/Janus Kinase 2; EC 2.7.10.2/JAK2 protein, human

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