Genomics of MPN progression
- PMID: 33275731
- PMCID: PMC7727554
- DOI: 10.1182/hematology.2020000129
Genomics of MPN progression
Abstract
The Philadelphia chromosome-negative (Ph-) myeloproliferative neoplasms (MPNs) are a heterogenous group of hematopoietic stem cell diseases characterized by activated JAK/STAT signaling and a variable propensity toward myelofibrotic and leukemic transformation. Acquisition of somatic mutations in addition to the canonical JAK2, MPL, and CALR mutations found in MPNs is an important catalyst in the clonal evolution and progression of these disorders. In recent years, our increasing understanding of the molecular landscape of Ph- MPNs has generated important prognostic information that informs our approach to risk stratification and therapeutic decision-making. This review will focus on the critical impact of genomics on our approach to management of advanced Ph- MPNs.
© 2020 by The American Society of Hematology.
Conflict of interest statement
Conflict-of-interest disclosure: O.O. has served on the advisory boards of AbbVie, Celgene, Impact Biomedicines, and Novartis, and has received research support (paid to institution) from AbbVie, Aprea, Astex, Agios, Celgene, CTI Biopharma, Daiichi, Janssen, Kartos, and Oncotherapy Sciences. A.A.P. declares no competing financial interests.
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