Molecular genetics of thrombotic myeloproliferative neoplasms: implications in precision oncology

Yuh Cai Chia, Mat Jusoh Siti Asmaa, Marini Ramli*, Peng Yeong Woon, Muhammad Farid Johan, Rosline Hassan, Md Asiful Islam*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Classical BCR-ABL-negative myeloproliferative neoplasms (MPN) include polycythaemia vera, essential thrombocythaemia, and primary myelofibrosis. Unlike monogenic disorders, a more complicated series of genetic mutations are believed to be responsible for MPN with various degrees of thromboembolic and bleeding complications. Thrombosis is one of the early manifestations in patients with MPN. To date, the driver genes responsible for MPN include JAK2, CALR, MPL, TET2, ASXL1, and MTHFR. Affords have been done to elucidate these mutations and the incidence of thromboembolic events. Several lines of evidence indicate that mutations in JAK2, MPL, TET2 and ASXL1 gene and polymorphisms in several clotting factors (GPIa, GPIIa, and GPIIIa) are associated with the occurrence and prevalence of thrombosis in MPN patients. Some polymorphisms within XRCC1, FBG, F2, F5, F7, F12, MMP9, HPA5, MTHFR, SDF-1, FAS, FASL, TERT, ACE, and TLR4 genes may also play a role in MPN manifestation. This review aims to provide an insightful overview on the genetic perspective of thrombotic complications in patients with MPN.

Original languageEnglish
Article number163
Number of pages29
JournalDiagnostics
Volume13
Issue number1
DOIs
Publication statusPublished - 3 Jan 2023

Bibliographical note

Funding Information:
This study was supported by Research University Grant (No. 1001/PPSP/812187), Universiti Sains Malaysia.

Publisher Copyright:
© 2023 by the authors.

Keywords

  • essential thrombocytosis
  • gene
  • mutation
  • myeloproliferative neoplasms
  • polycythaemia vera
  • polymorphism
  • primary myelofibrosis
  • thrombosis
  • Review

ASJC Scopus subject areas

  • Clinical Biochemistry

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