Triple-Negative Primary Myelofibrosis: A Bone Marrow Pathology Group Study
Primary myelofibrosis (PMF) is a clonal myeloproliferative neoplasm driven by canonical gene mutations in JAK2, CALR, or MPL in >80% of the cases. PMF that lacks these canonical alterations is termed triple-negative PMF (TN-PMF). The pathologic and genetic characteristics of TN-PMF compared with...
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Veröffentlicht in: | Modern pathology 2023-03, Vol.36 (3), p.100016-100016, Article 100016 |
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creator | Al-Ghamdi, Yahya A. Lake, Jonathan Bagg, Adam Thakral, Beenu Wang, Sa A. Bueso-Ramos, Carlos Masarova, Lucia Verstovsek, Srdan Rogers, Heesun J. Hsi, Eric D. Gralewski, Jonathon H. Chabot-Richards, Devon George, Tracy I. Rets, Anton Hasserjian, Robert P. Weinberg, Olga K. Parilla, Megan Arber, Daniel A. Padilla, Osvaldo Orazi, Attilio Tam, Wayne |
description | Primary myelofibrosis (PMF) is a clonal myeloproliferative neoplasm driven by canonical gene mutations in JAK2, CALR, or MPL in >80% of the cases. PMF that lacks these canonical alterations is termed triple-negative PMF (TN-PMF). The pathologic and genetic characteristics of TN-PMF compared with those of conventional PMF with canonical driver mutations (DM-PMF) have not been well studied. We aimed to identify clinicopathologic and molecular genetic differences between patients with TN-PMF (n = 56) and DM-PMF (n = 89), all of whom fulfilled the 2016 World Health Organization diagnostic criteria for PMF. Compared with the control group, patients in the TN-PMF group were more likely to have thrombocytopenia and less likely to have organomegaly. The bone marrow in patients with TN-PMF showed fewer granulocytic elements and more frequent dyserythropoiesis. Cytogenetic analysis showed a higher incidence of trisomy 8. Targeted next-generation sequencing revealed a lower frequency of ASXL1 mutations but enrichment of ASXL1/SRSF2 comutations. Our findings demonstrated several clinicopathologic and molecular differences between TN-PMF and DM-PMF. These findings, particularly the observed mutation profile characterized by a higher frequency of ASXL1 and SRSF2 comutation, suggest that at least a subset of TN-PMF may be pathogenetically different from DM-PMF, with potential prognostic implications. |
doi_str_mv | 10.1016/j.modpat.2022.100016 |
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PMF that lacks these canonical alterations is termed triple-negative PMF (TN-PMF). The pathologic and genetic characteristics of TN-PMF compared with those of conventional PMF with canonical driver mutations (DM-PMF) have not been well studied. We aimed to identify clinicopathologic and molecular genetic differences between patients with TN-PMF (n = 56) and DM-PMF (n = 89), all of whom fulfilled the 2016 World Health Organization diagnostic criteria for PMF. Compared with the control group, patients in the TN-PMF group were more likely to have thrombocytopenia and less likely to have organomegaly. The bone marrow in patients with TN-PMF showed fewer granulocytic elements and more frequent dyserythropoiesis. Cytogenetic analysis showed a higher incidence of trisomy 8. Targeted next-generation sequencing revealed a lower frequency of ASXL1 mutations but enrichment of ASXL1/SRSF2 comutations. Our findings demonstrated several clinicopathologic and molecular differences between TN-PMF and DM-PMF. These findings, particularly the observed mutation profile characterized by a higher frequency of ASXL1 and SRSF2 comutation, suggest that at least a subset of TN-PMF may be pathogenetically different from DM-PMF, with potential prognostic implications.</description><identifier>ISSN: 0893-3952</identifier><identifier>EISSN: 1530-0285</identifier><identifier>DOI: 10.1016/j.modpat.2022.100016</identifier><identifier>PMID: 36788093</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bone Marrow - pathology ; Humans ; Janus Kinase 2 - genetics ; Mutation ; myeloid neoplasms ; Myeloproliferative Disorders - genetics ; myeloproliferative neoplasms ; primary myelofibrosis ; Primary Myelofibrosis - genetics ; Primary Myelofibrosis - pathology ; Prognosis ; Transcription Factors - genetics ; triple-negative primary myelofibrosis</subject><ispartof>Modern pathology, 2023-03, Vol.36 (3), p.100016-100016, Article 100016</ispartof><rights>2022 United States & Canadian Academy of Pathology</rights><rights>Copyright © 2022 United States & Canadian Academy of Pathology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-288c23cec02016941e40fe168b10ea8f2fc098950603333c2e23ca7541ba69c13</citedby><cites>FETCH-LOGICAL-c408t-288c23cec02016941e40fe168b10ea8f2fc098950603333c2e23ca7541ba69c13</cites><orcidid>0000-0002-0647-9521</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36788093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Ghamdi, Yahya A.</creatorcontrib><creatorcontrib>Lake, Jonathan</creatorcontrib><creatorcontrib>Bagg, Adam</creatorcontrib><creatorcontrib>Thakral, Beenu</creatorcontrib><creatorcontrib>Wang, Sa A.</creatorcontrib><creatorcontrib>Bueso-Ramos, Carlos</creatorcontrib><creatorcontrib>Masarova, Lucia</creatorcontrib><creatorcontrib>Verstovsek, Srdan</creatorcontrib><creatorcontrib>Rogers, Heesun J.</creatorcontrib><creatorcontrib>Hsi, Eric D.</creatorcontrib><creatorcontrib>Gralewski, Jonathon H.</creatorcontrib><creatorcontrib>Chabot-Richards, Devon</creatorcontrib><creatorcontrib>George, Tracy I.</creatorcontrib><creatorcontrib>Rets, Anton</creatorcontrib><creatorcontrib>Hasserjian, Robert P.</creatorcontrib><creatorcontrib>Weinberg, Olga K.</creatorcontrib><creatorcontrib>Parilla, Megan</creatorcontrib><creatorcontrib>Arber, Daniel A.</creatorcontrib><creatorcontrib>Padilla, Osvaldo</creatorcontrib><creatorcontrib>Orazi, Attilio</creatorcontrib><creatorcontrib>Tam, Wayne</creatorcontrib><title>Triple-Negative Primary Myelofibrosis: A Bone Marrow Pathology Group Study</title><title>Modern pathology</title><addtitle>Mod Pathol</addtitle><description>Primary myelofibrosis (PMF) is a clonal myeloproliferative neoplasm driven by canonical gene mutations in JAK2, CALR, or MPL in >80% of the cases. PMF that lacks these canonical alterations is termed triple-negative PMF (TN-PMF). The pathologic and genetic characteristics of TN-PMF compared with those of conventional PMF with canonical driver mutations (DM-PMF) have not been well studied. We aimed to identify clinicopathologic and molecular genetic differences between patients with TN-PMF (n = 56) and DM-PMF (n = 89), all of whom fulfilled the 2016 World Health Organization diagnostic criteria for PMF. Compared with the control group, patients in the TN-PMF group were more likely to have thrombocytopenia and less likely to have organomegaly. The bone marrow in patients with TN-PMF showed fewer granulocytic elements and more frequent dyserythropoiesis. Cytogenetic analysis showed a higher incidence of trisomy 8. Targeted next-generation sequencing revealed a lower frequency of ASXL1 mutations but enrichment of ASXL1/SRSF2 comutations. Our findings demonstrated several clinicopathologic and molecular differences between TN-PMF and DM-PMF. These findings, particularly the observed mutation profile characterized by a higher frequency of ASXL1 and SRSF2 comutation, suggest that at least a subset of TN-PMF may be pathogenetically different from DM-PMF, with potential prognostic implications.</description><subject>Bone Marrow - pathology</subject><subject>Humans</subject><subject>Janus Kinase 2 - genetics</subject><subject>Mutation</subject><subject>myeloid neoplasms</subject><subject>Myeloproliferative Disorders - genetics</subject><subject>myeloproliferative neoplasms</subject><subject>primary myelofibrosis</subject><subject>Primary Myelofibrosis - genetics</subject><subject>Primary Myelofibrosis - pathology</subject><subject>Prognosis</subject><subject>Transcription Factors - genetics</subject><subject>triple-negative primary myelofibrosis</subject><issn>0893-3952</issn><issn>1530-0285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7vrxD0R69NJ1kn6lHoR18ZNdFdRzSNOpZmk3NWmV_nsjVY_OJTA8M5P3IeSIwowCTU_Xs8aUrexmDBjzLfDNLTKlSQQhMJ5skynwPAqjPGETsufc2hNxwtkumURpxjnk0ZTcPVvd1hje46vs9AcGj1Y30g7BasDaVLqwxml3FsyDC7PBYCWtNZ_Bo-zeTG1eh-Damr4Nnrq-HA7ITiVrh4c_7z55ubp8XtyEy4fr28V8GaoYeBcyzhWLFCpg_sd5TDGGCmnKCwooecUqBTnPE0gh8qUYelpmSUwLmeaKRvvkZNzbWvPeo-tEo53CupYbNL0TLMsy8Ioy5tF4RJWP4SxWoh3jCQri26JYi9Gi-LYoRot-7PjnQl80WP4N_WrzwPkIoM_5odEKpzRuFJbaoupEafT_F74AW9eDew</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Al-Ghamdi, Yahya A.</creator><creator>Lake, Jonathan</creator><creator>Bagg, Adam</creator><creator>Thakral, Beenu</creator><creator>Wang, Sa A.</creator><creator>Bueso-Ramos, Carlos</creator><creator>Masarova, Lucia</creator><creator>Verstovsek, Srdan</creator><creator>Rogers, Heesun J.</creator><creator>Hsi, Eric D.</creator><creator>Gralewski, Jonathon H.</creator><creator>Chabot-Richards, Devon</creator><creator>George, Tracy I.</creator><creator>Rets, Anton</creator><creator>Hasserjian, Robert P.</creator><creator>Weinberg, Olga K.</creator><creator>Parilla, Megan</creator><creator>Arber, Daniel A.</creator><creator>Padilla, Osvaldo</creator><creator>Orazi, Attilio</creator><creator>Tam, Wayne</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0647-9521</orcidid></search><sort><creationdate>202303</creationdate><title>Triple-Negative Primary Myelofibrosis: A Bone Marrow Pathology Group Study</title><author>Al-Ghamdi, Yahya A. ; 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PMF that lacks these canonical alterations is termed triple-negative PMF (TN-PMF). The pathologic and genetic characteristics of TN-PMF compared with those of conventional PMF with canonical driver mutations (DM-PMF) have not been well studied. We aimed to identify clinicopathologic and molecular genetic differences between patients with TN-PMF (n = 56) and DM-PMF (n = 89), all of whom fulfilled the 2016 World Health Organization diagnostic criteria for PMF. Compared with the control group, patients in the TN-PMF group were more likely to have thrombocytopenia and less likely to have organomegaly. The bone marrow in patients with TN-PMF showed fewer granulocytic elements and more frequent dyserythropoiesis. Cytogenetic analysis showed a higher incidence of trisomy 8. Targeted next-generation sequencing revealed a lower frequency of ASXL1 mutations but enrichment of ASXL1/SRSF2 comutations. Our findings demonstrated several clinicopathologic and molecular differences between TN-PMF and DM-PMF. These findings, particularly the observed mutation profile characterized by a higher frequency of ASXL1 and SRSF2 comutation, suggest that at least a subset of TN-PMF may be pathogenetically different from DM-PMF, with potential prognostic implications.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36788093</pmid><doi>10.1016/j.modpat.2022.100016</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0647-9521</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Bone Marrow - pathology Humans Janus Kinase 2 - genetics Mutation myeloid neoplasms Myeloproliferative Disorders - genetics myeloproliferative neoplasms primary myelofibrosis Primary Myelofibrosis - genetics Primary Myelofibrosis - pathology Prognosis Transcription Factors - genetics triple-negative primary myelofibrosis |
title | Triple-Negative Primary Myelofibrosis: A Bone Marrow Pathology Group Study |
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