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Blood, 1 January 2007, Vol. 109, No. 1, pp. 71-77.
Prepublished online as a Blood First Edition Paper on September 5, 2006; DOI 10.1182/blood-2006-03-007146.
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HEMATOPOIESIS
Evidence that the JAK2 G1849T (V617F) mutation occurs in a lymphomyeloid progenitor in polycythemia vera and idiopathic myelofibrosis
François Delhommeau1,3,
Sabrina Dupont1,
Carole Tonetti4,
Aline Massé1,
Isabelle Godin1,
Jean-Pierre Le Couedic1,
Najet Debili1,
Patrick Saulnier5,
Nicole Casadevall1,2,
William Vainchenker1, and
Stéphane Giraudier1,4,
1 Institut National de la Santé et de la Recherche Médicale (INSERM) unité (U) 790, Université Paris Sud, Institut Gustave Roussy, Villejuif, France;
2 Laboratoire d'Hématologie, Hôpital Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, France;
3 Laboratoire d'Hématologie, Hôpital Saint Antoine, Assistance PubliqueHôpitaux de Paris, Université Pierre et Marie Curie, Paris, France;
4 Laboratoire d'Hématologie, Hôpital Henri Mondor, Assistance PubliqueHôpitaux de Paris, Créteil, France; and
5 Laboratoire de Recherche Translationnelle, Institut Gustave Roussy, Villejuif, France
The JAK2 V617F mutation has recently been described as an essential oncogenic event associated with polycythemia vera (PV), idiopathic myelofibrosis (IMF), and essential thrombocythemia. This mutation has been detected in all myeloid lineages but has not yet been detected in lymphoid cells. This raises the question whether this molecular event occurs in a true lymphomyeloid progenitor cell. In this work, we studied the presence of the mutation in peripheral blood cells and sorted B, T, and natural killer (NK) cells from PV and IMF. We detected the JAK2 V617F mutation in B and NK cells in approximately half the patients with IMF and a minority of those with PV. Moreover, in a few cases patients with IMF had mutated peripheral T cells. The mutation (homozygous or heterozygous) could be subsequently detected in B/NK/myeloid progenitors from PV and IMF, with a much higher frequency in clones derived from IMF. Using the fetal thymus organ culture (FTOC) assay, the mutation was also detected in all T-cell fractions derived from IMF and PV CD34+ cells. These results demonstrate that myeloproliferative disorders take their origin in a true myeloid/lymphoid progenitor cell but that their phenotype is related to a downstream selective proliferative advantage of the myeloid lineages.

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