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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3547-3548.
Prepublished online as a Blood First Edition Paper on December 30, 2003; DOI 10.1182/blood-2003-10-3505.

Submitted October 14, 2003
Accepted December 27, 2003
Neutrophil PRV-1 expression across the chronic myeloproliferative disorders and in secondary or spurious polycythemia
Ayalew Tefferi*, Terra L Lasho, Alexandra P Wolanskyj, and Ruben A Mesa
Hematology, Mayo Clinic, Rochester, MN, USA
* Corresponding author; email: tefferi.ayalew{at}mayo.edu.
Recent studies have demonstrated neutrophil over-expression of the PRV-1 gene in polycythemia vera (PV) but not in secondary or spurious polycythemia (SP). In order to validate as well as expand upon this novel observation, we conducted a prospective study of 88 subjects; 30 with PV, 22 with SP, 14 with essential thrombocythemia (ET), 12 with myelofibrosis with myeloid metaplasia (MMM), and 10 controls. In order to minimize inter-study methodological differences, we used published real-time PCR-based assay. The proportion of patients with increased neutrophil PRV-1 expression was 83% in PV, 21% in ET, 42% in MMM, 18% in SP, and 0% in controls. All 5 MMM patients with PRV-1 up-regulation had an antecedent history of PV. We conclude that neutrophil PRV-1 up-regulation is a characteristic feature of PV that may not be affected by fibrotic transformation. However, quantifying neutrophil PRV-1 mRNA, while complementary to other tests, is not self-sufficient for the diagnosis of PV.

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