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Blood, 15 November 2005, Vol. 106, No. 10, pp. 3377-3379.
Prepublished online as a Blood First Edition Paper on August 4, 2005; DOI 10.1182/blood-2005-05-1898.


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Submitted May 10, 2005
Accepted July 22, 2005

The JAK2V617F activating mutation occurs in chronic myelomonocytic leukemia and acute myeloid leukemia, but not in acute lymphoblastic leukemia or chronic lymphocytic leukemia

Ross L Levine, Marc Loriaux, Brian J Huntly, Mignon Loh, Miroslav Beran, Eric Stoffregen, Roland Berger, Jennifer J Clark, Stephanie G Willis, Kim Nguyen, Nikki Flores, Elihu Estey, Norbert Gattermann, Scott Armstrong, Thomas A Look, James D Griffin, Olivier A Bernard, D G Gilliland, Brian J Druker, and Michael W Deininger*

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Cancer Institute, Oregon Health and Science University, Portland, OR, USA
Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
Department of Pediatrics, University of California, San Francisco, CA, USA
Department of Leukemia, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA
INSERM E0210, IRNEM, Hopital Necker, Paris, France
Mayo Medical School, Rochester, MN, USA
Department of Hematology, Oncology and Clinical Immunology, Heinrich-Heine-University, Duesseldorf, Germany
Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; OHSU Cancer Center, Howard Hughes Medical Insitute, Portland, OR, USA; Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
OHSU Cancer Center, Howard Hughes Medical Insitute, Portland, OR, USA

* Corresponding author; email: deininge{at}ohsu.edu.

Activating mutations in tyrosine kinases have been identified in hematopoietic and non-hematopoietic malignancies. Recently we and others identified a single recurrent somatic activating mutation (JAK2V617F) in the JAK2 tyrosine kinase in the myeloproliferative disorders (MPD) polycythemia vera, essential thrombocythemia, and myeloid metaplasia with myelofibrosis. We used direct sequence analysis to determine if the JAK2V617F mutation was present in acute myeloid leukemia (AML), chronic myelomonocytic leukemia (CMML)/atypical chronic myelogenous leukemia (aCML), myelodysplastic syndrome (MDS), B-lineage acute lymphoblastic leukemia (ALL), T-cell ALL, and chronic lymphocytic leukemia (CLL). Analysis of 222 patients with AML identified JAK2V617F mutations in 4 patients with AML, 3 of which had a preceding MPD. JAK2V617F mutations were identified in 9/116 (7.8%) CMML/atypical CML samples, and in 2/48 (4.2%) MDS samples. We did not identify the JAK2V617F disease allele in B-lineage ALL (n=83), T-cell ALL (n=93), or CLL (n=45). These data indicate that the JAK2V617F allele is present in acute and chronic myeloid malignancies but not in lymphoid malignancies.


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