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Blood, 1 October 2006, Vol. 108, No. 7, pp. 2435-2437.
Prepublished online as a Blood First Edition Paper on June 13, 2006; DOI 10.1182/blood-2006-04-018259.
Previous Article | Next Article 
Submitted January 17, 2006
Accepted May 24, 2006
Progenitors homozygous for the V617F JAK2 mutation occur
in most patients with polycythemia vera, but not essential
thrombocythemia
Linda M. Scott*, Mike A. Scott, Peter J. Campbell, and Anthony R. Green
Dept. of Haematology, Cambridge Institute for Medical Research, Cambridge, UK.
Dept. of Haematology, Addenbrooke's NHS Trust, Cambridge, UK.
Dept. of Haematology, Cambridge Institute for Medical Research, Cambridge, UK
* Corresponding author; email: lskiwi{at}hotmail.com.
An acquired V617F JAK2 mutation occurs in patients with
polycythemia vera (PV) or essential thrombocythemia
(ET). In a proportion of V617F-positive patients,
mitotic recombination produces mutation-homozygous cells
that come to predominate with time. However, the
prevalence of homozygosity is unclear, as previous
reports studied mixed populations of wildtype, V617F-
heterozygous and V617F-homozygous mutant cells. We
therefore analysed 1766 individual hematopoietic
colonies from 34 patients with PV or ET in whom
granulocyte sequencing demonstrated that the mutant peak
did not predominate. V617F-positive BFU-e were more
frequent in PV patients compared to ET patients
(p=0.022) and, strikingly, V617F-homozygous BFU-e were
detected in all 17 PV patients, but in none of the ET
patients (p<0.0001). Moreover, mutation-homozygous cells
were present in two ET patients after polycythemic
transformation. These results demonstrate that V617F-
homozygous erythroid progenitors are present in the vast
majority of patients with PV but occur rarely in those
with ET.

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