Dominance of mutations in epigenetic regulators and a diversity of signaling alterations in blast-phase BCR::ABL1-negative myeloproliferative neoplasms.

Gurban, Petruta;Mambet, Cristina;Botezatu, Anca;Necula, Laura G;Constantinescu, Stefan;et.al.
(2025) American journal of hematology — Vol. 100, n° 1, p. 168-171 (2025)

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Abstract
(en) TO THE EDITOR : BCR::ABL1-negative myeloproliferative neoplasms (MPNs) can evolve to secondary acute myeloid leukemia (sAML) or blast-phase (BP) MPN, a very severe condition with lack of effective therapy.1 Leukemic transformation (LT) of MPNs displays a variable incidence according to MPN phenotype: 9%–13% in primary myelofibrosis (PMF), 3%–7% in polycythemia vera (PV), and 1%–4% in essential thrombocythemia (ET).1 Here, we investigated the mutational landscape, copy number variations (CNVs), and uniparental disomy (UPD) events in BP-MPN cases that were diagnosed over a 6-year period of monitoring in three different hematology units (Fundeni Clinical Institute, Coltea Hospital and Emergency University Hospitals, Bucharest, Romania) and the patterns of clonal evolution in a subset of patients with available paired chronic phase (CP)-BP DNA samples. [...]
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Gurban, P., Mambet, C., Botezatu, A., Necula, L. G., Matei, L., Neagu, A. I., Pitica, I., Ataman, M., Tatic, A., Bardas, A., Gaman, M. A., Dobrea, C., Dragomir, M., Ghimici, C., Angelescu, S., Barbu, D., Stanca, O., Danila, M., Berbec, N., et al. (2025). Dominance of mutations in epigenetic regulators and a diversity of signaling alterations in blast-phase BCR::ABL1-negative myeloproliferative neoplasms. American journal of hematology, 100(1), 168-171. https://doi.org/10.1002/ajh.27503 (Original work published 2025)