PRV-1, erythroid colonies and platelet Mpl are unrelated to thrombosis in essential thrombocythaemia.

Alessandro M Vannucchi, Alessandro Pancrazzi, Elisabetta Antonioli, Paola Guglielmelli, Francesca Balestri, Monica Biscardi, Simona Bulgarelli, Giovanni Longo, Claudio Graziano, Luigi Gugliotta, Alberto Bosi

21 Citations (Scopus)

Abstract

Females with the monoclonal type of essential thrombocythaemia (ET), based on the X-chromosome inactivation pattern (XCIP), have previously been shown to present a higher incidence of thrombosis than polyclonal ones. We aimed to assess correlations between XCIP, thrombosis, and three epigenetic markers of ET, namely PRV-1 overexpression, endogenous erythroid colony (EEC) formation, and reduced platelet Mpl content. Fifty-three (60%) of 88 subjects studied had monoclonal myelopoiesis and presented a 32% incidence of major thrombosis compared with 6% of polyclonal subjects (P = 0.009). The frequency of abnormalities of PRV-1, EEC, or Mpl was similar in monoclonal and polyclonal subjects (respectively, 28%, 48%, 75%, and 37%, 27%, 63%), and none of them correlated with thrombosis. We conclude that the exploited epigenetic markers constitute independent phenotypic variations and are not clustered according to monoclonality of myelopoiesis in ET; none of them could serve as a surrogate marker of thrombotic risk in male subjects with ET.
Original languageEnglish
JournalBritish Journal of Haematology
Volume127
Issue number2
Pages (from-to)214-9
Number of pages5
ISSN0007-1048
DOIs
Publication statusPublished - 2004

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