Molecularly pathogenesis and molecular targeted therapy for myeloproliferative neoplasms

[Rinshō ketsueki] The Japanese journal of clinical hematology
Kotaro Shide

Abstract

Activation of the JAK-STAT pathway by driver mutations of JAK2, CALR or MPL is the pathogenesis of myeloproliferative neoplasms (MPN). Mutations in epigenetic regulators that often coexist with driver mutations reinforce the function of MPN initiating cells and support MPN onset and maintenance. In myelofibrosis patients, JAK2 inhibitors exerted an innovative therapeutic effect on splenomegaly and constitutional symptoms, but had minimal effects on the JAK2V617F allele burden. Epigenetic abnormalities may be a good target for novel therapeutic strategies aiming to induce molecular remission in myelofibrosis patients. New information obtained by next-generation sequencing technologies would greatly contribute to elucidation of the mechanisms underlying MPN onset, progression and leukemic transformation.

Related Concepts

Related Feeds

Cancer Epigenetics and Senescence (Keystone)

Epigenetic changes are present and dysregulated in many cancers, including DNA methylation, non-coding RNA segments and post-translational protein modifications. The epigenetic changes may be involved in regulating senescence in cancer cells. This feed captures the latest research on cancer epigenetics and senescence.

Cancer Epigenetics & Metabolism (Keystone)

Epigenetic changes are present and dysregulated in many cancers, including DNA methylation, non-coding RNA segments and post-translational protein modifications. The epigenetic changes may or may not provide advantages for the cancer cells. This feed focuses on the relationship between cell metabolism, epigenetics and tumor differentiation.