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August 16, 2026CancersOpen Access

Comprehensive High-Sensitivity Mutation Profiling in MPNs: Diagnostic and Prognostic Implications

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Authors

NKNamsoo KimYKYehyun KangHKHye Won Kook

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Overview

Observational study reveals low-frequency clonal mutations across myeloproliferative neoplasms, highlighting the diagnostic utility of ultra-deep error-corrected sequencing.

Key Points

  • To assess the diagnostic and prognostic utility of ultra-deep error-corrected targeted sequencing for identifying low-frequency subclonal mutations in myeloproliferative neoplasms.
  • Analyzed bone marrow and peripheral blood samples from 134 patients with essential thrombocythemia, polycythemia vera, primary myelofibrosis, secondary myelofibrosis, or post-MPN acute leukemia.
  • Applied ultra-deep targeted panel sequencing with an error-correction algorithm to identify disease-associated driver and low-variant-allele-frequency mutations.
  • Detected low-VAF (<5%) variants in 4/16 (25%) CALR, 3/7 (43%) MPL, and 9/11 (82%) TP53 mutations, while all TP53 mutations found at leukemic transformation expanded to VAFs >5%.
  • JAK2 p.V617F VAFs differed significantly by treatment status (p = 0.0138 by Kruskal–Wallis test), with lower VAFs observed in untreated patients.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a817a33f2fb91fc834add55https://doi.org/10.3390/cancers18162632
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