The Various Clinical and Therapeutic Particularities of ET According to JAK2 or CALR Molecular Subtypes.
The Various Clinical and Therapeutic Particularities of ET According to JAK2 or CALR Molecular Subtypes.
JAK2V617F-mutated ET | CALR-mutated ET | ||
---|---|---|---|
Age, sex | Older | Younger, M>F | |
Blood counts | Hemoglobin | Higher | Lower |
Platelet | Lower | Higher | |
White blood count | Higher | Lower | |
Serum erythropoietin level | Lower | Higher | |
Thrombotic risk | Higher | Lower | |
Polycythemic risk | Cumulative risk 29% at 15 years | No transformation to PV | |
MF transformation risk | Conflicting results | ||
Overall survival (OS) | Long-term OS similar to that in CALR-mutated ET | Long-term OS similar to that in JAK2V617F-mutated ET | |
Treatment implications | ET patients with CALR mutations are at a lower risk of thrombotic complications compared to those with JAK2 mutations; however, recommendations regarding modifications of current treatment based on mutation status have not been developed yet |