Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation

Myeloproliferative neoplasms (MPNs) are a heterogeneous group of clonal diseases characterized by the excessive and chronic production of mature cells from one or several of the myeloid lineages. Recent advances in the biology of MPNs have greatly facilitated their molecular diagnosis since most pat...

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Main Authors: Sylvie Hermouet, Edith Bigot-Corbel, Betty Gardie
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/145293
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author Sylvie Hermouet
Edith Bigot-Corbel
Betty Gardie
author_facet Sylvie Hermouet
Edith Bigot-Corbel
Betty Gardie
author_sort Sylvie Hermouet
collection DOAJ
description Myeloproliferative neoplasms (MPNs) are a heterogeneous group of clonal diseases characterized by the excessive and chronic production of mature cells from one or several of the myeloid lineages. Recent advances in the biology of MPNs have greatly facilitated their molecular diagnosis since most patients present with mutation(s) in the JAK2, MPL, or CALR genes. Yet the roles played by these mutations in the pathogenesis and main complications of the different subtypes of MPNs are not fully elucidated. Importantly, chronic inflammation has long been associated with MPN disease and some of the symptoms and complications can be linked to inflammation. Moreover, the JAK inhibitor clinical trials showed that the reduction of symptoms linked to inflammation was beneficial to patients even in the absence of significant decrease in the JAK2-V617F mutant load. These observations suggested that part of the inflammation observed in patients with JAK2-mutated MPNs may not be the consequence of JAK2 mutation. The aim of this paper is to review the different aspects of inflammation in MPNs, the molecular mechanisms involved, the role of specific genetic defects, and the evidence that increased production of certain cytokines depends or not on MPN-associated mutations, and to discuss possible nongenetic causes of inflammation.
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spelling doaj-art-ff2059dd8e484175ba6de8421637fffd2025-02-03T01:23:29ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/145293145293Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic InflammationSylvie Hermouet0Edith Bigot-Corbel1Betty Gardie2Inserm UMR 892, CNRS UMR 6299, Centre de Recherche en Cancérologie Nantes-Angers, Institut de Recherche en Santé, Université de Nantes, 44007 Nantes, FranceInserm UMR 892, CNRS UMR 6299, Centre de Recherche en Cancérologie Nantes-Angers, Institut de Recherche en Santé, Université de Nantes, 44007 Nantes, FranceInserm UMR 892, CNRS UMR 6299, Centre de Recherche en Cancérologie Nantes-Angers, Institut de Recherche en Santé, Université de Nantes, 44007 Nantes, FranceMyeloproliferative neoplasms (MPNs) are a heterogeneous group of clonal diseases characterized by the excessive and chronic production of mature cells from one or several of the myeloid lineages. Recent advances in the biology of MPNs have greatly facilitated their molecular diagnosis since most patients present with mutation(s) in the JAK2, MPL, or CALR genes. Yet the roles played by these mutations in the pathogenesis and main complications of the different subtypes of MPNs are not fully elucidated. Importantly, chronic inflammation has long been associated with MPN disease and some of the symptoms and complications can be linked to inflammation. Moreover, the JAK inhibitor clinical trials showed that the reduction of symptoms linked to inflammation was beneficial to patients even in the absence of significant decrease in the JAK2-V617F mutant load. These observations suggested that part of the inflammation observed in patients with JAK2-mutated MPNs may not be the consequence of JAK2 mutation. The aim of this paper is to review the different aspects of inflammation in MPNs, the molecular mechanisms involved, the role of specific genetic defects, and the evidence that increased production of certain cytokines depends or not on MPN-associated mutations, and to discuss possible nongenetic causes of inflammation.http://dx.doi.org/10.1155/2015/145293
spellingShingle Sylvie Hermouet
Edith Bigot-Corbel
Betty Gardie
Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
Mediators of Inflammation
title Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
title_full Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
title_fullStr Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
title_full_unstemmed Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
title_short Pathogenesis of Myeloproliferative Neoplasms: Role and Mechanisms of Chronic Inflammation
title_sort pathogenesis of myeloproliferative neoplasms role and mechanisms of chronic inflammation
url http://dx.doi.org/10.1155/2015/145293
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AT bettygardie pathogenesisofmyeloproliferativeneoplasmsroleandmechanismsofchronicinflammation