Rapid and sensitive detection of calreticulin type 1 and 2 mutations by real-time quantitative PCR
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Rapid and sensitive detection of calreticulin type 1 and 2 mutations by real-time quantitative PCR. / Zinke, Michael; Nageswaran, Vanasa; Reinhardt, Richard; Burmeister, Thomas.
In: MOL DIAGN THER, Vol. 19, No. 5, 10.2015, p. 329-34.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Rapid and sensitive detection of calreticulin type 1 and 2 mutations by real-time quantitative PCR
AU - Zinke, Michael
AU - Nageswaran, Vanasa
AU - Reinhardt, Richard
AU - Burmeister, Thomas
PY - 2015/10
Y1 - 2015/10
N2 - BACKGROUND: The majority of patients with JAK2 V617F-negative essential thrombocythemia or primary myelofibrosis harbor mutations involving the calreticulin (CALR) gene. These mutations are located in CALR exon 9 and lead to a frameshift with subsequent alteration of the CALR protein C-terminus. They have emerged as valuable molecular markers for the diagnosis of clonal myeloproliferative diseases. Although a variety of CALR mutations have been described, two mutations, denoted type 1 and type 2, account for around 85 % of cases. The type 1 mutation encompasses a 52 bp deletion and the type 2 mutation a 5 bp TTGTC insertion.METHODS: This work describes the development and testing of quantitative real-time PCRs (qPCRs) for detecting these two mutations.RESULTS: The final type 1 CALR qPCR displayed a sensitivity of <0.1 % mutant alleles and the type 2 CALR qPCR had a sensitivity of <0.01 % mutant alleles. Additionally, two new CALR mutations are reported.CONCLUSION: These sensitive and specific qPCRs should be helpful in establishing the diagnosis and in monitoring minimal residual disease in patients during or after therapy.
AB - BACKGROUND: The majority of patients with JAK2 V617F-negative essential thrombocythemia or primary myelofibrosis harbor mutations involving the calreticulin (CALR) gene. These mutations are located in CALR exon 9 and lead to a frameshift with subsequent alteration of the CALR protein C-terminus. They have emerged as valuable molecular markers for the diagnosis of clonal myeloproliferative diseases. Although a variety of CALR mutations have been described, two mutations, denoted type 1 and type 2, account for around 85 % of cases. The type 1 mutation encompasses a 52 bp deletion and the type 2 mutation a 5 bp TTGTC insertion.METHODS: This work describes the development and testing of quantitative real-time PCRs (qPCRs) for detecting these two mutations.RESULTS: The final type 1 CALR qPCR displayed a sensitivity of <0.1 % mutant alleles and the type 2 CALR qPCR had a sensitivity of <0.01 % mutant alleles. Additionally, two new CALR mutations are reported.CONCLUSION: These sensitive and specific qPCRs should be helpful in establishing the diagnosis and in monitoring minimal residual disease in patients during or after therapy.
KW - Calreticulin
KW - Humans
KW - Janus Kinase 2
KW - Mutagenesis, Insertional
KW - Mutation
KW - Myeloproliferative Disorders
KW - Real-Time Polymerase Chain Reaction
KW - Sensitivity and Specificity
KW - Sequence Analysis, DNA
KW - Sequence Deletion
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1007/s40291-015-0162-3
DO - 10.1007/s40291-015-0162-3
M3 - SCORING: Journal article
C2 - 26294037
VL - 19
SP - 329
EP - 334
JO - MOL DIAGN THER
JF - MOL DIAGN THER
SN - 1177-1062
IS - 5
ER -