Table 1.
Mutation | Area of regulation | MPN effect | Significance in MDS/AML |
---|---|---|---|
JAK2 | Histone modification | Unknown | No data, rare event in de novo AML |
TET2 | DNA methylation | Poor risk, seen at leukaemic transformation |
No clear significance in MDS Worse prognosis in normal karyotype AML |
DNMT3A | DNA methylation | Unknown | Adverse prognosis |
IDH1/2 | DNA methylation | Poor risk at blast phase | No clear importance |
ASXL1 | Histone modification | Poor risk | Poor risk |
EZH2 | Histone modification | Unknown | Adverse outcome in CMML and AML |
SF3B1 | miRNA regulation | Unknown | Good prognosis, seen commonly in MDS‐RS |
SRSF2 | miRNA regulation | Poor risk | Worse prognosis, clustered in MDS with excess blasts |
IKZF1 | miRNA regulation | Poor risk | Unclear, possible link with AML Monosomy 7 |
JAK2, Janus kinase 2; TET2, Ten‐eleven translocation 2; DNMT3A, DNA methyltransferase 3A; IDH1/2, Dehydrogenase 1/2; ASXL1, Addition of sex combs like protein 1; EZH2, Enhancer of zeste homolog 2; SF3B1, Splicing factor 3 subunit 1; SRSF2, Serine and arginine splicing factor 2; IFZF1, IKAROS family zinc finger 1; RS, Ring sideroblasts.