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A novel type of +2‐base pair frameshift CALR mutation in a patient with myeloproliferative neoplasm

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Somatic CALR mutations have been identified in the majority of JAK2 mutation‐negative essential thrombocythaemia (ET) and primary myelofibrosis. Almost all CALR mutations have been reported to typically generate a +1‐base pair (bp) frameshift in the open reading frame. Here, we describe an ET patient with a +2‐bp frameshift CALR mutation. A 41‐year‐old man was admitted because of headache, and diagnosed as JAK2‐negative ET. After 4 years, his disease progressed to post‐ET myelofibrosis, and CALR mutation analysis demonstrated a +2‐bp frameshift CALR mutation caused by two different CALR mutations, c.1139_1151del and c.1211_1215delinsTTGA, on the same allele. The resultant mutant protein sequence shared 19 amino acids with those from type 1 and type 2 CALR mutations, but the downstream C‐terminal sequences were different. To our knowledge, CALR double mutations causing +2‐bp frameshift are extremely rare. Identification of this novel type of CALR mutation has potential implications for better understanding of CALR oncogenesis.
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Keywords: +2‐base pair frameshift; CALR mutation; double mutations; myeloproliferative neoplasm

Document Type: Case Report

Publication date: August 1, 2018

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