학술논문

Janus kinase 2 V617F mutation in an unrelated peripheral blood stem cell donor
Document Type
article
Source
Tzu-Chi Medical Journal, Vol 31, Iss 1, Pp 60-62 (2019)
Subject
Granulocyte colony-stimulating factor
Janus kinase 2 V617F mutation
Peripheral blood stem cell harvest
Polycythemia vera
Unrelated donor
Medicine
Language
English
ISSN
1016-3190
2223-8956
Abstract
Polycythemia vera (PV) is relatively uncommon in early adulthood, and evidence about the prevalence of the Janus kinase 2 (JAK2) V617F mutation in the general population is limited. Here, we report a previously healthy volunteer peripheral blood stem cell (PBSC) donor who developed symptomatic PV with the JAK2 V617F mutation 2 years after PBSC mobilization and harvest. The characteristic mutation was identified retrospectively in the blood sample of the donor at the confirmation typing stage, which was before granulocyte colony-stimulating factor injection. This report presents a safety issue for both donor and recipient of hematopoietic stem cell transplantation. Clinicians should be aware of this during health workup and postdonation follow-up of unrelated PBSC donors. Any abnormal and/or equivocal laboratory data, especially during the donor workup stage, should not be overlooked.