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Karger AG","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Haematol"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>&lt;i&gt;BCR-ABL1&lt;\/i&gt;-negative myeloproliferative disorders and chronic myeloid leukaemia are haematologic malignancies characterised by single and mutually exclusive genetic alterations. Nevertheless, several patients co-expressing the &lt;i&gt;JAK2&lt;\/i&gt;&lt;sup&gt;V617F&lt;\/sup&gt; mutation and the &lt;i&gt;BCR-ABL1&lt;\/i&gt; transcript have been described in the literature. We report the case of a 61-year-old male who presented with an essential thrombocythaemia phenotype and had a subsequent diagnosis of chronic phase chronic myeloid leukaemia. Colony-forming assays demonstrated the coexistence of 2 different haematopoietic clones: one was positive for the &lt;i&gt;JAK2&lt;\/i&gt;&lt;sup&gt;V617F&lt;\/sup&gt; mutation and the other co-expressed both &lt;i&gt;JAK2&lt;\/i&gt;&lt;sup&gt;V617F&lt;\/sup&gt; and the &lt;i&gt;BCR-ABL1&lt;\/i&gt; fusion gene. No colonies displayed the &lt;i&gt;BCR-ABL1&lt;\/i&gt; transcript alone. These findings indicate that the &lt;i&gt;JAK2&lt;\/i&gt;&lt;sup&gt;V617F&lt;\/sup&gt; mutation was the founding genetic alteration of the disease, followed by the acquisition of the &lt;i&gt;BCR-ABL1&lt;\/i&gt; chimeric oncogene. Our data support the hypothesis that a heterozygous &lt;i&gt;JAK2&lt;\/i&gt;&lt;sup&gt;V617F&lt;\/sup&gt; clone may have favoured the bi-clonal nature of this myeloproliferative disorder, generating clones harbouring a second transforming genetic event.<\/jats:p>","DOI":"10.1159\/000496821","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T21:08:03Z","timestamp":1554844083000},"page":"261-267","source":"Crossref","is-referenced-by-count":7,"title":["Colony-Forming Cell Assay Detecting the Co-Expression of &lt;b&gt;&lt;i&gt;JAK2&lt;\/i&gt;&lt;\/b&gt;&lt;sup&gt;V617F&lt;\/sup&gt; and &lt;b&gt;&lt;i&gt;BCR-ABL1&lt;\/i&gt;&lt;\/b&gt; in the Same Clone: A Case Report"],"prefix":"10.1159","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8012-5134","authenticated-orcid":false,"given":"Elena","family":"Tirr\u00f2","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Stella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Massimino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Zammit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria\u00a0Stella","family":"Pennisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia\u00a0Rita","family":"Vitale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Romano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Di\u00a0Gregorio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Puma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Di\u00a0Raimondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Stagno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Livia","family":"Manzella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2019,4,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/s41408-018-0054-y"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2016-10-695940"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3109\/02841861003660031"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0101848"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1093\/carcin\/bgu013"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0017020"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159\/000329911"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2174\/1568009616666160105105857"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdu490"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1038\/modpathol.2017.182"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.47.8669"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-17-0962"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159\/000330524"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2012-11-467787"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1038\/sj.leu.2405088"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3960\/jslrt.52.145"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12943-018-0805-1"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3109\/02841860903156475"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djr060"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1586\/14737140.2016.1151356"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3109\/02841860903302913"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.23243"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.14713"}],"container-title":["Acta 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