The JAK2V617F Point Mutation Increases the Osteoclast Forming Ability of Monocytes in Patients with Chronic Myeloproliferative Neoplasms and Makes Their Osteoclasts More Susceptible to JAK2 Inhibition

is a gain of function point mutation that occurs in Myeloproliferative Neoplasm (MPN) patients and deranges their hemopoiesis at cellular level. We speculate that hyperfunctioning JAK2 can modify osteoclast (OCL) homeostasis in MPN patients. We studied 18 newly diagnosed MPN patients and four age-matched normal donors (ND). Osteoclast forming assays started from selected monocytes also and under titrated concentrations of the JAK2 Inhibitor AG-490 (Tyrphostin). Genomic DNA was extracted from the formed osteoclasts, and the genomic DNA ratio was calculated. OCLs formed from monocytes derived from heterozygous (Het) for the mutation MPN patients, were three times more compared to those from wild type (WT) MPN patients (p=0,05) and from ND as well (p=0,03). The ratio of genomic DNA was increased in OCLs compared to the input monocyte cells showing a survival advantage of the mutated clone. In comparison to ND and JAK2 WT MPN patients, OCLs from patients (Het) were more susceptible to inhibition. These alterations in osteoclast homeostasis, attributed to mutated , can deregulate the hemopoietic stem cell niche in MPN patients.