Mononuclear cells from bone marrow aspirates were purified on a Ficoll gradient. Cell pellets were further processed for DNA extraction using the
DNA/RNA Kit (Qiagen, Hilden, Germany). All 70 samples were screened for mutations in a panel of 26 genes (
ASXL1,
CBL,
DNMT3A,
ETV6,
EZH2,
FLT3,
IDH1,
IDH2,
JAK2,
KIT,
KRAS,
NRAS,
MPL,
NPM1,
PHF6,
PTPN11,
RIT1,
RUNX1,
SETBP1,
SF3B1,
SRSF2,
TET2,
TP53,
U2AF1,
WT1 and
ZRSR2) by a next-generation sequencing assay using the Ion AmpliSeq™ library kit 2 384 n. 4480442 (Life Technologies, Chicago, IL, USA). All the samples were also screened for
ASXL1 (including c.1934dupG; p.G646WfsX12) and
SRSF2 mutations by Sanger sequencing.
JAK2,
NPM1 and
FLT3-ITD mutations were analyzed by real-time polymerase chain reaction and fluorescent polymerase chain reaction to confirm the next-generation sequencing data. Bioinformatic analysis was performed as previously described.
19 (link)
Park S., Kosmider O., Maloisel F., Drenou B., Chapuis N., Lefebvre T., Karim Z., Puy H., Alary A.S., Ducamp S., Verdier F., Bouilloux C., Rousseau A., Jacob M.C., Debliquis A., Charpentier A., Gyan E., Anglaret B., Leyronnas C., Corm S., Slama B., Cheze S., Laribi K., Amé S., Rose C., Lachenal F., Toma A., Pica G.M., Carre M., Garban F., Mariette C., Cahn J.Y., Meunier M., Herault O., Fenaux P., Wagner-Ballon O., Bardet V., Dreyfus F, & Fontenay M. (2019). Dyserythropoiesis evaluated by the RED score and hepcidin:ferritin ratio predicts response to erythropoietin in lower-risk myelodysplastic syndromes. Haematologica, 104(3), 497-504.