The classic Ph-negative myeloproliferative neoplasms (MPN) are a group of clonalhematopoietic disorders caused by a dysregulated JAK/STAT signal transduction because ofacquired somatic mutations of JAK2, CALR or MPL genes. Chronic inflammation maypredispose to MPN development.SARS-CoV-2 infection displays extreme interindividual clinical variability, ranging fromasymptomatic infection to life-threatening coronavirus disease (COVID-19). Age is a majorrisk factor for severe disease. Male sex and medical comorbidities have minor impact. Itwas demonstrated that at least 3.5% of patients with life-threatening COVID-19 havemonogenic inborn errors of TLR3- or TLR7-dependent type I interferons (IFN-I) immunity.It has also been described that at least 15% of patients with life-threatening COVID-19have neutralizing autoantibodies (AAbs) against IFN-I, that precede SARS-CoV-2 infection.As regard MPN, COVID-19 is associated with a mortality as high as 33%. Patients with MFhad the highest mortality (48%), while patients with ET had the greatest risk of venousthromboembolism (16.7%).In this prospective study, we want to search for AAbs against IFN-I in a cohort of MPNpatients to evaluate their prevalence in the MPN population and to look for clinicalcorrelations, including COVID-19 severity.
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Inclusion Criteria:
- A diagnosis of PV, ET, prePMF, overt PMF or MPN-U according to 2016 WHO criteria
- Characterization of the MPN driver mutation performed at any moment before enrolment
- A peripheral blood (PB) sample collected at the enrolment visit suitable for plasma
extraction and functional evaluation of anti-cytokine auto-Abs
Exclusion Criteria:
- None
Fondazione IRCCS Policlinico San Matteo
Pavia 3171366, Lombardy 3174618, Italy
Not Provided