Molecular Mutations and Cardiovascular Risks Shape Prognosis in Triple-Negative Essential Thrombocythemia

Highlight

  • Pathogenic or likely pathogenic variants were identified in 19.5% of triple-negative essential thrombocythemia (TN-ET) patients, correlating with older age and increased prior thrombosis.
  • Mutations in ASXL1, CBL, EZH2, and ZRSR2 are strongly linked to inferior leukemia-free survival and higher leukemic progression risk.
  • Age >60 years, history of thrombosis, and cardiovascular risk factors are significant predictors of thrombotic events.
  • Revised IPSET-thrombosis and ARTS scoring systems effectively stratify thrombotic risk over a 10-year period in TN-ET patients.

Study Background

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