Table 2.

Recommended panel of genic alterations mutations to explore in CMML

GenePercentage of mutated casesDiagnostic valueNegative prognostic impactReference
TET2 mutations 50-60 Characteristic combination observed mainly in CMML Not identified  
SRSF2 mutations 40-50 Low 
ASXL1 mutations 35-45  Strong 8,11,34 
RUNX1 mutations 10-20 Frequent thrombocytopenia Intermediate 8,11 
DNMT3A mutations 5-10  Intermediate 147 
SETBP1 mutations 5-10  Intermediate 11,34 
NRAS mutations 10-20 Mostly observed in MP-CMML Intermediate 8,11 
KRAS mutations 5-10 Not identified  
CBL mutations 10-15 Low 8,36 
IDH2 mutation  Low 
IDH1 mutations  Not identified  
SF3B1 mutations 5-10  Not identified  
EZH2 mutations  Not identified  
JAK2V617F mutation  Not identified  
NPM1 mutations 2-5  Not identified  
GenePercentage of mutated casesDiagnostic valueNegative prognostic impactReference
TET2 mutations 50-60 Characteristic combination observed mainly in CMML Not identified  
SRSF2 mutations 40-50 Low 
ASXL1 mutations 35-45  Strong 8,11,34 
RUNX1 mutations 10-20 Frequent thrombocytopenia Intermediate 8,11 
DNMT3A mutations 5-10  Intermediate 147 
SETBP1 mutations 5-10  Intermediate 11,34 
NRAS mutations 10-20 Mostly observed in MP-CMML Intermediate 8,11 
KRAS mutations 5-10 Not identified  
CBL mutations 10-15 Low 8,36 
IDH2 mutation  Low 
IDH1 mutations  Not identified  
SF3B1 mutations 5-10  Not identified  
EZH2 mutations  Not identified  
JAK2V617F mutation  Not identified  
NPM1 mutations 2-5  Not identified  

List of the frequent recurrently mutated genes in CMML cells. The definition of the negative prognostic impact of mutations as strong (red), intermediate (orange), low (green), or absent (white) is based on the concordance of the observations among studies.

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