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Precision immunotherapy, mutational landscape, and emerging tools to optimize clinical outcomes in patients with classical myeloproliferative neoplasms

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Academic year: 2021

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Precision immunotherapy, mutational landscape, and

emerging tools to optimize clinical outcomes in

patients with classical myeloproliferative neoplasms

Tariq I. Mughal Thomas Lion Omar Abdel ‐ Wahab Ruben MesaRobyn M. Scherber Danilo Perrotti Michael MauroSrdan VerstovsekGiuseppe Saglio Richard A. Van Etten Robert Kralovics

Following the 47th American Society of Hematology Meeting in 2005, the late John Goldman and Tariq Mughal commenced a conference, the 1st Post‐ASH Workshop, which brought together clinicians and scientists, to accelerate the adoption of new therapies for patients with

myeloproliferative neoplasms (MPNs). The concept began with

recognition of the CML success story following imatinib therapy, the discovery of JAK2V617F, and the demonstration that BCR‐ABL1‐negative

MPNs are driven by abnormal JAK2 activation. This review is based on the presentations and deliberations at the XIIth Post‐ASH Workshop on

BCR‐ABL1 positive and negative MPNs that took place on December 12 to

13, 2017, in Atlanta, Georgia, immediately following the 59th American Society of Hematology Meeting. We have selected some of the

translational research and clinical topics, rather than an account of the proceedings. We discuss the role of immunotherapy in MPNs and the impact of the mutational landscape on TKI treatment in CML. We also consider how we might reduce TKI cardiovascular side effects, the

potential role of nutrition as adjunctive nonpharmacologic intervention to reduce chronic inflammation in MPNs, and novel investigational therapies for MPNs.

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