Table 1 Clinical and morphologic features of the enrolled patients.

From: Immunofluorescence microscopy on the blood smear identifies patients with myeloproliferative neoplasms

Pat. no.

Clinical features

Morphologic features

Sex/Agea

MPN subtypeb

Gene carrying the driver mutation

Additional somatic mutationsc/High-molecular risk statusd

Light microscopy

Immunofluorescence microscopy

Platelet anisocytosis

RBC anisopoikilocytosis

Platelet alpha granule defecte

Platelet dense granule defectf

Platelet cytoskeleton defectg

Platelet surface receptor defecth

RBC NMMIIA aggregatesi

1

M/73

PV

JAK2

No

n.a.

n.a.

Yes

Yes

No

No

No

2

F/53

MF

CALR

No

n.a.

n.a.

Yes

Yes

No

No

Yes

3

M/77

PV

JAK2

Yes/No

n.a.

n.a.

No

Yes

No

No

Yes

4

M/81

PV

JAK2

Yes/No

n.a.

n.a.

Yes

Yes

Yes

No

Yes

5

F/47

ET

CALR

Yes/No

n.a.

n.a.

Yes

Yes

Yes

No

Yes

6

F/66

ET

JAK2

No

n.a.

n.a.

Yes

Yes

Yes

No

Yes

7

M/55

ET

JAK2

No

n.a.

n.a.

Yes

Yes

No

No

Yes

8

M/36

MF

CALR

No

n.a.

n.a.

Yes

Yes

No

Yes

Yes

9

F/79

PV

JAK2

Yes/No

n.a.

n.a.

Yes

No

Yes

No

No

10

F/71

MF

JAK2

Yes/Yes

n.a.

n.a.

Yes

No

Yes

No

Yes

11

F/54

MPN-U

JAK2

No

n.a.

n.a.

No

No

No

No

Yes

12

M/44

ET

JAK2

No

n.a.

n.a.

No

Yes

Yes

No

Yes

13

F/79

MF

CALR

Yes/No

n.a.

n.a.

Yes

Yes

No

No

Yes

14

F/39

ET

CALR

No

n.a.

n.a.

No

No

No

No

No

15

F/61

PV

JAK2

Yes/No

n.a.

n.a.

Yes

No

No

No

No

16

M/59

MF

JAK2

No

n.a.

n.a.

Yes

Yes

Yes

No

Yes

17

M/80

PV

JAK2

Yes/No

n.a.

n.a.

Yes

No

Yes

No

Yes

18

M/63

ET

JAK2

Yes/No

n.a.

n.a.

Yes

No

No

Yes

Yes

19

M/40

PV

JAK2

No

n.a.

n.a.

No

No

No

No

Yes

20

F/63

ET

JAK2

Yes/No

n.a.

n.a.

Yes

Yes

No

No

Yes

21

F/69

MF

JAK2

No

n.a.

n.a.

Yes

No

No

No

Yes

22

M/67

MF

CALR

Yes/Yes

n.a.

n.a.

No

No

No

No

No

23

F/62

MF

CALR

No

n.a.

n.a.

No

Yes

No

No

Yes

24

M/78

MF

CALR

No

n.a.

n.a.

No

Yes

No

No

Yes

25

F/57

ET

CALR

Yes/No

n.a.

n.a.

No

No

No

Yes

Yes

26

M/58

PV

JAK2

Yes/No

n.a.

n.a.

No

No

No

No

Yes

27

F/43

MF

JAK2

No

n.a.

n.a.

No

Yes

No

No

No

28

M/70

PV

JAK2

Yes/No

n.a.

n.a.

Yes

No

No

No

Yes

29

M/79

MF

CALR

No

n.a.

n.a.

No

No

No

No

No

30

M/69

MF

JAK2

Yes/Yes

n.a.

n.a.

No

Yes

No

No

Yes

31

M/69

ET

JAK2

Yes/No

n.a.

n.a.

No

No

Yes

No

No

32

F/67

MF

JAK2

Yes/Yes

n.a.

n.a.

Yes

No

No

No

Yes

33

M/62

MF

JAK2

No

n.a.

n.a.

Yes

No

No

No

Yes

34

F/69

ET

JAK2

Yes/No

n.a.

n.a.

No

No

No

No

No

35

M/55

MF

CALR

n.a./n.a.

n.a.

n.a.

No

No

Yes

No

Yes

36

M/52

MF

CALR

No

n.a.

n.a.

No

No

No

No

Yes

37

F/68

MPN-U

TN

Yes/-

n.a.

n.a.

No

No

No

No

No

38

F/27

ET

JAK2

No

n.a.

n.a.

No

No

No

Yes

No

39

F/34

ET

JAK2

No

n.a.

n.a.

No

Yes

No

No

No

40

F/52

PV

JAK2

Yes/No

Yes

No

Yes

Yes

No

No

Yes

41

F/48

MF

JAK2

No

Yes

No

Yes

Yes

Yes

No

Yes

42

M/68

MF

JAK2

Yes/Yes

Yes

Yes

Yes

Yes

No

No

Yes

43

F/51

PV

JAK2

No

No

No

Yes

No

No

No

No

44

F/22

MF

JAK2

No

Yes

No

Yes

No

No

No

Yes

45

M/58

MF

JAK2/MPL

Yes/Yes

Yes

Yes

Yes

Yes

Yes

No

Yes

46

M/82

MF

JAK2

Yes/No

Yes

No

Yes

No

No

No

Yes

47

M/71

PV

JAK2

No

n.a.

n.a.

Yes

Yes

No

No

No

48

M/67

MF

MPL

Yes/No

Yes

Yes

Yes

No

No

No

Yes

49

M/69

PV

JAK2

Yes/No

Yes

No

Yes

Yes

No

No

No

50

F/64

PV

JAK2

No

Yes

No

No

Yes

No

No

No

51

F/52

MF

JAK2

No

Yes

No

Yes

No

No

No

No

52

F/55

MF

JAK2

Yes/No

No

Yes

Yes

No

No

No

Yes

53

M/81

PV

JAK2

No

n.a.

n.a.

Yes

No

No

No

Yes

54

M/75

MF

JAK2

No

Yes

No

No

No

No

No

Yes

55

F/68

MF

JAK2

Yes/No

No

No

No

No

No

No

No

56

M/48

ET

JAK2

Yes/No

Yes

No

Yes

No

No

No

Yes

57

M/80

MF

JAK2

No

Yes

Yes

Yes

Yes

No

No

Yes

58

F/62

MF

JAK2

Yes/Yes

Yes

Yes

Yes

No

No

No

Yes

59

F/68

MF

CALR

No

Yes

Yes

No

No

No

No

Yes

60

M/64

MF

CALR

Yes/Yes

Yes

Yes

No

No

No

No

Yes

61

F/62

PV

JAK2

No

Yes

No

No

No

No

No

No

62

F/59

ET

JAK2

No

Yes

No

No

No

No

No

No

63

F/39

MF

MPL

No

Yes

Yes

Yes

No

No

No

Yes

64

F/74

ET

JAK2

Yes/No

Yes

No

No

No

No

No

Yes

65

M/77

MPN-U

JAK2

Yes/-

Yes

No

Yes

Yes

No

No

Yes

66

F/53

PV

JAK2

Yes/No

Yes

No

No

No

No

No

Yes

67

M/77

ET

MPL

Yes/No

Yes

Yes

Yes

Yes

No

No

Yes

68

F/63

MF

JAK2

No

Yes

Yes

Yes

No

No

No

Yes

69

F/73

PV

JAK2

Yes/No

No

No

No

Yes

No

No

Yes

70

M/51

MF

CALR

Yes/No

Yes

Yes

Yes

No

No

No

Yes

71

M/64

MF

JAK2

Yes/No

Yes

Yes

Yes

No

No

No

Yes

72

F/67

MF

TN

Yes/Yes

Yes

Yes

No

Yes

No

No

Yes

73

M/47

MF

MPL

Yes/Yes

Yes

No

Yes

Yes

No

No

No

74

F/63

PV

JAK2

No

No

No

Yes

Yes

No

No

No

75

F/33

PV

JAK2

No

Yes

No

No

No

No

No

No

76

M/46

PV

JAK2

Yes/No

No

Yes

No

No

No

No

Yes

77

F/59

ET

JAK2

No

Yes

Yes

Yes

No

No

No

No

78

F/75

MF

JAK2

Yes/No

Yes

No

Yes

No

Yes

No

Yes

79

M/54

MF

MPL

No

No

No

No

No

No

No

Yes

80

F/78

MF

CALR

Yes/No

Yes

No

Yes

No

Yes

No

Yes

81

F/80

ET

MPL

No

Yes

No

Yes

No

Yes

No

Yes

82

F/31

PV

JAK2

No

No

No

No

No

Yes

No

Yes

83

M/60

PV

JAK2

Yes/No

Yes

No

No

No

Yes

No

Yes

84

M/44

ET

CALR

Yes/No

No

No

Yes

No

No

No

No

85

F/43

MF

JAK2

No

Yes

Yes

Yes

Yes

Yes

No

Yes

86

F/45

PV

JAK2

Yes/No

No

No

Yes

Yes

No

No

No

87

M/65

MF

JAK2

Yes/No

Yes

Yes

No

Yes

No

No

Yes

88

F/39

MF

JAK2

Yes/No

No

No

No

No

No

No

Yes

89

F/64

MPN-U

JAK2

Yes/-

No

No

Yes

No

No

No

Yes

90

F/39

ET

CALR

No

Yes

Yes

No

Yes

No

No

Yes

91

F/84

PV

JAK2

Yes/No

Yes

Yes

Yes

No

No

No

Yes

92

M/54

MF

CALR

Yes/Yes

Yes

Yes

No

No

No

No

Yes

93

F/40

ET

JAK2

No

Yes

Yes

Yes

Yes

Yes

No

Yes

94

F/82

MPN-U

JAK2

Yes/-

Yes

Yes

Yes

Yes

No

No

Yes

95

F/58

PV

JAK2

No

Yes

No

Yes

No

No

No

Yes

96

M/60

PV

JAK2

No

Yes

Yes

Yes

Yes

No

No

Yes

97

M/58

ET

JAK2

No

Yes

No

No

No

No

No

Yes

98

M/79

ET

MPL

Yes/No

Yes

Yes

Yes

Yes

No

No

Yes

99

F/76

MPN-U

TN

Yes/-

No

No

No

No

No

No

No

100

M/31

MF

TN

No

No

No

Yes

Yes

Yes

No

Yes

101

F/71

MF

CALR

Yes/Yes

Yes

No

No

No

No

No

No

102

M/71

ET

JAK2

n.a./n.a.

Yes

Yes

Yes

Yes

Yes

No

Yes

103

F/60

PV

JAK2

No

Yes

No

No

No

No

No

No

104

F/78

MF

JAK2

Yes/Yes

Yes

Yes

Yes

No

No

No

Yes

105

F/80

MF

JAK2

Yes/No

Yes

Yes

Yes

Yes

No

No

Yes

106

M/73

PV

JAK2

Yes/No

Yes

Yes

Yes

Yes

No

No

Yes

107

F/74

MF

CALR

No

Yes

No

Yes

Yes

No

No

Yes

108

F/43

MPN-U

JAK2

Yes/-

Yes

No

Yes

Yes

No

No

Yes

109

M/68

MF

MPL

Yes/Yes

Yes

Yes

Yes

Yes

No

No

Yes

110

M/80

PV

JAK2

Yes/No

No

Yes

Yes

Yes

No

No

Yes

111

M/45

PV

JAK2

No

Yes

No

Yes

Yes

No

No

Yes

112

M/79

MF

JAK2

Yes/No

n.a.

n.a.

Yes

Yes

No

No

Yes

113

M/74

MF

JAK2

Yes/No

Yes

No

No

Yes

No

No

No

114

F/39

ET

JAK2

No

n.a.

n.a.

No

Yes

No

No

No

115

F/80

MF

JAK2

No

Yes

Yes

Yes

Yes

No

No

Yes

116

F/67

PV

JAK2

No

No

No

Yes

Yes

No

No

Yes

117

F/68

ET

JAK2

Yes/Yes

No

Yes

Yes

Yes

No

No

Yes

118

M/50

ET

JAK2

Yes/No

Yes

Yes

No

Yes

No

No

Yes

119

F/71

MF

JAK2

Yes/Yes

No

Yes

Yes

No

No

No

Yes

120

M/75

MF

JAK2

No

Yes

Yes

Yes

No

Yes

No

Yes

121

F/62

MF

CALR

Yes/No

Yes

Yes

No

No

No

No

Yes

122

M/67

MF

JAK2

Yes/Yes

Yes

No

Yes

Yes

No

No

Yes

123

M/55

MF

CALR

No

Yes

Yes

Yes

No

Yes

No

Yes

124

F/45

PV

JAK2

Yes/No

Yes

No

Yes

Yes

No

No

Yes

125

F/61

MF

JAK2

Yes/No

Yes

No

No

No

No

No

No

126

M/28

MF

CALR

No

Yes

No

No

No

No

No

No

127

F/79

PV

JAK2

No

Yes

No

Yes

Yes

No

No

Yes

128

F/48

ET

JAK2

Yes/No

Yes

No

Yes

No

No

No

No

129

M/87

MPN-U

JAK2

Yes/-

Yes

No

Yes

No

No

No

Yes

130

F/60

MF

JAK2

Yes/No

Yes

Yes

Yes

Yes

Yes

Yes

Yes

131

F/47

ET

JAK2

Yes/No

Yes

No

No

Yes

No

No

No

132

F/61

ET

CALR

Yes/No

Yes

Yes

Yes

No

No

No

No

133

M/62

ET

CALR

Yes/No

Yes

No

No

No

No

No

Yes

134

F/44

PV

JAK2

Yes/No

No

No

No

No

No

No

No

135

M/70

PV

JAK2

n.a./n.a.

No

Yes

Yes

Yes

No

No

Yes

  1. Pat. patient, No. number, F female, M male, MPN myeloproliferative neoplasm, PV polycythemia vera, ET essential thrombocythemia, MF primary or secondary myelofibrosis, MPN-U unclassifiable MPN, TN triple-negative, i.e., absence of mutations hitting either JAK2 or CALR or MPL; n.a. not available, RBC red blood cell, NMMIIA non-muscular myosin IIA.
  2. aAt time of investigation.
  3. bAccording to the WHO 2016 classification [13].
  4. c≥1 additional somatic mutation detected by NGS analysis of 33 genes (ASXL1, BCOR, CBL, CEBPA, CUX1, DNMT3A, EZH2, GATA2, GNAS, GNB1, IDH1, IDH2, NF1, PHF6, PHIP, PPM1D, PRPF8, PTPN11, RAD21, RAS, RB1, RUNX1, SETBP1, SF3B1, SH2B3, SMC1A, SMC4, SRSF2, STAG2, TET2, TP53, U2AF1, ZRSR2) with a variant allele frequency ≥ 2%.
  5. d≥1 high-molecular risk mutation according to the prognostic panels of PV, ET and PMF [11, 12] - where applicable.
  6. eDefined as reduced expression of at least two out of the three investigated markers of alpha granules (von Willebrand factor, P-selectin, thrombospondin 1) compared to control, as reported [8].
  7. fDefined as reduced or altered expression of at least two out of the three investigated markers of lysosomes and dense granules (LAMP-1, LAMP-2, CD63) compared to control, as reported [7].
  8. gDefined as altered expression of at least three out of the four investigated cytoskeletal proteins (filamin A, NMMIIA, α-tubulin, β1-tubulin) compared to control, as reported [7].
  9. hDefined as reduced expression of the surface glycoprotein Ib/IX or IIb/IIIa compared to control, as reported [7];
  10. iDetection of NMMIIA aggregates in RBC, as reported [8]. Pat. = patient; No. = number; F = female; M = male; MPN = myeloproliferative neoplasm; PV = polycythemia vera; ET = essential thrombocythemia; MF = primary or secondary myelofibrosis; MPN-U = unclassifiable MPN; TN = triple-negative, i.e., absence of mutations hitting either JAK2 or CALR or MPL; n.a. = not available; RBC = red blood cell; NMMIIA = non-muscular myosin IIA.