Table 4

Statistical analysis of the expression of p-Btk and p-Lyn as assessed by IHC in ISM and advanced SM

Patient cohortLynp-LynTyr507p-LynTyr396Btkp-BtkTyr551
ISM (tryptase, < 200 ng/mL) 11/15 (73.3%) 6/15 (40%) 3/6 (50%) 14/16 (87.5%) 1/16 (6.3%) 
ISM (tryptase, > 200 ng/mL) 2/2 (100%) 1/2 (50%) 1/2 (50%) 3/3 (100%) 2/3 (66.7%) 
ISM (all) 13/17 (76.5%) 7/17 (41.2%) 4/8 (50%) 17/19 (89.5%) 3/19 (15.8%) 
SSM 3/4 (75%) 2/4 (50%) 4/4 (100%) 3/4 (75%) 3/4 (75%) 
ASM/MCL 6/6 (100%) 5/6 (83.3%) 5/5 (100%) 6/6 (100%) 5/6 (83.3%) 
Advanced SM* 9/10 (90%) 7/10 (70%) 9/9 (100%) 9/10 (90%) 8/10 (80%) 
Patient cohortLynp-LynTyr507p-LynTyr396Btkp-BtkTyr551
ISM (tryptase, < 200 ng/mL) 11/15 (73.3%) 6/15 (40%) 3/6 (50%) 14/16 (87.5%) 1/16 (6.3%) 
ISM (tryptase, > 200 ng/mL) 2/2 (100%) 1/2 (50%) 1/2 (50%) 3/3 (100%) 2/3 (66.7%) 
ISM (all) 13/17 (76.5%) 7/17 (41.2%) 4/8 (50%) 17/19 (89.5%) 3/19 (15.8%) 
SSM 3/4 (75%) 2/4 (50%) 4/4 (100%) 3/4 (75%) 3/4 (75%) 
ASM/MCL 6/6 (100%) 5/6 (83.3%) 5/5 (100%) 6/6 (100%) 5/6 (83.3%) 
Advanced SM* 9/10 (90%) 7/10 (70%) 9/9 (100%) 9/10 (90%) 8/10 (80%) 

Based on the results obtained by IHC shown in Table 3, the percentages of patients expressing Lyn, p-LynTyr507, Btk, and p-BtkTyr551 were calculated.

ISM indicates indolent SM; SM, systemic mastocytosis; SSM: smoldering SM; ASM, aggressive SM; and MCL, mast cell leukemia.

*

Advanced SM includes SSM, ASM, and MCL. As assessed by statistical analysis (χ2 test), the difference in p-Btk and p-LynTyr396 expression in ISM (all ISM) and advanced SM (SSM/ASM/MCL) was significant (p-Btk: 15.8% vs 80%, P < .05; p-LynTyr396: 50% vs 100%, P < 0.05). Expression of p-LynTyr507 was also detected more frequently in advanced SM, but statistical significance was not reached.

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