CALR-ETdb | Calreticulin variant database involved in essential thrombocythemia


Last update 2022-03-06
169 variants in the database

Biological context

Essential Thrombocythemia (ET) is an oncological blood disease part of the chronic MyeloProliferative Neoplasms (MPNs). It is characterized by an increase in the production of platelets. This important number of platelets can lead to complications such as thrombosis or even haemorrhages. So far, no cure exist, but different drugs have good effect to decrease the number of platelets.
Different genes have been associated with ET. The main one is JAK2 (Janus Kinase 2) mainly with JAK2V617F variants. More recently, variants of calreticulin protein (CALR) had been involved in ET (Klampfl et al., 2013; Nangalia et al., 2013). The third interesting protein involved in the disease is the thrombopoietin receptor named MPL.

Calreticulin is a multifunctional protein involved in many physiological processes. Mainly known for its role in regulating calcium homeostasis and chaperone of glycosylated proteins, in the endoplasmic reticulum. Composed of 3 domains encoded by 9 exons, the mutations of CALR associated to ET (named CALR-ET) affect the last exon and so the C-domain of the protein. The mutation of calreticulin negatively influences its binding to calcium and promotes its binding to the thrombopoietin receptor (Araki, M. et al., 2019).


This project aims to compile all the variants of Calreticulin involved in essential thrombocythemia within the same database, namely CALR-ETdb. Unlike JAK2 and MPL which are characterized by a limited number of variants associated to ET and MPNs, CALR-ET variants are numerous. An issue is that it can be complicated to have access to all CALR-ET variants. Hence, this database has the advantage of providing the most complete list of CALR-ET variants with varied informations associated. The variants of the database have been extracted from COSMIC database and the literature.
Each variant is associated to its sequence, but also its type as described in the literature (type 1-like, type 2-like or others). We propose here an extension with new classes, ranging from A to E to summarize more precisely the diversity of CALR-ET variants. We also provide structural informations with the prediction of secondary structure and the proposition of 3D structural models.


The website is divided in 8 pages:
  1. "Home", i.e. this page.
  2. The variants of the database are accessible via the "Search" page.
  3. "Statistics" that provide a complete view of all the variants of CALR-TE.
  4. How to use the database is explained on the "Help" page.
  5. Methods and details such as the extended classification are provided on "Methods" page.
  6. The complete list of all CALR-ET variants available in the database can be found on the "List" page.
  7. The CALR-ET publications are shown on the "Publications" page.
  8. "Contact"page.


Araki, M., & Komatsu, N. (2020). The role of calreticulin mutations in myeloproliferative neoplasms. International Journal of Hematology, 111(2), 200-205.

Kampfl, T., Gisslinger, H., Harutyunyan, A. S., Nivarthi, H., Rumi, E., Milosevic, J. D., ... & Chen, D. (2013). Somatic mutations of calreticulin in myeloproliferative neoplasms. New England Journal of Medicine, 369(25), 2379-2390.

Nangalia, J., Massie, C. E., Baxter, E. J., Nice, F. L., Gundem, G., Wedge, D. C., ... & Aziz, A. (2013). Somatic CALR mutations in myeloproliferative neoplasms with nonmutated JAK2. New England Journal of Medicine, 369(25), 2391-2405.