“…Furthermore, there is evidence that CALR mutations are also associated with increased JAK-STAT signaling, 38,40 although some studies have suggested that other pathways may be of more importance. 41 CALR is not known to have a direct role in cytokine signaling, hematopoiesis or cell fate decisions, and therefore the mechanism(s) by which CALR mutations result in megakaryocytic proliferation and an ET/MF phenotype were not initially apparent. CALR is known to be involved in the regulation of calcium uptake and release in the endoplasmic reticulum, 42 and acts as a chaperone, together with calnexin and ERp57, to form part of the regulatory machinery involved in the folding and quality control of newly synthesized glycoproteins.…”