دورية أكاديمية

Expression and prognostic significance of Bcl‐2 family proteins in myelodysplastic syndromes

التفاصيل البيبلوغرافية
العنوان: Expression and prognostic significance of Bcl‐2 family proteins in myelodysplastic syndromes
المؤلفون: Boudard, Delphine, Vasselon, Christian, Berthéas, Marie‐Françoise, Jaubert, Jérôme, Mounier, Christiane, Reynaud, Jacqueline, Viallet, Annie, Chautard, Sylviane, Guyotat, Denis, Campos, Lydia
المساهمون: Comité Départemental de la Lutte contre le Cancer de la Loire, Association de la Recherche contre le Cancer
المصدر: American Journal of Hematology ; volume 70, issue 2, page 115-125 ; ISSN 0361-8609 1096-8652
بيانات النشر: Wiley
سنة النشر: 2002
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Excessive apoptosis is implicated in the pathogenesis of myelodysplastic syndromes (MDS). We assessed by flow cytometry the expression of several members of the Bcl‐2 family in bone marrow mononuclear cells (BMMNC) of 168 MDS samples at diagnosis. The proteins studied were Bcl‐2, Bcl‐xL (anti‐apoptotic), Bax, Bad, Bak, and Bcl‐xS (pro‐apoptotic). The percentage of BMMNC expressing Bcl‐2 and Bcl‐xL was higher in refractory anemia with excess of blasts (RAEB), RAEB in transformation (RAEB‐T), and chronic myelomonocytic leukemia (CMML) than in refractory anemia (RA) and RA with ringed sideroblasts (RAS). Conversely pro‐apoptotic proteins Bad, Bak, and Bcl‐xS were detected in a higher percentage of cells in RA and RAS. RA and RAS were associated with an increased Bcl‐xS/Bcl‐xL ratio. The expression of anti‐apoptotic proteins was also correlated with that of CD34 and P170 and with the percentage of blast cells. Two‐color analyses demonstrated that CD34 and Bcl‐2 were usually expressed in the same cells. No significant correlation was found with cytogenetic abnormalities. Higher expression of pro‐apoptotic Bcl‐2‐family proteins (Bak, Bad, Bcl‐xS) and higher Bcl‐xS/Bcl‐xL ratio were associated with longer survival and decreased risk of leukemic transformation in univariate analysis, whereas expression of anti‐apoptotic proteins was associated with decreased survival. Consequently Bcl‐2 proteins expression was well correlated with the International Prognostic Scoring System (IPSS). Our data confirm that the control of apoptosis is deregulated in MDS cells. Moreover, the study of markers such as CD34 (or Bcl‐2), Bcl‐xL, and Bcl‐xS provides additional prognostic information. Am. J. Hematol. 70:115–125, 2002. © 2002 Wiley‐Liss, Inc.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1002/ajh.10108
الإتاحة: https://doi.org/10.1002/ajh.10108Test
حقوق: http://onlinelibrary.wiley.com/termsAndConditions#vorTest
رقم الانضمام: edsbas.520C8A88
قاعدة البيانات: BASE