Abstract

Background and methodsIn order to characterize the expression pattern of SALL4, BMI-1 and ABCA3 genes in patients with myeloid leukemia and those who achieved complete remission (CR) after chemotherapy. Real-time PCR was used to determine the expression level of these genes in peripheral blood mononuclear cells from 24 patients with AML, eight patients with AML-CR, 13 patients with CML in the chronic phase (CML-CP), 12 patients with CML in blast crisis (CML-BC), 13 patients with CML-CR and 11 healthy individuals (HI).ResultsOverexpression of the BMI-1 gene was found in the AML, CML-CP and CML-BC groups as compared with HI group, while the BMI-1 expression level was lower in patients who achieved CR. In contrast, significantly increased SALL4 expression was only found in AML group, additionally, SALL4 expression was lower in the CML-CP and CML-CR groups compared with the HI group, while the SALL4 expression level in the CML-BC group was higher and significantly greater than that in the CML-CP and CML-CR groups. Moreover, a positive correlation between the expression of SALL4 and BMI-1 genes was found in samples from most groups. There was no significant difference of ABCA3 expression level in AML and CML-BC group in comparison with HI group. Interestingly, the ABCA3 expression level was significantly decreased in the CML-CP, AML-CR and CML-CR in comparison with the HI group. Moreover, the ABCA3 expression level in all of the CR groups was lower than that in their corresponding groups.ConclusionsThese results describe the altered SALL4, ABCA3 and BMI-1 expression pattern in different phases of myeloid leukemia, which may relate to the development and progression to different diseases. SALL4 expression was strongly correlated with BMI-1 in most of the myeloid leukemia patient groups, providing a potential link between SALL4 and BMI-1 in leukemogenesis.

Highlights

  • Background and methodsIn order to characterize the expression pattern of SALL4, BMI-1 and ATP binding cassette transporter A3 (ABCA3) genes in patients with myeloid leukemia and those who achieved complete remission (CR) after chemotherapy

  • BMI-1 is highly expressed in purified HSCs, and its expression declines with differentiation [9,21], and it plays an essential role in regulating adult, self-renewing hematopoietic stem/progenitor cell (HSPC) and leukemia stem cells [9,21,22,23,24,25,26,27]

  • Higher expression of BMI-1 in acute myeloid leukemia (AML) and CML BMI-1 overexpression was found in the de novo AML, CML in the chronic phase (CML-CP), and CML in blast crisis (CML-BC) groups in comparison with the healthy individuals (HI) group; the BMI-1 expression level in the AML in complete remission (AML-CR) group was not significantly different compared with the HI group (p=0.322)

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Summary

Introduction

Background and methodsIn order to characterize the expression pattern of SALL4, BMI-1 and ABCA3 genes in patients with myeloid leukemia and those who achieved complete remission (CR) after chemotherapy. The altered expression of genes, such as WT1, SCL, and Notch, that play crucial roles in the regulation of hematopoietic progenitor cell proliferation is frequently found in leukemia [1,2,3,4,5,6,7]. Increasing data show that the genes involved in hematopoietic stem/progenitor cell (HSPC) proliferation change their expression pattern during leukemogenesis [8]. BMI-1 is highly expressed in purified HSCs, and its expression declines with differentiation [9,21], and it plays an essential role in regulating adult, self-renewing HSPC and leukemia stem cells [9,21,22,23,24,25,26,27]. BMI-1 overexpression was observed in a significant number of nasopharyngeal carcinoma tumors that correlated with advanced tumor progression, invasive stage and poor prognosis [19,29]

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