
浏览全部资源
扫码关注微信
400016 重庆,重庆医科大学附属第一医院血液内科
[ 刘林,电话:(023)89011532,E-mail:liul7776@aliyun.com LIU Lin, Tel: 86-23-89011532, E-mail: liul7776@aliyun.com
收稿:2019-04-29,
修回:2019-07-03,
纸质出版:2019-09-30
移动端阅览
陈亚, 蒋梅, 罗小华, 等. SPAG6在骨髓增生异常综合征患者中的表达及其基因启动子甲基化状态[J]. 第三军医大学学报, 2019,41(18):1776-1781.
Ya CHEN, Mei JIANG, Xiaohua LUO, et al. Expression level of sperm-associated antigen 6 and its gene promoter methylation status in myelodysplastic syndrome patients[J]. Journal of Third Military Medical University, 2019, 41(18): 1776-1781.
陈亚, 蒋梅, 罗小华, 等. SPAG6在骨髓增生异常综合征患者中的表达及其基因启动子甲基化状态[J]. 第三军医大学学报, 2019,41(18):1776-1781. DOI: 10.16016/j.1000-5404.201904215.
Ya CHEN, Mei JIANG, Xiaohua LUO, et al. Expression level of sperm-associated antigen 6 and its gene promoter methylation status in myelodysplastic syndrome patients[J]. Journal of Third Military Medical University, 2019, 41(18): 1776-1781. DOI: 10.16016/j.1000-5404.201904215.
目的
2
探讨SPAG6在骨髓增生异常综合征(myelodysplastic syndrome,MDS)患者中的表达水平与临床参数相关性以及基因启动子甲基化状态对SPAG6转录调控的影响。
方法
2
采用RT-qPCR及Western blot检测18例MDS及MDS-AML患者和20例健康对照者骨髓细胞SPAG6表达水平;甲基化特异性PCR(MS-PCR)法检测MDS患者和对照组(包括初诊缺铁性贫血患者和健康体检人群)SPAG6启动子甲基化状态;分析SPAG6启动子甲基化状态及表达水平与患者临床参数相关性。
结果
2
与健康对照组比较,MDS患者SPAG6表达水平明显升高,且SPAG6启动子区域呈现异常低甲基化(
P
<
0.01)。SPAG6表达水平与患者年龄、骨髓原始细胞比例、危险分层有相关性(
P
<
0.05),与患者性别无相关性(
P
>
0.05)。SPAG6基因启动子异常低甲基化状态与患者年龄、疾病危险分层有相关性(
P
<
0.05),与患者性别、骨髓原始细胞比例无相关性(
P
>
0.05)。
结论
2
SPAG6在MDS患者中高表达,并且与疾病发生、进展以及不良预后相关,表观遗传调控可能是SPAG6转录调控的重要机制之一。
Objective
2
To investigate the association between sperm-associated antigen 6 (SPAG6) expression level and the clinical parameters of patients with myelodysplastic syndrome (MDS) and explore how SPAG6 gene promoter methylation status regulates SPAG6 transcription.
Methods
2
Bone marrow mononuclear cells (BMMNCs) were collected from 18 patients with MDS or MDS-acute myeloid leukemia (MDS-AML) and 20 healthy control subjects for detection of SPAG6 expression using RT-qPCR and Western blotting. The methylation status of SPAG6 promoter in patients with MDS and the healthy controls was assessed using methylation-specific PCR (MS-PCR). The correlation of SPAG6 promoter methylation status and SPAG6 expression level with the clinical parameters of patients were analyzed.
Results
2
Compared with the healthy control subjects
the patients with MDS showed significantly increased expression levels of SPAG6 in the BMMNCs with significant abnormal hypomethylation in SPAG6 gene promoter region (
P
<
0.01). In the patients with MDS
the expression level of SPAG6 in the BMMNCs was significantly correlated with the patients' age
bone marrow blast cell ratio and risk stratification (
P
<
0.05) but not with the patients' gender (
P
>
0.05). The abnormal hypomethylation of SPAG6 gene promoter was significantly correlated with age and disease risk stratification (
P
<
0.05) but not with gender or bone marrow blast cell ratio (
P
>
0.05).
Conclusion
2
SPAG6 is highly expressed in the BMMNCs of patients with MDS
which is associated with the occurrence
progression and a poor prognosis of the disease. Epigenetic regulation can be an important mechanism for transcriptional regulation of SPAG6.
BEJAR R, STEENSMA D P. Recent developments in myelodysplastic syndromes[J]. Blood, 2014, 124(18): 2793-2803. DOI: 10.1182/blood-2014-04-522136.
ADÈS L, ITZYKSON R, FENAUX P. Myelodysplastic syndromes[J]. Lancet, 2014, 383(9936): 2239-2252. DOI: 10.1016/S0140-6736(13)61901-7.
HAFERLACH T, NAGATA Y, GROSSMANN V, et al . Landscape of genetic lesions in 944 patients with myelodysplastic syndromes[J ] . Leukemia, 2014, 28(2): 241-247. DOI: 10.1038/leu.2013.336.
SPERLING A S, GIBSON C J, EBERT B L. The genetics of myelodysplastic syndrome: from clonal haematopoiesis to secondary leukaemia[J]. Nat Rev Cancer, 2017, 17(1): 5-19. DOI: 10.1038/nrc.2016.112.
PLATZBECKER U. Treatment of MDS[J]. Blood, 2019, 133(10): 1096-1107. DOI: 10.1182/blood-2018-10-844696.
YANG B H, WANG L, LUO X H, et al . SPAG6 silencing inhibits the growth of the malignant myeloid cell lines SKM-1 and K562 via activating p53 and caspase activation-dependent apoptosis[J ] . Int J Oncol, 2015, 46(2): 649-656. DOI: 10.3892/ ijo.2014.2768..
YIN J, LI X, ZHANG Z, et al . SPAG6 silencing induces apoptosis in the myelodysplastic syndrome cell line SKM-1 via the PTEN/PI3K/AKT signaling pathway in vitro and in vivo [J ] . Int J Oncol, 2018, 53(1): 297-306. DOI: 10.3892/ijo.2018.4390..
SILINA K, ZAYAKIN P, KALNINA Z, et al . Sperm-associated antigens as targets for cancer immunotherapy: expression pattern and humoral immune response in cancer patients[J ] . J Immunother, 2011, 34(1): 28-44. DOI: 10.1097/CJI.0b013e3181fb64fa.
KONG M, RICHARDSON R T, WIDGREN E E, et al . Sequence and localization of the mouse sperm autoantigenic protein, Sp171[J ] . Biol Reproduction, 1995, 53(3): 579-590. DOI: 10.1095/biolreprod53.3.579.
EDEN A, GAUDET F, WAGHMARE A, et al . Chromosomal instability and tumors promoted by DNA hypomethylation[J ] . Science, 2003, 300(5618): 455. DOI: 10.1126/science.1083557.
POGRIBNY I P, BELAND F A. DNA hypomethylation in the origin and pathogenesis of human diseases[J]. Cell Mol Life Sci, 2009, 66(14): 2249-2261. DOI: 10.1007/s00018-009-0015-5.
WU H J, CHEN Y P, LIANG J, et al . Hypomethylation-linked activation of PAX2 mediates tamoxifen-stimulated endometrial carcinogenesis[J ] . Nature, 2005, 438(7070): 981-987. DOI: 10.1038/nature04225.
FENAUX P, ADÈS L. How we treat lower-risk myelodysplastic syndromes[J]. Blood, 2013, 121(21): 4280-4286. DOI:10.1182/blood-2013-02-453068.
GREENBERG P L, TUECHLER H, SCHANZ J, et al . Revised international prognostic scoring system for myelodysplastic syndromes[J ] . Blood, 2012, 120(12): 2454-2465. DOI: 10.1182/blood-2012-03-420489.
PATEL S S, SEKERES M A, NAZHA A. Prognostic models in predicting outcomes in myelodysplastic syndromes after hypomethylating agent failure[J]. Leuk Lymphoma, 2017, 58(11): 2532-2539. DOI: 10.1080/10428194.2017.1307361.
STEINBACH D, SCHRAMM A, EGGERT A, et al . Identification of a set of seven genes for the monitoring of minimal residual disease in pediatric acute myeloid leukemia[J ] . Clin Cancer Res, 2006, 12(8): 2434-2441. DOI: 10.1158/1078-0432.CCR-05-2552.
STEINBACH D, BADER P, WILLASCH A, et al . Prospective validation of a new method of monitoring minimal residual disease in childhood acute myelogenous leukemia[J ] . Clin Cancer Res, 2015, 21(6): 1353-1359. DOI: 10.1158/1078-0432.CCR-14-1999.
VASILATOU D, PAPAGEORGIOU S G, DIMITRIADIS G, et al . Epigenetic alterations and microRNAs: new players in the pathogenesis of myelodysplastic syndromes[J ] . Epigenetics, 2013, 8(6): 561-570. DOI: 10.4161/epi.24897.
ROBERTS D A, STEENSMA D P. Outlook and management of patients with myelodysplastic syndromes failed by hypomethylating agents[J]. Curr Hematol Malig Rep, 2015, 10(3): 318-328. DOI: 10.1007/s11899-015-0273-2.
HOLLENBACH P W, NGUYEN A N, BRADY H, et al . A comparison of azacitidine and decitabine activities in acute myeloid leukemia cell lines[J ] . PLoS ONE, 2010, 5(2): e9001. DOI: 10.1371/journal.pone.0009001.
KOMROKJI R S. Treatment of higher-risk myelodysplastic syndromes after failure of hypomethylating agents[J]. Clin Lymphoma Myeloma Leuk, 2015, 15: S56-S59. DOI: 10.1016/j.clml.2015.03.010.
[MORE G S, THOMAS A B, CHITLANGE S S, et al . Nitrogen mustards as alkylating agents: A review on chemistry, mechanism of action and current USFDA status of drugs[J ] . Anticancer Agents Med Chem, 2019.[Epub ahead of print ] . DOI: 10.2174/1871520619666190305141458 http://dx.doi.org/10.2174/1871520619666190305141458 ..
LIONBERGER J M, PAGEL J M, SANDHU V K, et al . Outpatient bendamustine and idarubicin for upfront therapy of elderly acute myeloid leukaemia/myelodysplastic syndrome: a phase Ⅰ/Ⅱ study using an innovative statistical design[J ] . Br J Haematol, 2014, 166(3): 375-381. DOI: 10.1111/bjh.12905.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621