Role of Granulocyte-Macrophage Colony- Stimulating Factor in Acute Myeloid Leukemia/Myelodysplastic Syndromes.

Autor: Kassem, Neemat M., Ayad, Alya M., El Husseiny, Noha M., El-Demerdash, Doaa M., Kassem, Hebatallah A., Mattar, Mervat M.
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Zdroj: Journal of Global Oncology; 2018, p1-6, 6p, 1 Diagram, 1 Chart
Abstrakt: Purpose Granulocyte-macrophage colony-stimulating factor (GM-CSF) cytokine stimulates growth, differentiation, and function of myeloid progenitors. We aimed to study the role of GM-CSF gene expression, its protein, and antibodies in patients with acute myeloid leukemia/myelodysplastic syndromes (AML/MDS) and their correlation to disease behavior and treatment outcome. The study included 50 Egyptian patients with AML/MDS in addition to 20 healthy volunteers as control subjects. Patients and Methods Assessment of GM-CSF gene expression was performed by quantitative real-time polymerase chain reaction. GM-CSF proteins and antibodies were assessed by enzyme-linked immunosorbent assay. Results There was significant decrease in GM-CSF gene expression (P=.008), increase in serum level cognacs protein (P = .0001), and increase in anti–GM-CSF antibodies (P = .001) in patients with AML/MDS compared with healthy control subjects. In addition, there was a significant negative correlation between serum levels of GM-CSF protein and initial peripheral blood blasts, percentage a swell as response to therapy. Conclusion Any alteration in GM-CSF gene expression could have implications in leukemogenesis. In addition, GM-CSF protein serum levels could be used to predict outcome of therapy. GM-CSF antibodies may also play a role in the pathogenesis of AML/MDS. The use of these GM-CSF parameters for disease monitoring and as markers of disease activity needs further research. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index