ABSTRACT
We report on a case of secondary myelodysplasia with basophilia. A karyotype showed 1) the involvement of 12p, which should be related to the basophilia and/or to previous drug exposure, and 2) the unexpected presence of three different dicentric chromosomes.
Subject(s)
Basophils/pathology , Chromosome Aberrations , Chromosomes, Human, Pair 12/ultrastructure , Chromosomes, Human, Pair 5/ultrastructure , Chromosomes, Human, Pair 6/ultrastructure , Chromosomes, Human, Pair 8/ultrastructure , Leukemia, Myelomonocytic, Chronic/genetics , Neoplasms, Multiple Primary , Aged , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Blast Crisis/genetics , Chromosome Inversion , Dacarbazine/administration & dosage , Dacarbazine/adverse effects , Female , Humans , Leukemia, Myelomonocytic, Chronic/chemically induced , Leukemia, Myelomonocytic, Chronic/pathology , Melanoma/drug therapy , Methotrexate/administration & dosage , Methotrexate/adverse effects , Skin Neoplasms/drug therapy , Streptonigrin/administration & dosage , Streptonigrin/adverse effects , Thiotepa/administration & dosage , Thiotepa/adverse effects , Vinblastine/administration & dosage , Vinblastine/adverse effectsABSTRACT
We reported earlier that the frequency of chromosomal aberrations observed in Fanconi's anemia lymphocyte cultures depends on the oxygen tension during growth of the cultures, suggesting that "activated oxygen species" (superoxide, O2-; hydrogen peroxide, H2O2; hydoxyl radical, OH; and singlet oxygen, 1O2) or other reactive products generated during oxygen metabolism may be involved in the production of chromosomal damage in this syndrome. Paraquat and streptonigrin, agents that have been proposed as model compounds exerting cellular toxicity through overproduction of superoxide, were tested for their clastogenic potency in lymphocyte cultures from healthy controls and patients with Fanconi's anemia. Paraquat, at concentrations that severely affected mitotic activity (100-200 micrograms/ml), appeared to be a weak clastogen in human lymphocytes, whereas a clastogenic effect of streptonigrin was demonstrable already at a concentration as low as 0.005 microgram/ml. The results indicate that Fanconi's anemia lymphocytes fail to exhibit an increased sensitivity to the antimitotic and clastogenic effects of paraquat and streptonigrin. This suggests that intracellular superoxide is not critically involved in the generation of spontaneous chromosomal aberrations in Fanconi's anemia. We infer from these and previous data that singlet oxygen (1O2) may be a critical contributor to the chromosomal breakage in this disorder.