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1.
Sci Adv ; 4(11): eaau1354, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30474058

RESUMEN

Organogenesis is a self-organizing process of multiple cells in three-dimensional (3D) space, where macroscopic tissue deformations are robustly regulated by multicellular autonomy. It is clear that this robust regulation requires cells to sense and modulate 3D tissue formation across different scales, but its underlying mechanisms are still unclear. To address this question, we developed a versatile computational model of 3D multicellular dynamics at single-cell resolution and combined it with the 3D culture system of pluripotent stem cell-derived optic-cup organoid. The complementary approach enabled quantitative prediction of morphogenesis and its corresponding verification and elucidated that the macroscopic 3D tissue deformation is fed back to individual cellular force generations via mechanosensing. We hereby conclude that mechanical force plays a key role as a feedback regulator to establish the robustness of organogenesis.


Asunto(s)
Modelos Teóricos , Morfogénesis , Técnicas de Cultivo de Órganos/métodos , Organogénesis , Retina/citología , Estrés Mecánico , Humanos
3.
J Endocrinol Invest ; 35(1): 49-53, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21597314

RESUMEN

Somatic mutations of the TSH receptor (TSHR) gene are the main cause of autonomously functioning thyroid nodules. Except for mutations in ectodomain residue S281, all of the numerous reported activating mutations are in the TSHR membrane-spanning region. Here, we describe a patient with a toxic adenoma with a novel heterozygous somatic mutation caused by deletion of ectodomain residue Asp403 (Del-D403). Subsequent in vitro functional studies of the Del-D403 TSHR mutation demonstrated greatly increased ligand-independent constitutive activity, 8-fold above that of the wild-type TSHR. TSH stimulation had little further effect, indicating that the mutation produced near maximal activation of the receptor. In summary, we report only the second TSHR ectodomain activating mutation (and the first ectodomain deletion mutation) responsible for development of a thyroid toxic adenoma. Because Del-D403 causes near maximal activation, our finding provides novel insight into TSHR structure and function; residue D403 is more likely to be involved in the ligand-mediated activating pathway than in the ectodomain inverse agonist property.


Asunto(s)
Adenoma/genética , Receptores de Tirotropina/genética , Receptores de Tirotropina/metabolismo , Eliminación de Secuencia/genética , Neoplasias de la Tiroides/genética , Nódulo Tiroideo/metabolismo , Adenoma/metabolismo , Adenoma/patología , Animales , Células CHO , Cricetinae , AMP Cíclico/metabolismo , Citometría de Flujo , Humanos , Masculino , Persona de Mediana Edad , Mutagénesis Sitio-Dirigida , Pruebas de Función de la Tiroides , Neoplasias de la Tiroides/metabolismo , Neoplasias de la Tiroides/patología , Tirotropina/metabolismo
4.
J Fish Biol ; 74(9): 1878-90, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20735678

RESUMEN

As the North Equatorial Current (NEC)-bifurcation is known to be related to El Niño-Southern Oscillation (ENSO) events, the influence of the position of the NEC bifurcation on transport success of the larval Japanese eel Anguilla japonica was investigated. Using a Lagrangian modelling approach, larval transport was simulated and the relative influence of El Niño and La Niña events and the NEC-bifurcation position on the success of particle transport analysed. The number of particles transported from the NEC to the Kuroshio tended to be lowest during El Niño years, and differences between La Niña and regular years were small. The transport success observed in simulations showed some relationships to annual A. japonica glass eel recruitment to Tanegashima Island over 1993 to 2001, but not in 2002. The study shows that particle tracking simulations can be used to improve knowledge of the oceanic migration of A. japonica but further studies are required, including comparisons with the effects on larval survival of fluctuations in temperature and food availability.


Asunto(s)
Anguilla , El Niño Oscilación del Sur , Movimientos del Agua , Animales , Simulación por Computador , Larva , Modelos Teóricos , Estaciones del Año , Agua de Mar/análisis
5.
Artículo en Inglés | MEDLINE | ID: mdl-16080289

RESUMEN

We have recently identified a stromal cell-derived inducing activity (SDIA), which induces differentiation of neural cells from mouse embryonic stem (ES) cells. Particularly, midbrain TH+ dopaminergic neurons are generated efficiently in this system. These dopaminergic neurons are transplantable and survive well in the 6-OHDA-treated mouse striatum. SDIA induces co-cultured ES cells to differentiate into rostral central nervous system (CNS) tissues containing both ventral and dorsal cells. While early exposure of SDIA-treated ES cells to BMP4 suppresses neural differentiation and promotes epidermogenesis, late BMP4 exposure after the 4th day of co-culture causes differentiation of neural crest cells and dorsal-most CNS cells, with autonomic system and sensory lineages induced preferentially by high and low BMP4 concentrations, respectively. In contrast, Sonic Hedgehog (Shh) suppresses differentiation of neural crest lineages and promotes that of ventral CNS tissues such as motor neurons and HNF3beta+ floor plate cells with axonal guidance activities. Thus, SDIA-treated ES cells generate naïve precursors that have the competence of differentiating into the "full" dorsal-ventral range of neuroectodermal derivatives in response to patterning signals. I also discuss the role of SDIA and the mode of rostral-caudal specification of neuralized ES cells. In addition, I would like to discuss them in the light of control of in vitro neural production for the use in regenerative medicine for parkinsonism and retinal degeneration.


Asunto(s)
Diferenciación Celular , Embrión de Mamíferos/citología , Embrión no Mamífero , Neuronas/fisiología , Regeneración , Células Madre/fisiología , Animales , Trasplante de Células , Dopamina/metabolismo , Ojo/metabolismo , Neuronas/metabolismo
7.
Br J Haematol ; 115(2): 309-12, 2001 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11703325

RESUMEN

We applied the International Prognostic Scoring System (IPSS) to our series of 118 patients with myelodysplastic syndrome (MDS) to determine its validity, and also used univariate and multivariate analyses to evaluate the prognostic significance of TP53 configurations. Sixteen patients with the mutation had a strikingly worse prognosis and the multivariate analysis demonstrated that this alteration was the most significant factor. The prognostic comparison between patients with and without the mutation within each IPSS subgroup showed a significant difference in the intermediate subgroups. A combination of clinical manifestations and genetic configurations provided us with more accurate prognostic information in MDS patients.


Asunto(s)
Genes p53 , Mutación , Síndromes Mielodisplásicos/genética , Índice de Severidad de la Enfermedad , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Análisis de Varianza , Supervivencia sin Enfermedad , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Análisis Multivariante , Síndromes Mielodisplásicos/patología , Pronóstico , Tasa de Supervivencia
8.
Development ; 128(13): 2525-36, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11493569

RESUMEN

Fox factors (winged-helix transcription factors) play important roles in early embryonic patterning. We show here that FoxD3 (Forkhead 6) regulates neural crest determination in Xenopus embryos. Expression of FoxD3 in the presumptive neural crest region starts at the late gastrula stage in a manner similar to that of Slug, and overlaps with that of Zic-r1. When overexpressed in the embryo and in ectodermal explants, FoxD3 induces expression of neural crest markers. Attenuation of FoxD3-related signaling by a dominant-negative FoxD3 construct (FoxD3delN) inhibits neural crest differentiation in vivo without suppressing the CNS marker Sox2. Interestingly, these loss-of-function phenotypes are reversed by coinjecting SLUG: In animal cap explants, neural crest differentiation induced by Slug and Wnt3a is also inhibited by FoxD3delN but not by a dominant-negative form of XBF2. Loss-of-function studies using dominant-negative forms of FoxD3 and Slug indicate that Slug induction by Zic factors requires FoxD3-related signaling, and that FoxD3 and Slug have different requirements in inducing downstream neural crest markers. These data demonstrate that FoxD3 (or its closely related factor) is an essential upstream regulator of neural crest determination.


Asunto(s)
Cresta Neural/embriología , Proteínas Represoras/metabolismo , Transducción de Señal , Proteínas de Xenopus , Animales , Biomarcadores , Proteína Morfogenética Ósea 4 , Proteínas Morfogenéticas Óseas/metabolismo , Diferenciación Celular , Proteínas de Unión al ADN/metabolismo , Ectodermo , Factores de Transcripción Forkhead , Regulación del Desarrollo de la Expresión Génica , Humanos , Proteínas del Tejido Nervioso/metabolismo , Proteínas Represoras/genética , Factores de Transcripción de la Familia Snail , Factores de Transcripción/metabolismo , Xenopus laevis/embriología , Xenopus laevis/metabolismo
9.
Int J Dev Biol ; 45(1): 321-6, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11291862

RESUMEN

Neural differentiation in amphibian embryos is initiated by the neural inducers emanating from the Spemann-Mangold organizer. The fate of uncommitted ectoderm is determined by graded BMP activity along the dorsal-ventral axis. Several transcriptional regulators acting in early neural differentiation have been identified, including Sox, Zic, Pou, HLH and Fox factors. In this paper, I review recent molecular studies on neural determination, focusing mainly on Sox factors. I also discuss the possible conservation of regulatory factors in neural differentiation, comparing Xenopus and Drosophila counterparts.


Asunto(s)
Sistema Nervioso/embriología , Animales , Evolución Biológica , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/fisiología , Drosophila/embriología , Drosophila/genética , Regulación del Desarrollo de la Expresión Génica , Proteínas HMGB , Proteínas Nucleares/genética , Proteínas Nucleares/fisiología , Factores de Transcripción SOXB1 , Transducción de Señal , Factores de Transcripción/genética , Factores de Transcripción/fisiología , Xenopus/embriología , Xenopus/genética , Proteínas de Xenopus
10.
Curr Opin Neurobiol ; 11(1): 22-6, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11179868

RESUMEN

The evolutionary conservation of Chordin/bone morphogenetic protein (BMP) signaling supports the hypothesis of dorsal-ventral axis inversion of vertebrates and invertebrates, and implies that the invention of a central nervous system occurred only once during animal evolution. This hypothesis is further strengthened by recent findings of the conservation of downstream genes and modifier genes of neural induction. On the other hand, in contrast with such gross conservation, recent data suggest that the requirement for some signals in neural determination may differ even within the vertebrate subphylum.


Asunto(s)
Proteínas Morfogenéticas Óseas/genética , Secuencia Conservada/genética , Neuronas/fisiología , Transducción de Señal/genética , Anfibios , Animales , Diferenciación Celular/fisiología , Proteínas de Unión al ADN/genética , Drosophila , Proteínas HMGB , Humanos , Mamíferos , Proteínas Nucleares/genética , Factores de Transcripción SOXB1 , Factores de Transcripción
11.
Neuron ; 28(1): 31-40, 2000 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11086981

RESUMEN

We have identified a stromal cell-derived inducing activity (SDIA) that promotes neural differentiation of mouse ES cells. SDIA accumulates on the surface of PA6 stromal cells and induces efficient neuronal differentiation of cocultured ES cells in serum-free conditions without use of either retinoic acid or embryoid bodies. BMP4, which acts as an antineuralizing morphogen in Xenopus, suppresses SDIA-induced neuralization and promotes epidermal differentiation. A high proportion of tyrosine hydroxylase-positive neurons producing dopamine are obtained from SDIA-treated ES cells. When transplanted, SDIA-induced dopaminergic neurons integrate into the mouse striatum and remain positive for tyrosine hydroxylase expression. Neural induction by SDIA provides a new powerful tool for both basic neuroscience research and therapeutic applications.


Asunto(s)
Antígenos de Diferenciación/metabolismo , Dopamina/metabolismo , Mesencéfalo/metabolismo , Neuronas/metabolismo , Células del Estroma/metabolismo , Animales , Antígenos de Diferenciación/farmacología , Proteína Morfogenética Ósea 4 , Proteínas Morfogenéticas Óseas/farmacología , Diferenciación Celular/efectos de los fármacos , Células Cultivadas , Técnicas de Cocultivo , Cuerpo Estriado/citología , Cuerpo Estriado/metabolismo , Cuerpo Estriado/cirugía , Medio de Cultivo Libre de Suero/farmacología , Técnicas de Cultivo/métodos , Células Epidérmicas , Epidermis/efectos de los fármacos , Mesencéfalo/citología , Mesencéfalo/cirugía , Ratones , Ratones Endogámicos , Neuronas/citología , Neuronas/trasplante , Células Madre/citología , Células Madre/efectos de los fármacos , Células del Estroma/citología , Tirosina 3-Monooxigenasa/metabolismo , Proteínas de Xenopus
12.
J Epidemiol ; 10(2): 74-8, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10778030

RESUMEN

OBJECTIVE: To determine whether or not the breast milk feeding has a role in the prevalence of atopic dermatitis among children. METHODS: The target population of the study was all children participating in health check-up program for 3-year-old children in 60 municipalities locating 10 selected prefectures during designated 2 months between October and December 1997. Using a questionnaire, information on nutrition in infants (breast milk only, bottled milk only, or mixed), parity, mothers' age at birth, and a history of atopic dermatitis was obtained. Besides, data on potential confounding factors were obtained. RESULTS: Questionnaires from 3856 children (81.6% of those who were to participate in the programs, and 96.4% of children who participated them) were analyzed. After the adjustment for all potential confounding factors using unconditional logistic models, the risk of atopic dermatitis was slightly higher among children with breast milk (odds ratio [OR] = 1.16 with 95% confidence interval [CI] 0.96-1.40). Mothers' age at birth (OR for those who were more than 30 years or older in comparison with those who were younger than 30 years = 1.15; 95% CI, 0.96-1.37) and those with second or later parity orders (OR = 1.14, 95% CI; 0.95-1.35) showed odds ratios that were higher than unity without statistical significance. CONCLUSION: Breast milk elevates the risk of atopic dermatitis slightly without statistical significance; the risk may be, however, higher in children in second or later parity orders.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Dermatitis Atópica/epidemiología , Adulto , Orden de Nacimiento , Alimentación con Biberón/estadística & datos numéricos , Preescolar , Intervalos de Confianza , Factores de Confusión Epidemiológicos , Femenino , Humanos , Lactante , Fenómenos Fisiológicos Nutricionales del Lactante , Japón/epidemiología , Modelos Logísticos , Masculino , Edad Materna , Oportunidad Relativa , Paridad , Prevalencia , Factores de Riesgo , Encuestas y Cuestionarios
13.
Proc Natl Acad Sci U S A ; 97(10): 5291-6, 2000 May 09.
Artículo en Inglés | MEDLINE | ID: mdl-10779551

RESUMEN

The midline tissues are important inductive centers of early vertebrate embryos. By signal peptide selection screening, we isolated a secreted factor, Kielin, which contains multiple cys-rich repeats similar to those in chordin (Chd). Expression of Kielin starts at midgastrula stages in the notochord and is detected in the floor plate of neurula embryos. Kielin is induced in mesoderm and in ectoderm by nodal-related genes. Chd is sufficient to activate Kielin expression in mesoderm whereas Shh or HNF-3beta in addition to Chd is required for induction in ectoderm. Kielin has a distinct biological activity from that of Chd. Injection of Kielin mRNA causes dorsalization of ventral marginal zone explants and expansion of MyoD expression in neurula embryos. Unlike Chd, Kielin does not efficiently induce neural differentiation of animal cap ectoderm, suggesting that the activity of Kielin is not simply caused by BMP4 blockade. Kielin is a signaling molecule that mediates inductive activities of the embryonic midline.


Asunto(s)
Tipificación del Cuerpo , Embrión no Mamífero/fisiología , Regulación del Desarrollo de la Expresión Génica , Glicoproteínas , Sustancias de Crecimiento/química , Sustancias de Crecimiento/genética , Péptidos y Proteínas de Señalización Intercelular , Proteínas de Xenopus , Xenopus/embriología , Secuencia de Aminoácidos , Animales , Mesodermo/fisiología , Datos de Secuencia Molecular , Proteína MioD/genética , Técnicas de Cultivo de Órganos , Proteínas/química , ARN Mensajero/genética , ARN Mensajero/metabolismo , Secuencias Repetitivas de Aminoácido , Alineación de Secuencia , Homología de Secuencia de Aminoácido , Transducción de Señal
14.
Nihon Koshu Eisei Zasshi ; 47(2): 162-70, 2000 Feb.
Artículo en Japonés | MEDLINE | ID: mdl-10734731

RESUMEN

From 1997, basic maternal and child health services have been provided through municipalities. The ministry of Health and Welfare has requested all municipalities to publish a MCH promotion plan. We conducted a qualitative analysis of important contents of the plans using an evaluation index of original dichotomous variables. Out of 3,256 municipalities, 2,873 developed the plans for MCH promotion. Most of the plans present descriptions of the significance of MCH promotion planning, goals of the plans, problems of current MCH statistics and services, and plans of providing services. The proportion was low for plans which have needs assessment of target population, indicators of evaluation of plans, description of the relationship between objectives and services, importance of objectives, action plans, specific chapter or evaluation of the plan, monitoring of the plan, and plans for informing public of the MCH plan. Therefore, the MCH promotion plans have weaknesses in evaluation and action. The MCH promotion plans of middle sized cities were more likely to have these important contents. We will continue to analyze the processes for producing of excellent MCH promotion plans to extract universal promoting factors for producing MCH promotion plans.


Asunto(s)
Servicios de Salud del Niño/organización & administración , Promoción de la Salud/organización & administración , Servicios de Salud Materna/organización & administración , Preescolar , Recolección de Datos , Femenino , Planificación en Salud , Humanos , Lactante , Recién Nacido , Japón , Enfermería en Salud Pública
15.
Mech Dev ; 91(1-2): 81-9, 2000 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-10704833

RESUMEN

We report a novel zygotic gene encoding a Xenopus endodermal nuclear factor, Xenf. Expression of Xenf starts at the late blastula stages and is decreased after gastrulation. Xenf shows no structural homology to any known proteins. When GFP-tagged Xenf is overexpressed in Xenopus cells, Xenf protein is localized to the nucleus, associating closely with the chromosomes. In animal cap assays, Xenf expression is strongly activated by mRNA injection of Vg1 and VegT, maternal vegetal genes that can induce endodermal differentiation. In contrast, Xenf is not induced by endoderm-inducing zygotic transcription factors such as Sox17 and Mix-related genes. In turn, Xenf does not activate expression of Sox17, Mixer or Milk. Thus, Xenf is regulated by maternal vegetal positional information in a parallel manner to Sox17 and Mix-related gene pathways.


Asunto(s)
Proteínas de Unión al ADN , Glicoproteínas/metabolismo , Proteínas del Grupo de Alta Movilidad , Proteínas de Homeodominio/metabolismo , Proteínas Nucleares/metabolismo , Péptido Sintasas , Proteínas/metabolismo , Proteínas de Reptiles , Factores de Transcripción/metabolismo , Ubiquitina-Proteína Ligasas , Proteínas de Xenopus , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Biomarcadores , ADN Complementario , Endodermo , Regulación del Desarrollo de la Expresión Génica , Glicoproteínas/genética , Proteínas de Homeodominio/genética , Datos de Secuencia Molecular , Proteínas Nucleares/genética , Proteínas/genética , ARN Mensajero , Factores de Transcripción SOXF , Fracciones Subcelulares , Proteínas de Dominio T Box/genética , Distribución Tisular , Factores de Transcripción/genética , Factor de Crecimiento Transformador beta , Xenopus laevis/embriología , Xenopus laevis/metabolismo , Cigoto
16.
Development ; 127(4): 791-800, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10648237

RESUMEN

From early stages of development, Sox2-class transcription factors (Sox1, Sox2 and Sox3) are expressed in neural tissues and sensory epithelia. In this report, we show that Sox2 function is required for neural differentiation of early Xenopus ectoderm. Microinjection of dominant-negative forms of Sox2 (dnSox2) mRNA inhibits neural differentiation of animal caps caused by attenuation of BMP signals. Expression of dnSox2 in developing embryos suppresses expression of N-CAM and regional neural markers. We have analyzed temporal requirement of Sox2-mediated signaling by using an inducible dnSox2 construct fused to the ligand-binding domain of the glucocorticoid receptor. Attenuation of Sox2 function both from the late blastula stage and from the late gastrula stage onwards causes an inhibition of neural differentiation in animal caps and in whole embryos. Additionally, dnSox2-injected cells that fail to differentiate into neural tissues are not able to adopt epidermal cell fate. These data suggest that Sox2-class genes are essential for early neuroectoderm cells to consolidate their neural identity during secondary steps of neural differentiation.


Asunto(s)
Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Sistema Nervioso/embriología , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Xenopus/embriología , Xenopus/genética , Animales , Tipificación del Cuerpo/genética , Ectodermo/citología , Femenino , Marcadores Genéticos , Proteínas HMGB , Masculino , Factores de Transcripción SOXB1 , Transducción de Señal , Xenopus/metabolismo , Proteínas de Xenopus
17.
Acta Haematol ; 104(2-3): 119-23, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11154987

RESUMEN

We report a case of de novo myelodysplastic syndrome with clonal eosinophilia (MDS-Eo) and eosinophilic pulmonary interstitial infiltration, confirmed by autopsy. Cytogenetic study using Giemsa banding identified 47,XY,+1,der(1;7)(q10;p10),+8 in the marrow cells. Simple Giemsa staining revealed the same chromosomal aberration in metaphase spreads with eosinophilic granules, indicating the clonal proliferation of eosinophils. To our knowledge, our case is the 6th reported case of MDS-Eo with cytogenetically confirmed clonal eosinophilia, and the first autopsy of MDS-Eo. A review of the literature combined with our findings suggests that this type of chromosomal aberration might be involved in the as yet unknown pathogenesis of MDS-Eo.


Asunto(s)
Eosinofilia/patología , Eosinófilos/patología , Enfermedades Pulmonares Intersticiales/patología , Síndromes Mielodisplásicos/patología , Anciano , Células de la Médula Ósea/patología , Movimiento Celular , Aberraciones Cromosómicas/genética , Células Clonales/patología , Eosinofilia/genética , Humanos , Enfermedades Pulmonares Fúngicas/patología , Enfermedades Pulmonares Intersticiales/genética , Masculino , Síndromes Mielodisplásicos/etiología , Síndromes Mielodisplásicos/genética , Alveolos Pulmonares/patología
18.
Leuk Res ; 23(11): 975-81, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10576500

RESUMEN

We examined polymorphisms of glutathione S-transferase (GST) genes in 159 Japanese patients with myelodysplasia and compared the incidence with that in 43 normal individuals to clarify their pathogenetic significance in myelodysplasia. In individuals with the GSTT1 null genotype, the odds ratios for disease risk were elevated to 2.65 (95%CI; 1.27-5.52) in de novo MDS, 4.62 (1.48-14.4) in therapy-related AML, and 2.94 (1.07-8.07) in AML with triliniage dysplasia. Other representative polymorphisms of GSTs had a similar incidence among patients with myelodysplasia, and those of the controls and other hematological disorders. To further investigate the genetic pathway of myelodysplasia, the association between GST genotype and karyotype or configurations of TP53 and NRAS was evaluated, but no relationship was noted. These results suggest that the GSTT1 null genotype may play a role in an increased risk of myelodysplasia unrelated to other mechanisms of myelodysplasia, such as chromosomal alterations or mutation of TP53 or NRAS.


Asunto(s)
Glutatión Transferasa/genética , Síndromes Mielodisplásicos/genética , Enfermedad Aguda , Estudios de Casos y Controles , Supervivencia sin Enfermedad , Genotipo , Humanos , Leucemia Mieloide/enzimología , Leucemia Mieloide/genética , Leucemia Mieloide/fisiopatología , Síndromes Mielodisplásicos/enzimología , Síndromes Mielodisplásicos/fisiopatología , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción
19.
Leukemia ; 13(8): 1235-42, 1999 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10450752

RESUMEN

We examined chromosomes and molecular aberrations in 21 patients with therapy-related leukemias (t-AML) or myelodysplastic syndromes (t-MDS). All patients showed abnormal karyotypes, and chromosomal losses of No. 5 and/or No. 7 (-5/5q- and/or -7/7q-) were identified in 12 patients. Among these 12, six patients (50%) harbored a TP53 mutation, and two of five examined showed microsatellite instability, suggesting replication error (RER+) phenotype. Meanwhile, among the other nine patients without -5/5q- and/or -7/7q-, none harbored a TP53 mutation, and none of five examined showed RER+ phenotype. Thus, TP53 mutations and RER+ phenotype were preferentially associated with specific chromosomal losses in t-AML/MDS. We then screened for mutational events in representative DNA mismatch repair genes; exons 5-7 and 12-15 of the hMSH2 gene and exon 9 of hMLH1. Notably, two unrelated patients showing RER+ phenotype had an identical missense alteration at codon 419 of hMSH2 in their marrow cells and fibroblasts, which were not found in 120 DNA samples from healthy volunteers or patients with other hematological disorders. Consequently, this study revealed a possible relationship of RER+ phenotype accompanying an hMSH2 alteration to the development of therapy-related AML/MDS in association with TP53 mutations and specific chromosomal losses, and suggests that some patients may be predisposed to myelodysplasia after chemotherapy for their primary tumor.


Asunto(s)
Cromosomas Humanos Par 5 , Cromosomas Humanos Par 7 , Leucemia Inducida por Radiación/genética , Leucemia/genética , Síndromes Mielodisplásicos/genética , Proteína p53 Supresora de Tumor/genética , Adulto , Anciano , Anciano de 80 o más Años , Disparidad de Par Base , Deleción Cromosómica , Replicación del ADN , ADN de Neoplasias/genética , ADN Satélite/genética , Femenino , Humanos , Leucemia/inducido químicamente , Leucemia/patología , Leucemia Inducida por Radiación/patología , Masculino , Persona de Mediana Edad , Síndromes Mielodisplásicos/inducido químicamente , Síndromes Mielodisplásicos/diagnóstico por imagen , Síndromes Mielodisplásicos/patología , Neoplasias Primarias Secundarias/genética , Neoplasias Primarias Secundarias/patología , Cintigrafía
20.
Rinsho Ketsueki ; 40(3): 218-23, 1999 Mar.
Artículo en Japonés | MEDLINE | ID: mdl-10222629

RESUMEN

We report on a patient with Klinefelter's syndrome who underwent successful syngeneic peripheral blood stem cell transplantation (PBSCT) for chronic myelogenous leukemia (CML). A-46-year-old man was given a diagnosis of chronic phase CML in May 1994 on the basis of findings of leukocytosis (54,000/microliter) and bone marrow chromosomal abnormalities [47, XXY, t(9; 22; 14) (q34; q11; q24)]. Hydroxyurea and interferon alpha were administered. In August 1996, a syngeneic transplant was performed following myeloablative therapy, using peripheral blood stem cells collected from the patient's identical twin brother, who had been pretreated with rhG-CSF. Following transplantation (4.0 x 10(6) CD34+ cells/kg) and the subsequent administration of rhG-CSF, the patient rapidly achieved normal tri-lineage hematopoiesis. A post-transplant chromosomal analysis of the patient's bone marrow cells detected the 47, XXY karyotype. Although the major BCR-ABL gene had been detected in bone marrow by RT-PCR methods prior to the syngeneic PBSCT (August 1996), it was not detected after PBSCT (January 1997). In March 1998, interphase fluorescence in situ hibridization (FISH) procedures disclosed XXY signal patterns in peripheral blood lymphocyte samples from the patient and donor, at frequencies of 96% and 97%, respectively. Both the patient and donor had high levels of serum FSH and LH and low levels of serum testosterone.


Asunto(s)
Enfermedades en Gemelos , Trasplante de Células Madre Hematopoyéticas , Síndrome de Klinefelter/complicaciones , Leucemia Mielógena Crónica BCR-ABL Positiva/terapia , Gemelos Monocigóticos , Humanos , Leucemia Mielógena Crónica BCR-ABL Positiva/complicaciones , Masculino , Persona de Mediana Edad , Inducción de Remisión , Donantes de Tejidos , Trasplante Isogénico
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