TY - JOUR
T1 - Biological characteristics of myelodysplastic syndrome patients who demonstrated high versus no intramedullary apoptosis
AU - Dar, Saleem
AU - Mundle, Suneel
AU - Andric, Tanja
AU - Qawi, Huma
AU - Shetty, Vilasini
AU - Reza, Samina
AU - Mativi, B. Yifwayimare
AU - Allampallam, Krishnan
AU - Ali, Ambereen
AU - Venugopal, Parameswaren
AU - Gezer, Sefer
AU - Broady-Robinson, La Tanya
AU - Cartlidge, John
AU - Showel, Margaret
AU - Hussaini, Seema
AU - Ragasa, Deborah
AU - Ali, Irfan
AU - Chaudhry, Ambreen
AU - Waggoner, Samina
AU - Lisak, Laurie
AU - Huang, Ray Win
AU - Raza, Azra
PY - 1999
Y1 - 1999
N2 - Spontaneous intramedullary apoptosis was measured in bone marrow (BM) biopsies of 175 patients with myelodysplastic syndromes (MDS) using in situ end-labeling (ISEL) of fragmented DNA. Two groups of high (n = 71) versus low (n = 43) levels of apoptosis were identified while 61 patients were ISEL- negative. Semiquantitative assessment of 3 cytokines, the number of macrophages and in vivo labeling indices (LI) were also determined from consecutive sections of the biopsy. Patients with high apoptosis levels tended to have a high LI (p = 0.013), more macrophages in their BM biopsies (p = 0.006) and higher tumor necrosis factor alpha (TNF-α) levels (not significant) compared to patients with no apoptosis. In addition, low risk MDS patients had significantly lower rates of apoptosis (p = 0.047) and lower levels of TNF-α (p = 0.055) compared to high-risk MDS patients. We conclude that the genesis of cytopenias in MDS is of multifactorial origin and that cytokine-associated apoptosis clearly identifies a distinct biological subgroup of patients who may benefit selectively by use of anti-cytokine therapies.
AB - Spontaneous intramedullary apoptosis was measured in bone marrow (BM) biopsies of 175 patients with myelodysplastic syndromes (MDS) using in situ end-labeling (ISEL) of fragmented DNA. Two groups of high (n = 71) versus low (n = 43) levels of apoptosis were identified while 61 patients were ISEL- negative. Semiquantitative assessment of 3 cytokines, the number of macrophages and in vivo labeling indices (LI) were also determined from consecutive sections of the biopsy. Patients with high apoptosis levels tended to have a high LI (p = 0.013), more macrophages in their BM biopsies (p = 0.006) and higher tumor necrosis factor alpha (TNF-α) levels (not significant) compared to patients with no apoptosis. In addition, low risk MDS patients had significantly lower rates of apoptosis (p = 0.047) and lower levels of TNF-α (p = 0.055) compared to high-risk MDS patients. We conclude that the genesis of cytopenias in MDS is of multifactorial origin and that cytokine-associated apoptosis clearly identifies a distinct biological subgroup of patients who may benefit selectively by use of anti-cytokine therapies.
KW - Apoptosis
KW - Bone marrow
KW - Human disease
KW - In vivo
KW - Macrophage
KW - Myelodysplastic syndromes (MDS)
KW - Proliferation
KW - Tumor necrosis factor (TNF-α)
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U2 - 10.1111/j.1600-0609.1999.tb01727.x
DO - 10.1111/j.1600-0609.1999.tb01727.x
M3 - Article
C2 - 10052711
AN - SCOPUS:0032933930
SN - 0902-4441
VL - 62
SP - 90
EP - 94
JO - European Journal of Haematology
JF - European Journal of Haematology
IS - 2
ER -