骨髓增生异常综合征中CD34+细胞CXCR4的表达及其与细胞迁移的相关性

CXCR4 expression of bone marrow CD34+ cells in myelodysplastic syndromes and its correlation with cell migration

    摘要
  • 摘要:
      目的  探讨不同危险度骨髓增生异常综合征（myelodysplasticsymdromes，MDS）中骨髓CD34+细胞CXCR4的表达情况及其与细胞迁移率的相关性。
      方法  收集40例骨髓增生异常综合征患者的骨髓标本，根据IPSS积分系统进行危险度分组。低危组20例：IPSS积分0~1.5分；高危组20例：IPSS积分≥1.5分；同时采集10例健康者的骨髓标本作为对照。分离纯化骨髓CD34+细胞，通过流式细胞术检测CXCR4膜蛋白的表达；研究SDF-1α趋化作用下CD34+细胞的迁移率及CD34+细胞对骨髓基质细胞的迁移率。
      结果  高危组MDS患者CD34+细胞CXCR4的表达率明显高于低危组和正常对照组（P < 0.000 1）；低危组和正常对照组之间CXCR4的表达率无显著性差异（P>0.05）。高危组CD34+细胞对SDF-1α及骨髓基质细胞的迁移率显著高于低危组及正常组（均P < 0.000 1），且其对骨髓基质细胞的迁移率与CXCR4的表达呈正相关（P=0.000 1）。
      结论  高危组MDS患者CD34+细胞CXCR4的表达量及其对骨髓基质细胞的迁移率均明显高于低危组患者，且其迁移率随CXCR4表达量的增加而升高，不同风险组的MDS患者存在SDF-1及其受体CXCR4表达和功能上的差异，SDF-1及其受体CXCR4在MDS发病中具有重要作用。

     

    Abstract:
      Objective  To evaluate the expression of CXCR4 and the migration rate of bone marrow stromal CD34+ cells in different risk groups with myelodysplastic syndromes (MDS) using correlation analysis.
      Methods  Forty MDS patients were divided into low- and high-risk groups based on the International Prognosis Scoring System (IPSS). The former was composed of 20 patients with IPSS < 1.5, whereas the latter was composed of 20 patients with IPSS ≥1.5. Bone marrow (BM) samples of these patients and 10 normal controls were collected. CD34+ cells were separated and purified. The expression of CXCR4 was determined by flow cytometry. The migration rate of CD34+ cells on the chemotactic effect of SDF-1α and on the effect of bone marrow stromal cells were measured.
      Results  The expression rate of CXCR4 was higher in the high-risk MDS group than in the low-risk and control groups (P < 0.000 1). No significant differences existed between the low-risk and the control groups (P>0.05). The migration rate of CD34+ cells on the effects of SDF-1α and marrow stromal cells were significantly increased in the high-risk MDS group compared with those in the low-risk and control groups (P < 0.000 1). Migration rate of CD34+ cells on the effect of marrow stromal cells was positively correlated with CXCR4 expression (P=0.000 1).
      Conclusion  The CXCR4 expression and migration rates of CD34+ cells on the effect of marrow stromal cells are significantly higher in the high-risk MDS group than in the low-risk group. Migration rate has a positive correlation with the CXCR4 expression, which further indicates that MDS is a heterogeneous group of hematopoietic stem cell malignancies. The expression and function of SDF-1 and its receptor CXCR4 differ within each group with various risks. SDF-1 and CXCR4 may be involved in MDS pathogenesis.

     

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