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[ST1571对慢性髓性白血病患者骨髓单个核细胞来源树突状细胞发育的影响]

[Effects of ST1571 on the development of dendritic cells derived from bone marrow mononuclear cells in patients with chronic myeloid leukemia].

作者信息

Zheng Shui-Er, Jin Jie, Tong Xiang-Min, Qian Wen-Bin, Xue Yong-Quan

机构信息

Department of Hematology, The First Affiliated Hospital, Zhejiang University Medical College, Hangzhou 310003, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2006 Dec;28(12):920-3.

Abstract

OBJECTIVE

To investigate the effects of ST1571 on the development of dendritic cells (DC) derived from bone marrow mononuclear cells of patients with chronic myeloid leukemia (CML).

METHODS

Bone marrow mononuclear cells (BMMNC) from CML patients and healthy volunteers were cultured initially using multiple cytokine combinations as follows: recombinant human granulocyte/ macrophage colony-stimulating-factor (rhGM-CSF) plus recombinant human interleukin-4 (rhIL-4) as CML and normal control groups, rhGM-CSF plus rhIL-4 and ST1571 as CML experimental groups, and from day 8 recombinant human tumor necrosis factor-alpha ( rhTNF-alpha) was added to stimulate DC maturation. The morphologic features of cells were observed by Wright's staining and phenotypes were assessed by flow cytometry. Cytogenetic analysis was performed by fluorescence in-situ hybridization (FISH), and the antigen-presenting function was assayed by mixed lymphocyte reaction (MLR). The concentration of VEGF was detected by ELISA.

RESULTS

CML experimental groups treated with STI571 displayed morphological features similar to those of control groups with delicate membrane projections. However, in comparison with the CML control groups, the CML experimental groups showed an increased expression of CD80, CD86, CD83 and HLA-DR and showed more intense abilities of allogeneic antigen presentation, which were similar to those of normal control groups. FISH confirmed that DCs of both CML, groups were of leukemic origin. The concentration of VEGF was dramatically reduced in CML experimental groups.

CONCLUSION

In vitro, STI571 promotes the activation/maturation of DCs derived from BMMNCs of patients with CMI, and decreases VEGF production by the leukemic cells. The promotion of DC maturation may be partially due to decreased inhibitory effect of VEGF.

摘要

目的

研究ST1571对慢性髓性白血病(CML)患者骨髓单个核细胞来源的树突状细胞(DC)发育的影响。

方法

最初使用多种细胞因子组合培养CML患者和健康志愿者的骨髓单个核细胞(BMMNC),具体如下:重组人粒细胞/巨噬细胞集落刺激因子(rhGM-CSF)加重组人白细胞介素-4(rhIL-4)作为CML和正常对照组,rhGM-CSF加rhIL-4和ST1571作为CML实验组,从第8天起添加重组人肿瘤坏死因子-α(rhTNF-α)以刺激DC成熟。通过瑞氏染色观察细胞形态特征,通过流式细胞术评估细胞表型。通过荧光原位杂交(FISH)进行细胞遗传学分析,并通过混合淋巴细胞反应(MLR)测定抗原呈递功能。通过ELISA检测VEGF浓度。

结果

用STI571处理的CML实验组显示出与对照组相似的形态特征,有精致的膜突起。然而,与CML对照组相比,CML实验组显示CD80、CD86、CD83和HLA-DR表达增加,同种异体抗原呈递能力更强,与正常对照组相似。FISH证实两个CML组的DC均来源于白血病细胞。CML实验组中VEGF浓度显著降低。

结论

在体外,STI571促进CML患者BMMNC来源的DC活化/成熟,并降低白血病细胞产生VEGF。DC成熟的促进可能部分归因于VEGF抑制作用的降低。

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