Fallah P, Amirizadeh N, Poopak B, Toogeh G, Arefian E, Kohram F, Hosseini Rad S M A, Kohram M, Teimori Naghadeh H, Soleimani M
Blood Transfusion Research center, High institute for Research and Education in Transfusion Medicine, Tehran, Iran.
Alborz University of Medical Science, Karaj, Iran.
Int J Lab Hematol. 2015 Aug;37(4):560-8. doi: 10.1111/ijlh.12351. Epub 2015 Apr 2.
Chronic myeloid leukemia (CML) is caused by reciprocal translocation in hematopoietic stem cells (HSCs). This translocation forms the BCR-ABL1 oncogene, which alters several signaling pathways that control malignancy. CML has three phases: chronic, accelerated, and blast crisis. The microRNAs (miRNAs or miRs) are noncoding RNAs that downregulate their target gene by targeting 3' UTR of mRNA or through translational inhibition. It has been shown that miRNAs regulate many biological processes, and dysregulation of these regulatory RNAs is involved in disease development, particularly in cancer. The important role of miRNAs as therapeutic agents and biomarkers has been demonstrated in CML patients at different phases of the disease.
Stem-loop reverse transcription polymerase chain reaction was used to characterize differentially expressed miRNAs of leukocytes in the peripheral blood of 50 newly diagnosed CML patients in chronic phase.
Some onco-miRNAs were found to be downregulated (miR-155 and miR-106), and some tumor suppressor miRs (miR-16-1, miR-15a, miR-101, miR-568) were upregulated.
These results show that very few miRNAs alone would be good candidates for CML diagnosis independently of conflicting results, but together could be an additional tool for CML diagnosis. Moreover, miRNAs might be good candidates for prognosis prediction and CML therapy.
慢性髓性白血病(CML)由造血干细胞(HSC)中的相互易位引起。这种易位形成BCR-ABL1致癌基因,其改变了控制恶性肿瘤的多种信号通路。CML有三个阶段:慢性期、加速期和急变期。微小RNA(miRNA或miR)是非编码RNA,通过靶向mRNA的3'UTR或通过翻译抑制来下调其靶基因。已表明miRNA调节许多生物学过程,并且这些调节性RNA的失调参与疾病发展,特别是在癌症中。miRNA作为治疗剂和生物标志物的重要作用已在CML疾病不同阶段的患者中得到证实。
采用茎环逆转录聚合酶链反应来表征50例新诊断的慢性期CML患者外周血白细胞中差异表达的miRNA。
发现一些致癌miRNA(miR-155和miR-106)下调,一些肿瘤抑制miR(miR-16-1、miR-15a、miR-101、miR-568)上调。
这些结果表明,单独的miRNA很少能成为独立于矛盾结果的CML诊断的良好候选者,但共同作用可能是CML诊断的额外工具。此外,miRNA可能是预后预测和CML治疗的良好候选者。