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High Erk-1 activation and Gadd45a expression as prognostic markers in high risk pediatric haemolymphoproliferative diseases.
D'Angelo, Velia; Crisci, Stefania; Casale, Fiorina; Addeo, Raffaele; Giuliano, Maria; Pota, Elvira; Finsinger, Paola; Baldi, Alfonso; Rondelli, Roberto; Abbruzzese, Alberto; Caraglia, Michele; Indolfi, Paolo.
Afiliación
  • D'Angelo V; Pediatric Oncology Service, Pediatric Department, F Fede, II University of Naples, Naples, Italy. velia.dangelo@unina2.it
J Exp Clin Cancer Res ; 28: 39, 2009 Mar 19.
Article en En | MEDLINE | ID: mdl-19298651
Studies on activated cell-signaling pathways responsible for neoplastic transformation are numerous in solid tumors and in adult leukemias. Despite of positive results in the evolution of pediatric hematopoietic neoplasias, there are some high-risk subtypes at worse prognosis. The aim of this study was to asses the expression and activation status of crucial proteins involved in cell-signaling pathways in order to identify molecular alterations responsible for the proliferation and/or escape from apoptosis of leukemic blasts. The quantitative and qualitative expression and activation of Erk-1, c-Jun, Caspase8, and Gadd45a was analyzed, by immunocytochemical (ICC) and western blotting methods, in bone marrow blasts of 72 patients affected by acute myeloid leukemia (AML), T-cell acute lymphoblastic leukemia (ALL) and stage IV non-Hodgkin Lymphoma (NHL). We found an upregulation of Erk-1, Caspase8, c-Jun, and Gadd45a proteins with a constitutive activation in 95.8%, 91.7%, 86.2%, 83.4% of analyzed specimens, respectively. It is worth noting that all AML patients showed an upregulation of all proteins studied and the high expression of GADD45a was associated to the lowest DFS median (p = 0.04). On univariate analysis, only Erk-1 phosphorylation status was found to be correlated with a significantly shorter 5-years DFS in all disease subgroups (p = 0.033) and the lowest DFS median in ALL/NHL subgroup (p = 0.04). Moreover, the simultaneous activation of multiple kinases, as we found for c-Jun and Erk-1 (r = 0.26; p = 0.025), might synergistically enhance survival and proliferation potential of leukemic cells. These results demonstrate an involvement of these proteins in survival of blast cells and, consequently, on relapse percentages of the different subgroups of patients.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas Nucleares / Biomarcadores de Tumor / Proteínas de Ciclo Celular / Proteína Quinasa 3 Activada por Mitógenos / Trastornos Linfoproliferativos Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Exp Clin Cancer Res Año: 2009 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas Nucleares / Biomarcadores de Tumor / Proteínas de Ciclo Celular / Proteína Quinasa 3 Activada por Mitógenos / Trastornos Linfoproliferativos Tipo de estudio: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Exp Clin Cancer Res Año: 2009 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido