PMID- 15287942 OWN - NLM STAT- MEDLINE DCOM- 20040920 LR - 20111117 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 126 IP - 4 DP - 2004 Aug TI - In patients with myelodysplastic syndromes response to rHuEPO and G-CSF treatment is related to an increase of cytogenetically normal CD34 cells. PG - 501-7 AB - The in vivo effect of recombinant human erythropoietin (rHuEpo) and granulocyte colony-stimulating factor (G-CSF) combined treatment on CD34(+) cells was evaluated by fluorescence in situ hybridization (FISH) in 13 myelodysplastic syndrome (MDS) patients with known cytogenetic abnormalities. After treatment, responsive patients presented a significantly lower proportion of FISH abnormal CD34(+) cells than before treatment (P = 0.003), and in comparison with unresponsive cases (P = 0.007). Response to treatment was associated with a reduced degree of apoptosis in CD34(+) cells (P = 0.021): however, no difference in telomere length was observed in responsive patients after growth factor administration. Although the number of patients analysed was relatively small, the present data suggest that, in MDS patients, response to rHuEpo and G-CSF may be related to the proliferation of karyotypically normal but potentially defective CD34(+) progenitor cells. FAU - Rigolin, Gian Matteo AU - Rigolin GM AD - Section of Haematology, Department of Biomedical Sciences, University of Ferrara, Ferrara, Italy. rglgmt@unife.it FAU - Porta, Matteo Della AU - Porta MD FAU - Ciccone, Maria AU - Ciccone M FAU - Bugli, Anna Maria AU - Bugli AM FAU - Bragotti, Letizia Zenone AU - Bragotti LZ FAU - Mauro, Endri AU - Mauro E FAU - Fraulini, Chiara AU - Fraulini C FAU - Rossi, Antonella Russo AU - Rossi AR FAU - Bardi, Antonella AU - Bardi A FAU - Cuneo, Antonio AU - Cuneo A FAU - Castoldi, Gianluigi AU - Castoldi G LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (Antigens, CD34) RN - 0 (Recombinant Proteins) RN - 11096-26-7 (Erythropoietin) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) SB - IM MH - Aged MH - Aged, 80 and over MH - Antigens, CD34/analysis MH - Apoptosis/drug effects MH - Bone Marrow Cells/pathology MH - Cell Division/drug effects MH - *Chromosome Aberrations MH - Drug Therapy, Combination MH - Erythropoietin/*therapeutic use MH - Female MH - Granulocyte Colony-Stimulating Factor/*therapeutic use MH - Hematopoietic Stem Cells/*pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Myelodysplastic Syndromes/*drug therapy/genetics/pathology MH - Recombinant Proteins MH - Telomere/pathology MH - Treatment Outcome EDAT- 2004/08/04 05:00 MHDA- 2004/09/21 05:00 CRDT- 2004/08/04 05:00 PHST- 2004/08/04 05:00 [pubmed] PHST- 2004/09/21 05:00 [medline] PHST- 2004/08/04 05:00 [entrez] AID - BJH5086 [pii] AID - 10.1111/j.1365-2141.2004.05086.x [doi] PST - ppublish SO - Br J Haematol. 2004 Aug;126(4):501-7. doi: 10.1111/j.1365-2141.2004.05086.x.