PMID- 16791271 OWN - NLM STAT- MEDLINE DCOM- 20060816 LR - 20130304 IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 20 IP - 8 DP - 2006 Aug TI - Therapeutic use of granulocyte-colony stimulating factor could conceal residual malignant cells in patients with AML1/ETO+ acute myelogenous leukemia. PG - 1408-13 AB - We have experienced a number of cases of AML1/ETO+ acute myelogenous leukemia that showed remission based on bone marrow (BM) morphological criteria, but that revealed clonal abnormalities in most cells by fluorescence in situ hybridization (FISH). Interestingly, most of these cases had AML with AML1/ETO rearrangement. The malignant cells were differentiated and considered mature cells after granulocyte-colony stimulating factor (G-CSF) treatment. To clarify the possible mechanisms underlying this phenomenon, we investigated the expression levels of G-CSFR in AML cells with AML1/ETO rearrangement by flow cytometry and real-time polymerase chain reaction (PCR). The number of AML1/ETO+ cells expressing G-CSFR at baseline was significantly higher than that of AML1/ETO- AML cells (2673 vs 522). In addition, the G-CSFR gene was more highly expressed in AML1/ETO+ cells than in AML1/ETO- cells by real-time PCR. This study reveals that cases showing remission after treatment with G-CSF mostly had leukemia with AML1/ETO rearrangement. This finding might be explained by the higher expression of G-CSF receptor in AML1/ETO+ cells than in AML1/ETO- cells. We recommend that remission should be confirmed by FISH, because malignant clones can be differentiated and masked in morphological examination or chromosome test, especially for AML with AML1/ETO rearrangement. FAU - Moon, H W AU - Moon HW AD - Department of Laboratory Medicine, Ewha Womens University College of Medicine, Seoul, Korea. FAU - Shin, S AU - Shin S FAU - Kim, H Y AU - Kim HY FAU - Kim, Y R AU - Kim YR FAU - Cho, H I AU - Cho HI FAU - Yoon, S S AU - Yoon SS FAU - Park, S AU - Park S FAU - Kim, B K AU - Kim BK FAU - Chun, H AU - Chun H FAU - Kim, H C AU - Kim HC FAU - Park, C J AU - Park CJ FAU - Min, Y H AU - Min YH FAU - Lee, D S AU - Lee DS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060622 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (RUNX1 protein, human) RN - 0 (Receptors, Granulocyte Colony-Stimulating Factor) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) SB - IM MH - Adolescent MH - Adult MH - Child MH - Core Binding Factor Alpha 2 Subunit/*genetics MH - Female MH - Flow Cytometry MH - *Gene Rearrangement MH - Granulocyte Colony-Stimulating Factor/*therapeutic use MH - Humans MH - Leukemia, Myeloid, Acute/*drug therapy/*genetics MH - Male MH - Middle Aged MH - Neoplasm, Residual MH - Polymerase Chain Reaction MH - Receptors, Granulocyte Colony-Stimulating Factor/analysis/genetics EDAT- 2006/06/23 09:00 MHDA- 2006/08/17 09:00 CRDT- 2006/06/23 09:00 PHST- 2006/06/23 09:00 [pubmed] PHST- 2006/08/17 09:00 [medline] PHST- 2006/06/23 09:00 [entrez] AID - 2404286 [pii] AID - 10.1038/sj.leu.2404286 [doi] PST - ppublish SO - Leukemia. 2006 Aug;20(8):1408-13. doi: 10.1038/sj.leu.2404286. Epub 2006 Jun 22.