PMID- 20220779 OWN - NLM STAT- MEDLINE DCOM- 20100520 LR - 20151119 IS - 1476-5551 (Electronic) IS - 0887-6924 (Linking) VI - 24 IP - 4 DP - 2010 Apr TI - Deregulated gene expression pathways in myelodysplastic syndrome hematopoietic stem cells. PG - 756-64 LID - 10.1038/leu.2010.31 [doi] AB - To gain insight into the molecular pathogenesis of the myelodysplastic syndromes (MDS), we performed global gene expression profiling and pathway analysis on the hematopoietic stem cells (HSC) of 183 MDS patients as compared with the HSC of 17 healthy controls. The most significantly deregulated pathways in MDS include interferon signaling, thrombopoietin signaling and the Wnt pathways. Among the most significantly deregulated gene pathways in early MDS are immunodeficiency, apoptosis and chemokine signaling, whereas advanced MDS is characterized by deregulation of DNA damage response and checkpoint pathways. We have identified distinct gene expression profiles and deregulated gene pathways in patients with del(5q), trisomy 8 or -7/del(7q). Patients with trisomy 8 are characterized by deregulation of pathways involved in the immune response, patients with -7/del(7q) by pathways involved in cell survival, whereas patients with del(5q) show deregulation of integrin signaling and cell cycle regulation pathways. This is the first study to determine deregulated gene pathways and ontology groups in the HSC of a large group of MDS patients. The deregulated pathways identified are likely to be critical to the MDS HSC phenotype and give new insights into the molecular pathogenesis of this disorder, thereby providing new targets for therapeutic intervention. FAU - Pellagatti, A AU - Pellagatti A AD - LRF Molecular Haematology Unit, NDCLS, John Radcliffe Hospital, Oxford, UK. FAU - Cazzola, M AU - Cazzola M FAU - Giagounidis, A AU - Giagounidis A FAU - Perry, J AU - Perry J FAU - Malcovati, L AU - Malcovati L FAU - Della Porta, M G AU - Della Porta MG FAU - Jadersten, M AU - Jadersten M FAU - Killick, S AU - Killick S FAU - Verma, A AU - Verma A FAU - Norbury, C J AU - Norbury CJ FAU - Hellstrom-Lindberg, E AU - Hellstrom-Lindberg E FAU - Wainscoat, J S AU - Wainscoat JS FAU - Boultwood, J AU - Boultwood J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100311 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Biomarkers, Tumor) RN - 0 (RNA, Messenger) SB - IM MH - Biomarkers, Tumor/*genetics/metabolism MH - Case-Control Studies MH - Chromosome Deletion MH - Chromosomes, Human, Pair 5/genetics MH - Chromosomes, Human, Pair 7/genetics MH - Chromosomes, Human, Pair 8/genetics MH - *Gene Expression Profiling MH - *Gene Expression Regulation, Neoplastic MH - Hematopoietic Stem Cells/*metabolism/pathology MH - Humans MH - Myelodysplastic Syndromes/*genetics/metabolism MH - Oligonucleotide Array Sequence Analysis MH - RNA, Messenger/genetics/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - *Signal Transduction MH - Trisomy EDAT- 2010/03/12 06:00 MHDA- 2010/05/21 06:00 CRDT- 2010/03/12 06:00 PHST- 2010/03/12 06:00 [entrez] PHST- 2010/03/12 06:00 [pubmed] PHST- 2010/05/21 06:00 [medline] AID - leu201031 [pii] AID - 10.1038/leu.2010.31 [doi] PST - ppublish SO - Leukemia. 2010 Apr;24(4):756-64. doi: 10.1038/leu.2010.31. Epub 2010 Mar 11.