“…In our study we tried to reveal whether MSC from MDS patients harbor molecular alterations, and whether these potential abnormalities could be similar to those present in hematopoietic progenitor cells presented. The NGS analysis in 58 MDS patients revealed that gene mutations are more frequent in hematopoietic cells (HPC) than in mesenchymal stromal cells (MSC) confirming previous results in a short number of MDS patients [105], although some papers reported no mutations in MCS maybe because the low number of MDS patients analyzed. [104,150,151].…”
Section: Discussionsupporting
confidence: 78%
“…Moreover a focused study in 8 genes in 7 MDS patients failed to demonstrate MSC mutations [104]. By contrast, an additional study, carried out in only five MDS patients, showed some mutations in the MSC [105]. Therefore new studies in large series of patients are needed to define the genetic abnormalities of MSC in MDS patients.…”
Chapter 1: A two-step approach for sequencing spliceosome-related genes as a complementary diagnostic assay in MDS patients with ringed sideroblasts Chapter 2: Clincal, biological and prognostic implication of SF3B1 co-occurrence mutations in very low/low and intermediate-risk MDS patients Chapter 3: Mutational status of mesenchymal stromal cells in myelodysplastic syndromes patients General discussion Concluding remarks References Supplementary Appendix List of Tables and Figures Abbreviations 1.3 Diagnostics MDS are very heterogeneous group of diseases, thereby the diagnosis is often very challenging. However, usually the suspicion of MDS diagnosis is based on the presence of cytopenia in a routine analysis of peripheral blood [16]. The WHO recommended threshold levels of cytopenias came from those previously reported in the International Prognostic Scoring System (IPSS) considering anemia when Hb is low than 10g/dL, A new subtypes 5q syndrome as well as refractory cytopenia with multilineage dysplasia without and with ring sideroblasts (RCMD, RCMD-RS) were defined. RAEB-t was considered as acute myeloid leukemia (AML). RAEB was split into two different subtypes: RAEB-1 and RAEB-2 based on blasts percentage. CMML was included into the myelodysplastic/myeloproliferative syndromes group.
“…In our study we tried to reveal whether MSC from MDS patients harbor molecular alterations, and whether these potential abnormalities could be similar to those present in hematopoietic progenitor cells presented. The NGS analysis in 58 MDS patients revealed that gene mutations are more frequent in hematopoietic cells (HPC) than in mesenchymal stromal cells (MSC) confirming previous results in a short number of MDS patients [105], although some papers reported no mutations in MCS maybe because the low number of MDS patients analyzed. [104,150,151].…”
Section: Discussionsupporting
confidence: 78%
“…Moreover a focused study in 8 genes in 7 MDS patients failed to demonstrate MSC mutations [104]. By contrast, an additional study, carried out in only five MDS patients, showed some mutations in the MSC [105]. Therefore new studies in large series of patients are needed to define the genetic abnormalities of MSC in MDS patients.…”
Chapter 1: A two-step approach for sequencing spliceosome-related genes as a complementary diagnostic assay in MDS patients with ringed sideroblasts Chapter 2: Clincal, biological and prognostic implication of SF3B1 co-occurrence mutations in very low/low and intermediate-risk MDS patients Chapter 3: Mutational status of mesenchymal stromal cells in myelodysplastic syndromes patients General discussion Concluding remarks References Supplementary Appendix List of Tables and Figures Abbreviations 1.3 Diagnostics MDS are very heterogeneous group of diseases, thereby the diagnosis is often very challenging. However, usually the suspicion of MDS diagnosis is based on the presence of cytopenia in a routine analysis of peripheral blood [16]. The WHO recommended threshold levels of cytopenias came from those previously reported in the International Prognostic Scoring System (IPSS) considering anemia when Hb is low than 10g/dL, A new subtypes 5q syndrome as well as refractory cytopenia with multilineage dysplasia without and with ring sideroblasts (RCMD, RCMD-RS) were defined. RAEB-t was considered as acute myeloid leukemia (AML). RAEB was split into two different subtypes: RAEB-1 and RAEB-2 based on blasts percentage. CMML was included into the myelodysplastic/myeloproliferative syndromes group.
“…Development of MDS is known to be associated with the accumulation of genetic abnormalities by aging, so-called 'Clonal Hematopoiesis of Indeterminate Potential (CHIP)', and additional mutations in critical genes, including epigenetic regulator genes, accelerate AML (34). In addition to genetic abnormalities in MDS cells, BM-MSCs are also shown to have synonymous or non-synonymous mutations (15,35,36) such as 'genetic injury.' The unresolved issue is whether demethylating agents available for patients with MDS could exert any effect on BM-MSCs, especially BM-MSC-derived EV, as miR-101 targets many epigenetic regulator genes.…”
Section: Discussionmentioning
confidence: 99%
“…Culture of BM-MSCs. BM-MSCs from patients with MDS and AML/MRC were isolated using the conventional plastic adhesion method with a minor modification (15). Briefly, 0.5 to 1 ml of freshy obtained heparinized BM aspirates were cultured in equivalent volumes of Roswell Park Memorial Institute (RPMI)-1640 medium (Thermo Fisher Scientific, Inc.) supplemented with 10% fetal bovine serum (FBS; HyClone) and 1% penicillin-streptomycin (P/S; Thermo Fisher Scientific, Inc.) and Dulbecco's modified Eagle's medium (DMEM) (Thermo Fisher Scientific) containing 10% FBS (GE Healthcare), 1% of P/S, and 1% non-essential amino acids (NEAAs; Thermo Fisher Scientific, Inc.).…”
Section: Methodsmentioning
confidence: 99%
“…Cells were cultured for 3 to 5 days, and the medium was changed to DMEM (with 10% of FBS, 1% of P/S and 1% of NEAAs) for non-hematopoietic expansion after the removal of non-adherent cells. Cultured BM-MSC popula-tion was identified as CD34 − /CD45 − /CD73 + /CD90 + /CD105 + with flow cytometry with <5% CD34 + and CD45 + (15).…”
To evaluate the mechanism underlying the communication between myeloid malignant and bone marrow (BM) microenvironment cells in disease progression, the current study established BM mesenchymal stromal cells (MSCs) and assessed extracellular vesicle (EV) microRNA (miR) expression in 22 patients with myelodysplastic syndrome (MDS) and 7 patients with acute myeloid leukemia and myelodysplasia-related changes (AML/MRC). Patients with MDS were separated into two categories based on the revised International Prognostic Scoring System (IPSS-R), and EV-miR expression in BM-MSCs was evaluated using a TaqMan low-density array. The selected miRs were evaluated using reverse transcription-quantitative PCR. The current study demonstrated that the expression of BM-MSC-derived EV-miR was heterogenous and based on MDS severity, the expression of EV-miR-101 was lower in high-risk group and patients with AML/MRC compared with the control and low-risk groups. This reversibly correlated with BM blast percentage, with which the cellular miR-101 from BM-MSCs or serum EV-miR-101 expression exhibited no association. Database analyses indicated that miR-101 negatively regulated cell proliferation and epigenetic gene expression. The downregulation of BM-MSC-derived EV-miR-101 may be associated with cell-to-cell communication and may accelerate the malignant process in MDS cells.
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