Abstract. The aim of the present study was to investigate the role of Hoxb2 and Hoxb4 gene expression induced by human cytomegalovirus (HCMV) and/or all-trans retinoic acid (ATRA) on the proliferation and committed differentiation process of human cord blood hematopoietic stem cells (HSCs) to colony-forming erythroid progenitor cells (CFU-Es) in vitro. Cord blood was collected from the fetal placenta umbilical vein in 12 cases and cultured using hematopoietic stem cell culture technique in vitro. The proliferation and differentiation of cord blood HSCs to CFU-Es were continuously disrupted with HCMV-AD169 and/or 6x10 -8 mol/l of ATRA. Expression levels of the Hoxb2 and Hoxb4 genes in the blank, ATRA, HCMV-AD169 and ATRA + HCMV treatment groups of CFU-Es were detected on day 3, 7 and 10 of culture by fluorescent quantitative reverse transcriptase-polymerase chain reaction method. Hoxb2 and Hoxb4 gene expression in each group began on day 3, obviously increased on day 7 and reached a peak on day 10. The expression levels of the Hoxb2 and Hoxb4 genes in the HCMV group were obviously down-regulated compared with the level in the blank group. However, expression levels of the Hoxb2 and Hoxb4 genes were significantly up-regulated in the HCMV + ATRA group compared with the HCMV group (P<0.05). Abnormal expression of the Hoxb2 and Hoxb4 genes induced by HCMV may play important roles in abnormal hematopoietic damage. They were also correlated with the process of erythroid hematopoiesis. ATRA (6x10 -8 mol/l) significantly up-regulated expression of the Hoxb2 and Hoxb4 genes in the normal erythroid progenitor cells and in those cells infected with HCMV as well.
IntroductionHuman cytomegalovirus (HCMV) is one of the most prevalent infective factors among the population worldwide. HCMV together with toxoplasm, rubella virus, herpes simplex virus and treponema pallidum are regarded as five biological teratogenic factors. The incidence rates of HCMV infection have reached 80-90% among the Chinese (1), which is even higher among children. Numerous studies have shown that the hematopoietic system is one of the major organs suffering from HCMV infection. We found that HCMV directly damages hematopoietic progenitor cells and leads to abnormal expression of the homeobox gene (Hox) in infected cells (2-9). Recent studies have shown that the Hox gene is associated with the development of hematopoietic cells and directly affects the proliferation, differentiation and maturity of hematopoietic stem cells due to structural and functional alterations. Hoxb2 and Hoxb4 genes are considered to be the major regulatory factors in the proliferation and differentiation process of erythroid cells (10,11). Meanwhile, the expression of the Hox genes can be regulated by all-trans retinoic acid (ATRA). In the present study, the role of the expression of the Hoxb2 and Hoxb4 genes was assessed in the proliferation and committed differentiation process of human cord blood hematopoietic stem cells to colony-forming erythroid progenitor cells (CFUEs), an...