Relationship between the CD44v6 expression and ERK phosphorlation in acute myeloid leukemia patients
10.3760/cma.j.issn.1009-9158.2011.08.002
- VernacularTitle:急性髓系白血病CD44v6的表达和ERK磷酸化水平的关系
- Author:
Baoguo CHEN
;
Boli LI
;
Weiguo ZHANG
;
Weiwu SHI
;
Rui ZHENG
;
Wenda LUO
- Publication Type:Journal Article
- Keywords:
Leukemia,myeloid acute;
Antigens,CD44;
Extracellular signal-regulated MAP kinases;
Phosphorylases
- From:
Chinese Journal of Laboratory Medicine
2011;34(8):676-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate expressions of CDev6 and p-ERK1/2 in AML patients and its clinical significance.Methods Expressions of CD44v6 and p-ERK1/2 on bone marrow blasts in 152 AML patients and 22 normal controls were determined by flow cytometry.Meanwhile,the effects of CD44v6 expression(CD+44v6 and CD-44v6) on relapse rate and survival time were analyzed by following up of 129 AML patients.Results Double positive expressions of CD44v6 and p-ERK1/2 were observed in 4.5%(1/22) of the normal bone marrow blasts while single positive expression of CD44v6 and p-ERK1/2 was observed in 36.2%(55/162) and 64.5%(97/162) of AML patients,respectively.The MFI of p-ERK1/2 expression on blast cells in AML patients was [14(7 -58)],which was higher than that in normal controls [8(6 - 10),U =4.2,P<0.01].Furthermore,MFI of p-ERK1/2 expression on blast cells in CD+44v6 AML patients was [28(15-61)] ,which was significantly higher than that in CD-44v6 AML patients [18(6- 37),U =6.7,P<0.01].A strong correlation was obtained between CD44v6 and p-ERK1/2 expression(rs = 0.7,P< 0.01).Among 129 patients followed up for 4 to 65 months,the data also revealed that the relapse rate of CD-44v6 AML patients was 32.1%(26/81) ,which was much lower than that in CD44v6 AML patients [81.3%(39/48),x2 = 29.13,P< 0.01).And the overall survival in CD44v6 AML patients was(28.5 ± 1.8)months,which was significantly worse than that of CD44v6 AML patients [(51.2±2.0) months,x2 =48.2,P< 0.01).Conclusion CD44v6 expression was associated with a poor survival in AML patients,and CD44v6 might promote the expansion of leukemic blast cells by up-regulating p-ERK1/2.