Expression of cyclin A and bone morphogenetic protein receptors and response to induction therapy in patients with acute leukemias

Leuk Lymphoma. 2011 Dec;52(12):2336-41. doi: 10.3109/10428194.2011.597903. Epub 2011 Aug 18.

Abstract

Bone morphogenetic proteins (BMPs) are multifunctional cytokines that belong to the transforming growth factor β (TGFβ) family. They participate in the regulation of growth, differentiation and apoptosis in a variety of cell types including hematopoietic lineages. To date, the role of BMPs in carcinogenesis has not been well known. Cyclin A is a cell cycle regulatory protein which plays the role of a parameter of cell proliferation in various types of carcinomas including hematological malignancies. The role of BMPRIA, BMPRIB, BMPRI and cyclin A in the pathogenesis of acute leukemias remains unclear. The aim of this study was to evaluate the expression of BMP receptors and cyclin A on blast cells and their possible relationship with clinical outcome. Seventy patients with acute leukemias (28 female and 42 male) and 10 aged-matched healthy controls were studied. All patients were examined before cytostatic treatment. The expression of BMP receptors and cyclin A was detected by flow cytometry. The results show that higher expression of BMPRIA, BMPRIB, BMPRII and cyclin A is related with a higher complete response (CR) rate, higher overall survival (OS) and lower relapse risk. The expressions of BMPRIA, BMPRIB, BMPRII and cyclin A could be useful as prognostic parameters of the proliferation status of acute leukemia cells, but further studies are needed to assess this phenomenon.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Morphogenetic Protein Receptors / metabolism*
  • Cyclin A / metabolism*
  • Female
  • Humans
  • Induction Chemotherapy*
  • Leukemia / drug therapy*
  • Leukemia / metabolism*
  • Leukemia / mortality
  • Male
  • Middle Aged
  • Survival Analysis
  • Treatment Outcome
  • Young Adult

Substances

  • Cyclin A
  • Bone Morphogenetic Protein Receptors