Aberrant expression of the homeobox gene CDX2 in pediatric acute lymphoblastic leukemia

被引:27
作者
Riedt, Tamara [1 ]
Ebinger, Martin [2 ]
Salih, Helmut R. [1 ]
Tomiuk, Juergen [3 ]
Handgretinger, Rupert [2 ]
Kanz, Lothar [1 ]
Gruenebach, Frank [1 ]
Lengerke, Claudia [1 ]
机构
[1] Univ Tubingen, Med Ctr 2, Dept Hematol Oncol, D-72076 Tubingen, Germany
[2] Univ Tubingen, Dept Hematol Oncol, Childrens Hosp, Tubingen, Germany
[3] Univ Tubingen, Inst Human Genet, Div Gen Human Genet, Tubingen, Germany
关键词
ACUTE MYELOID-LEUKEMIA; HEMATOPOIETIC STEM-CELLS; MINIMAL RESIDUAL DISEASE; HOX PATHWAY; PROGENITORS; CHILDHOOD;
D O I
10.1182/blood-2008-12-196634
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Members of the caudal (cdx) family of homeobox proteins are essential regulators of embryonic blood development in zebrafish. Previously, we reported that the murine homologues (Cdx1, Cdx2, and Cdx4) affect formation and differentiation of embryonic stem cell (ESC)-derived hematopoietic progenitor cells. Consistent with the notion that embryonic pathways can reactivate during adult oncogenesis, recent studies suggest involvement of CDX2 in human acute myeloid leukemia (AML). Here we study CDX2 in healthy and leukemic human lymphoid cells, and show that a majority of leukemic samples display various degrees of aberrant CDX2 expression. Analysis of a cohort of 37 childhood acute lymphoblastic leukemia (ALL) patients treated in our hospital reveals that high CDX2 expression levels at diagnosis correlate with persistence of minimal residual disease (MRD) during the course of treatment. Thus, CDX2 expression levels may serve as a marker for adverse prognosis in pediatric ALL. (Blood. 2009;113:4049-4051)
引用
收藏
页码:4049 / 4051
页数:3
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