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针对病种:白血病

发表时间:1996年6月

发表国家:英国

登载刊物:英国血液学杂志

研究单位:意大利帕尔马大学骨髓研究中心

研究人员:卡罗斯特拉等

主要结论:金雀异黄素能有效抑制白血病细胞生长,强烈支持金雀异黄素用于净化骨髓.

 
Br J Haematol. 1996 Jun;93(3):551-7
Effect of the protein tyrosine kinase inhibitor genistein on normal and leukaemic haemopoietic progenitor cells
Carlo-Stella C, Regazzi E, Garau D, Mangoni L, Rizzo MT, Bonati A, Dotti G, Almici C, Rizzoli V.
1) (Bone Marrow Transplantation Centre, University of Parma)

Receptor and nonreceptor protein tyrosine kinases (PTKs) play a key role in the control of normal and neoplastic cell growth. The availability of PTK inhibitors prompted us to evaluate the effects of genistein, a natural inhibitor of PTKs, on in vitro colony formation by normal multilineage colony-forming units (CFU-Mix), erythroid bursts (BFU-E), granulocyte-macrophage colony-forming units (CFU-GM), long-term culture-initiating cells (LTC-IC) and acute myelogenous leukaemia colony-forming units (CFU-AML).Continuous exposure of normal marrow and blood mononuclear non-adherent cells, blood CD34+CD45RA- cells, and leukaemic blasts to increasing doses of genistein (1-100 microM) resulted in a statistically significant (P < or = 0.05) dose-dependent suppression of CFU-Mix, BFU-E, CFU-GM and CFU-AML growth. Regression analysis showed that growth inhibition was linearly related to genistein concentration. Genistein dose causing 50% inhibition (ID50) of CFU-AML was significantly lower compared to CFU-GM ID50 for marrow (19 v 32 microM, P < or = 0.017), unseparated blood (19 v 44 microM, P < or = 0.028) or CD34+CD45RA- blood (19 v 36, P < or = 0.04).Preincubation of leukaemic blasts with genistein (200 microM) for 1-2h confirmed that CFU-AML were significantly more sensitive than normal marrow and blood CFU-GM to genistein. Preincubation conditions which maximally suppressed leukaemic and normal colony growth spared a substantial percentage of marrow (29 +/- 4%) and blood (40 +/- 3%) LTC-IC. In conclusion, our data demonstrate that: (a) genistein strongly inhibits the growth of normal and leukaemic haemopoietic progenitors;(b) growth inhibition is dose- and time-dependent; (c) leukaemic progenitors are more sensitive than normal progenitors to genistein-induced growth inhibition; (d) genistein exerts a direct toxic effect on haemopoietic cells while sparing a substantial proportion of LTC-IC. The potent CFU-AML growth inhibition associated with the relative resistance of normal LTC-IC strongly supports the use of genistein for marrow purging.

摘自《中华血液学杂志》转载1996年6月
蛋白质酪氨酸激酶抑制剂金雀异黄素 对正常的和白血病造血祖细胞的不同影响

卡罗斯特拉等

(意大利帕尔马大学骨髓研究中心)

受体和非受体蛋白质酪氨酸激酶(PTKs)在调控正常细胞和肿瘤细胞生长方面发挥关键作用。酪氨酸激酶抑制剂的可用性促使我们研究金雀异黄素的作用。 
作为天然的酪氨酸激酶抑制剂,我们研究它在体外金雀异黄素对多向造血祖细胞[CFU-Mix],定向造血祖细胞[BFU- E],粒-单系祖细胞[CFU-GM],长期培养起始细胞(LTC-IC)和急性髓系白血病祖细胞(CFU-AML)的影响。 
递增剂量的金雀异黄素(1-100 微摩尔)连续暴露于正常骨髓细胞和血液单核非粘附细胞,血液CD34 + CD45RA-细胞和白血病胚细胞,导致对CFU-Mix, BFU-E, CFU-GM 和 CFU-AML剂量依赖性生长抑制作用,它具有显著的统计学意义(P<或= 0.05)。 
回归分析表明,金雀异黄素的浓度和生长抑制作用呈线性关系。和骨髓CFU-GM ID50(19 v 32微摩尔, P < or = 0.017),未分离血细胞ID50 (19 v 44微摩尔, P < 或 = 0.028)和CD34+CD45RA-血细胞 ID50 (19 v 36, P < 或 = 0.04)相比,造成CFU-AML50%抑制(ID50)的金雀异黄素剂量明显降低。 
用金雀异黄素(200微摩尔)预处理白血病胚细胞1-2h后,发现CFU–AML比正常骨髓和血液的CFU–GM对金雀异黄素更敏感。预处理条件,以最大限度地抑制白血病和正常菌落生长,即骨髓(29 + / - 4%)和血液(40 + / - 3%)LTC-IC的百分比。 
总之,我们的数据表明: 
(1)金雀异黄素能有效抑制正常和白血病造血祖细胞的生长;
(2)生长抑制作用呈剂量和时间依赖性;
(3)白血病祖细胞比正常祖细胞对金雀异黄素的生长抑制更敏感;
(4)金雀异黄素对造血细胞施加直接毒性作用,同时保留相当比例的LTC-IC。有力的CFU - AML生长抑制与正常LTC-IC相关,这强烈支持金雀异黄素可用于净化骨髓。

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