摘要
目的探讨细胞因子信号传导抑制蛋白(SOCS)基因超甲基化在经典型慢性骨髓增殖性肿瘤(MPN)发病机制中的作用。方法采用甲基化特异性PCR法检测220例MPN患者骨髓标本中SOCS1、SOCS3基因启动子区CpG岛甲基化发生情况,直接测序法检测MPN患者JAK2V617F、MPLW515L/K基因突变情况。应用粒细胞集落刺激因子化学诱导MPN细胞生长不同时间后,采用实时定量PCR和蛋白印迹法检测SOCS1、SOCS3 mRNA及其蛋白表达情况。同时,加入去甲基化试剂培养MPN细胞不同时间后,实时定量PCR法检测SOCS1、SOCS3 mRNA表达情况。结果 MPN患者中44例(20.0%)存在SOCS1基因超甲基化,90例(40.9%)存在SOCS3基因超甲基化,156例(70.9%)JAK2V617F突变阳性,3例JAK2V617F未突变的原发性血小板增多症患者检测到MPLW515突变(其中2例为MPLW515L,1例为MPLW515K),2例JAK2V617F未突变原发性骨髓纤维化患者检测到MPLW515L突变;SOCS1、SOCS3基因超甲基化组与未甲基化组相比,其SOCS1、SOCS3mRNA和蛋白表达量明显减少(P<0.05);JAK2V617突变组与无突变组相比,其SOCS1、SOCS3mRNA和蛋白表达量明显减少(P<0.05);SOCS1、SOCS3基因超甲基化组,加入去甲基化试剂后SOCS1、SOCS3 mRNA表达量明显升高(P<0.05)。结论 MPN患者中存在高频率的JAK2V617F基因突变和低频率的MPL基因突变以及SOCS基因启动子区CpG岛超甲基化;SOCS超甲基化和JAK2V617F突变导致SOCSmRNA和蛋白表达水平降低,异常激活JAK/STAT信号传导通路,引起细胞代谢失常而最终影响MPN的发生、发展;SOCS超甲基化是一种潜在的MPN诊断生物分子标志物及治疗靶标。
Objective To investigate the association between hypermethylation of suppressor of cytokine signaling(SOCS)gene and typical myeloproliferative neoplasms(MPN).Methods Methylation-specific PCR was used to detect CpG island methylation status of SOCS1 and SOCS3 genes in bone marrow samples from 220 MPN patients.JAK2V617 F and MPLW515L/K gene mutations were detected by direct DNA sequencing assay.The expression of SOCS1 and SOCS3 mRNA and protein was evaluated by real-time quantitative PCR and Western blot,after MPN cells were co-cultured with GC-SF or demethylating agent5-aza-2'-deoxyazacytidin at different time points.Results The rates of SOCS1 and SOCS3 gene hypermethylation were20.0%(44/220) and 40.9%(90/220),respectively.JAK2V617 F positive mutation was detected in 156 patients(70.9%);in 3JAK2V617F-negative patients with essential thrombocytosis(ET),MPLW515 mutation was detected(2 MPLW515 L and 1 of MPLW515K) and in 2 JAK2V617F-negative patients with idiopathic myelofibrosis(IMF),MPLW515 L mutation was detected.The expression of SOCS1.SOCS3 mRNA and protein was significantly decreased in hypermethylation group compared to non-methylation group(P<0.05);and in JAK2V617 F mutation group compared to wild type group(P<0.05).After co-cultured with demethylating agent the expression of SOCS1,SOCS3 mRNA was increased significantly in hypermethylation group(P<0.05).Conclusion High-frequency JAK2V617 F gene mutation,low-frequency MPL gene mutation and SOCS gene CpG island hypermethylation are associated with myeloproliferative neoplasms,and SOCS hypermethylation might be a potential diagnostic biomarker and therapeutic target for the disease.
引文
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