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Home    Διερεύνηση των παθογενετικών μηχανισμών που διέπουν τις ποιοτικές ανωμαλίες των μυελικών μεσεγχυματικών προγονικών κυττάρων σε πάσχοντες από μυελοδυσπλαστικά σύνδρομα  

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Identifier 000399243
Title Διερεύνηση των παθογενετικών μηχανισμών που διέπουν τις ποιοτικές ανωμαλίες των μυελικών μεσεγχυματικών προγονικών κυττάρων σε πάσχοντες από μυελοδυσπλαστικά σύνδρομα
Alternative Title Investigation of the pathogenetic mechanisms underlying the functional abnormalities of mesenchymal stem cells in patients with myelodysplastic syndromes
Author Παυλάκη, Κωνσταντία
Thesis advisor Παπαδάκη, Ελένη
Reviewer Γουλιέλμος, Γιώργος
Παπαματθαιάκη, Σήφη
Abstract It has been shown that bone marrow mesenchymal stem cells (MSCs) from patients with myelodysplastic syndromes (MDS) display defective proliferative potential. We have probed the impaired replicative capacity of culture expanded MSCs in MDS patients (n=30) compared with healthy subjects (n=32) by studying senescence characteristics and gene expression associated with WNT/transforming growth factor-β1 (TGFB1) signaling pathways. We have also explored the consequences of the impaired patient MSC proliferative potential by investigating their differentiation potential and the capacity to support normal CD34+ cell growth under coculture conditions. Patient MSCs displayed decreased gene expression of the senescenceassociated cyclin-dependent kinase inhibitors CDKN1A (p21), CDKN2A (p16), and CDKN2B (p15), along with PARG1, whereas their mean telomere length was upregulated. MDS-derived MSCs exhibited impaired capacity to support normal CD34+ myeloid and erythroid colony formation. No significant changes were observed between patients and controls in gene expression related to TGFB1 pathway. Patient MSCs displayed upregulated noncanonical WNT expression, downregulated canonical WNT expression and upregulate canonical WNT inhibitors. MDS-derived MSCs displayed defective osteogenic and adipogenic lineage priming under non-differentiating culture conditions. Pharmacological activation of canonical WNT signaling in patient MSCs led to an increase in cell proliferation and upregulation in the expression of early osteogenesis-related genes. This study indicates abnormal WNT signaling in MSCs of MDS patients and supports the concept of a primary MSC defect that might have a contributory effect in MDS natural history.
Language Greek
Subject MDS
WNT
Issue date 2016-03-24
Collection   School/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
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