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Blood, 1 May 2005, Vol. 105, No. 9, pp. 3731-3736. Prepublished online as a Blood First Edition Paper on January 11, 2005; DOI 10.1182/blood-2004-06-2094.
NEOPLASIA A functional single-nucleotide polymorphism of the G-CSF receptor gene predisposes individuals to high-risk myelodysplastic syndromeFrom the Division of Hematology, Medical University Graz, Austria; Department of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands; Clinical Institute for Medical and Chemical Laboratory Diagnostics, Medical University Graz, Austria; Third Medical Department and Ludwig Boltzmann Institute for Leukemia Research and Hematology, Hanusch Hospital Vienna, Austria; Division of Hematology and Oncology, General Hospital Leoben, Austria; and Institute of Medical Biology and Human Genetics, Medical University Graz, Austria.
The granulocyte colony-stimulating factor receptor (G-CSF-R) transmits signals for proliferation and differentiation of myeloid progenitor cells. Here we report on the identification of a rare single nucleotide polymorphism within its intracellular domain (G-CSF-R_Glu785Lys). Screening a cohort of 116 patients with primary myelodysplastic syndromes (MDS), de novo acute myeloid leukemia (AML) (84 patients), as well as 232 age- and sex-matched controls revealed a highly significant association of the G-CSF-R_785Lys allele with the development of high-risk MDS as defined by more than 5% bone marrow blasts (9.7% versus 0.9% in controls; P = .001; odds ratio [OR], 12.5; 95% confidence interval [CI], 2.4-58.9) or an International Prognostic Scoring System score of intermediate-2 or high (13.0% versus 0.9%; P < .001; OR, 14.0; 95% CI, 3.4-85.0). Functional analysis by retroviral transfer of G-CSF-R_785Lys into myeloid progenitor cells of G-CSF-Rdeficient mice showed a significantly diminished colony-formation capacity after G-CSF stimulation as compared with cells transduced with the wild-type receptor. These results suggest that lifelong altered G-CSF response by the G-CSF-R_785Lys may render individuals susceptible to development of high-risk MDS.
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