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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.


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NEOPLASIA

A functional single-nucleotide polymorphism of the G-CSF receptor gene predisposes individuals to high-risk myelodysplastic syndrome

Albert Wölfler, Stefan J. Erkeland, Claudia Bodner, Marijke Valkhof, Wilfried Renner, Christina Leitner, Werner Olipitz, Michael Pfeilstöcker, Christoph Tinchon, Werner Emberger, Werner Linkesch, Ivo P. Touw, and Heinz Sill

From 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-R–deficient 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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