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BRIEF REPORT
From the Department of Clinical Pathology, Samsung
Medical Center, School of Medicine, Sungkyunkwan University; Korea
Cancer Center Hospital; and the College of Medicine, Hallym University,
Seoul, Korea.
Patients with reduced ability to metabolize environmental
carcinogens or toxins may be at risk of developing aplastic anemia. Glutathione S-transferase (GST) has been implicated in detoxifying mutagenic electrophilic compounds. This study asked whether the homozygous gene deletions of GSTM1 and
GSTT1 affect the likelihood of developing aplastic
anemia. The incidence of GSTM1 and GSTT1 gene
deletions was significantly higher for aplastic anemia patients (odds
ratio [OR]: 3.1, P = .01 and OR: 3.1, P = .004, respectively) than for healthy
controls. Among the aplastic anemia patients, 17.5% (10:57) had
chromosomal abnormalities at the time of diagnosis, and all aplastic
anemia patients with chromosomal abnormalities showed
GSTT1 gene deletions (P = .048). Individuals
with GSTM1 and GSTT1 gene deletions may have
greater susceptibility to aplastic anemia. It is possible that
genetic instability or chromosomal damage due to abnormal
detoxification of environmental toxins might have worked as an
important pathophysiologic mechanism of aplastic anemia for patients
with GSTT1 gene deletions. This article has been cited by other articles:
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| Copyright © 2001 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||