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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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Submitted June 7, 2004
Accepted January 6, 2005

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

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

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, Leoben, Austria
Institute of Medical Biology and Human Genetics, Medical University, Graz, Austria

* Corresponding author; email: heinz.sill{at}meduni-graz.at.

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 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 >5% bone marrow blasts (9.7% vs. 0.9% in controls; p=0.001; odds ratio (OR) 12.5, 95% CI 2.4-58.9) or an international prognostic score of intermediate-2 or high (13.0% vs. 0.9%; p<0.001; 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 to cells transduced with the wildtype 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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