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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.
Submitted June 7, 2004
Division of Hematology, 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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