Gewählte Publikation:
Rankl, J.
Response to alkylation damage of fibroblast cells from patients with therapy-related myeloid neoplasms
[ Dissertation ] Karl-Franzens-Universität Graz; 2011. pp.101.
- Autor*innen der Med Uni Graz:
- Betreuer*innen:
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Sill Heinz
- Altmetrics:
- Abstract:
- Therapy-related myeloid neoplasms (t-MNs) are severe long-term consequences of
chemo- and/or radiotherapy for a primary disease. It is generally accepted that
genetic predisposition plays a major role in therapy-related leukemogenesis. The
hypothesis that cellular response mechanisms to alkylation damage are deregulated
in constitutional cells of patients with t-MNs due to predisposing genetic events was
tested in this study. It was further examined whether genetic instability would also
be a consequence of such a treatment. Therefore primary fibroblast cultures were
established from skin biopsies from patients with t-MNs and matched healthy
controls. These cultures were treated with the cyclophosphamide derivate
phosphoramide mustard (PM), a bifunctional alkylating agent. The cellular response
to alkylation damage was assessed with respect to cell viability, cell cycle regulation
and chromosomal stability. Increased sensitivity to PM treatment could be
demonstrated in 7/13 (54%) patient samples. IC50, IC75 and IC90 values as well as
the percentage of viable cells at higher PM concentrations were significantly
different when comparing patient and control groups. Both, fibroblast cells from
patients and controls, properly induced cell cycle arrest following alkylating injury in
the G2/M phase of the cell cycle. Gross genomic alterations like chromosome and
chromatid breaks as well as structural and clonal numerical aberrations could be
induced via PM treatment. The extent of induced changes per mitosis, however,
was comparable in both, patient and control fibroblast cultures. These data
demonstrate for the first time hypersensitivity of constitutional cells from patients
with t-MNs to alkylation treatment indicating impaired DNA damage response and/or
repair mechanisms.