1. Differential regulatory effects of chemotherapeutic protocol on CCL3_CCL4_CCL5/CCR5 axes in acute myeloid leukemia patients with monocytic lineage.
- Author
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Yazdani Z, Mousavi Z, Ghasemimehr N, Kalantary Khandany B, Nikbakht R, Jafari E, Fatemi A, and Hassanshahi G
- Subjects
- Adult, Bone Marrow metabolism, Bone Marrow pathology, Cell Lineage, Chemokine CCL3 biosynthesis, Chemokine CCL4 biosynthesis, Chemokine CCL5 biosynthesis, Chemokines blood, Disease Progression, Female, Humans, Leukemia, Myeloid, Acute pathology, Leukocyte Count, Lymphocytes metabolism, Lymphocytes pathology, Male, Middle Aged, Receptors, CCR5 biosynthesis, Antineoplastic Combined Chemotherapy Protocols adverse effects, Chemokine CCL3 drug effects, Chemokine CCL4 drug effects, Chemokine CCL5 drug effects, Leukemia, Myeloid, Acute drug therapy, Leukemia, Myeloid, Acute metabolism, Monocytes pathology, Receptors, CCR5 drug effects
- Abstract
Aims: AML (Acute myeloid leukemia) is characterized as a heterogeneous cancer. Chemokines play fundamental roles in the onset, progression cellular, migration, survival and improvement of AML therapy outcomes. The CCR5 receptors together with their ligands have indirect effects on the progression of cancer. In the present study, we have decided to investigate the impact of chemotherapy on the expression of CCR5 and its related ligands (CCL5, CCL4 and CCL3)., Main Methods: In this study, peripheral blood and bone marrow specimens were collected prior and post the first stage of (7 + 3) chemotherapy from 25 AML-M4/M5 patients. The expression of CCR by Lymphocytes in peripheral blood was examined by flow cytometry and QRT-PCR. The serum levels of chemokines were measured by ELISA., Key Findings: There was not observed leukemic blast cells in peripheral blood smear at post first stage of chemotherapy. We found that the expression of CCR5 was attenuated in patients post the first stage of chemotherapy and the healthy control subjects. We have also observed that the serum levels of chemokines were elevated in AML patients prior to chemotherapy. Although in post-chemotherapy stage, only CCL3 was found to reach to the baseline level, CCL5 and CCL4 have not returned to the basal level and were significantly higher than healthy control subjects., Significance: The current chemotherapy protocol was not able to completely inhibit CCL5 and CCL4. In conclusion, our findings in harmony with previous studies suggest that inhibition of chemokines along with chemotherapy in AML patients may aid therapy., (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Published
- 2020
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