1. Erythropoiesis and Gene Expression Analysis in Erythroid Progenitor Cells Derived from Patients with Hemoglobin H/Constant Spring Disease.
- Author
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Wongkhammul N, Khamphikham P, Tongjai S, Tantiworawit A, Fanhchaksai K, Wongpalee SP, Tubsuwan A, Maneekesorn S, and Charoenkwan P
- Subjects
- Humans, Male, Female, alpha-Thalassemia genetics, Cell Proliferation genetics, Adult, Gene Expression Profiling, Cell Survival genetics, Gene Expression Regulation, Hematopoietic Stem Cells metabolism, Antigens, CD34 metabolism, Erythropoiesis genetics, Erythroid Precursor Cells metabolism, Cell Differentiation genetics
- Abstract
Hemoglobin H/Constant Spring (Hb H/CS) disease represents a form of non-deletional Hb H disease characterized by chronic hemolytic anemia that ranges from moderate to severe and may lead to transfusion-dependent thalassemia. To study the underlying mechanisms of this disease, we conducted an analysis of erythropoiesis and gene expression in erythroid progenitor cells derived from CD34+ hematopoietic stem/progenitor cells from patients with Hb H/CS disease and normal controls. Twelve patients with Hb H/CS disease and five normal controls were enrolled. Peripheral blood samples were collected to isolate CD34+ hematopoietic stem/progenitor cells for the analysis of cell proliferation and differentiation. Six samples from patients with Hb H/CS disease and three controls were subsequently studied for gene expression by next generation sequencing analysis. Erythroid progenitor cells derived from patients with Hb H/CS disease exhibited a trend towards increased rates of erythroid proliferation and decreased cell viability compared to those from controls. Moreover, erythroid progenitor cells derived from patients with Hb H/CS disease demonstrated delayed terminal differentiation. Gene expression profiling revealed elevated levels of genes encoding molecular chaperones, including the heat shock protein genes ( HSP s) and the chaperonin containing TCP-1 subunit genes ( CCT s) in the Hb H/CS disease group. In summary, erythroid progenitor cells derived from patients with Hb H/CS disease exhibit a trend towards heightened erythroid proliferation, diminished cell viability, and delayed terminal differentiation. Additionally, the increased expression of genes encoding molecular chaperones was observed, providing information on potential underlying pathophysiological mechanisms.
- Published
- 2024
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