Flow Cytometry Analysis of Mesenchymal Stem Cells: A Predictive Biomarker for Leukemia Transformation in Myelodysplastic Syndrome

EJHaem Pub Date : 2025-05-28 DOI:10.1002/jha2.70059
Mireia Atance, Cristina Serrano, Carlos Soto, Juan Manuel Alonso-Domínguez, Carlos Blas, Raquel Mata, Tamara Castaño, Sara Perlado, Teresa Arquero, Jose Luis López-Lorenzo, M. Ángeles Pérez, Belen Rosado, Rafael Martos, Ana Rio-Machin, Pilar Llamas-Sillero, Rocio N. Salgado, Juana Serrano-López
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引用次数: 0

Abstract

Objective

This study evaluates the prognostic value of bone marrow-derived mesenchymal stem cells (MSCs) in predicting the progression of Myelodysplastic Syndrome (MDS) to Acute Myeloid Leukemia (AML).

Methods

MSC-like cells were analyzed using flow cytometry in a cohort of 49 MDS patients, including transformed and non-transformed groups.

Results

A non-hematopoietic CD13-bright cell population, enriched for MSC markers CD105 and CD90, was identified in 80% of patients at diagnosis. Elevated of these MSC-like cells were significantly associated with earlier progression to leukemia and reduced overall survival. Multivariate analysis confirmed MSC content as an independent predictor of leukemia transformation.

Conclusion

MSC-like cell content at MDS diagnosis may serve as a novel biomarker of predicting malignant transformation to AML. Further validation in larger cohorts and better phenotypic characterization of this cell population are needed.

Trial Registration

The authors have confirmed clinical trial registration is not needed for this submission

间充质干细胞的流式细胞术分析:骨髓增生异常综合征中白血病转化的预测性生物标志物
目的探讨骨髓间充质干细胞(MSCs)在预测骨髓增生异常综合征(MDS)发展为急性髓系白血病(AML)中的预后价值。方法采用流式细胞术分析49例MDS患者骨髓间质干细胞样细胞,包括转化组和非转化组。结果在80%的确诊患者中发现了非造血cd13亮细胞群,富集了MSC标志物CD105和CD90。这些间质干细胞样细胞的升高与白血病的早期进展和总生存率的降低显著相关。多变量分析证实MSC含量是白血病转化的独立预测因子。结论MDS诊断时骨髓间质干细胞样细胞含量可作为预测恶性转化为AML的一种新的生物标志物。需要在更大的队列中进行进一步验证,并对该细胞群进行更好的表型表征。试验注册作者已确认该提交不需要临床试验注册
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