ITGAM在急性髓系白血病中的上调与抑制性先天免疫细胞浸润相关的不良预后

IF 2.2 4区 医学 Q3 HEMATOLOGY
Chen-Chen Qin, Xiu-Zhen Tong, Chang Su, Zhen-Hai Zhou, Dong Zheng
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引用次数: 0

摘要

背景:急性髓性白血病(AML)是一种常见的、潜在致命的血液系统恶性肿瘤,在过去的几十年里生存率的改善有限。编码CD11b的ITGAM是白细胞中重要的整合素成分,参与多种生物过程。然而,其在AML预后和免疫细胞浸润中的作用仍然知之甚少。方法:通过综合生物信息学分析,探讨ITGAM在AML中的预后意义和潜在功能。结果:ITGAM在AML患者中表达明显上调,与高龄(60 ~ 60岁)、法美英(FAB)分型M4和M5、中等或较差的细胞遗传学风险相关。基因富集分析显示,ITGAM参与免疫系统调节,并与AML中中性粒细胞、未成熟树突状细胞和巨噬细胞的浸润呈正相关。值得注意的是,ITGAM的表达与这些先天免疫细胞的免疫抑制亚群的浸润增加有关,这可能部分解释了其与较差预后的关联。结论:这些研究结果表明,ITGAM可以作为AML中有价值的预后生物标志物,反映与免疫抑制性先天免疫细胞浸润增强相关的不良预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ITGAM Upregulation in Acute Myeloid Leukemia Leads to Poor Prognosis Associated With Infiltration of Inhibitory Innate Immune Cells

Background

Acute myeloid leukemia (AML) is a prevalent and potentially fatal hematologic malignancy with limited improvements in survival rates over the past few decades. ITGAM, encoding CD11b, is a significant integrin component in leukocytes, involved in various biological processes. However, its role in AML prognosis and immune cell infiltration remains poorly understood.

Methods

This study investigated the prognostic significance and potential function of ITGAM in AML using comprehensive bioinformatic analyses.

Results

ITGAM expression was markedly upregulated in AML patients, correlating with advanced age (> 60 years), French-American-British (FAB) classification subtypes M4 and M5, and intermediate or poor cytogenetic risk. Gene enrichment analysis revealed that ITGAM was involved in immune system regulation and was positively associated with the infiltration of neutrophils, immature dendritic cells, and macrophages in AML. Notably, the expression of ITGAM was linked to increased infiltration of immunosuppressive subsets of these innate immune cells, which may partially explain its association with a poorer prognosis.

Conclusion

These findings suggest that ITGAM could serve as a valuable prognostic biomarker in AML, reflecting an adverse prognosis associated with enhanced infiltration of immunosuppressive innate immune cells.

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来源期刊
CiteScore
4.50
自引率
6.70%
发文量
211
审稿时长
6-12 weeks
期刊介绍: The International Journal of Laboratory Hematology provides a forum for the communication of new developments, research topics and the practice of laboratory haematology. The journal publishes invited reviews, full length original articles, and correspondence. The International Journal of Laboratory Hematology is the official journal of the International Society for Laboratory Hematology, which addresses the following sub-disciplines: cellular analysis, flow cytometry, haemostasis and thrombosis, molecular diagnostics, haematology informatics, haemoglobinopathies, point of care testing, standards and guidelines. The journal was launched in 2006 as the successor to Clinical and Laboratory Hematology, which was first published in 1979. An active and positive editorial policy ensures that work of a high scientific standard is reported, in order to bridge the gap between practical and academic aspects of laboratory haematology.
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