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Autologous Bone Marrow Transplantation - Blog Science Connections

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724 Aberrant Gene Expression in AML<br />

ciated with particular leukemias; this may lead to deregulated expression of<br />

these oncogenes. Furthermore, structural abnormalities and amplifications<br />

associated with the enhanced expression of cellular oncogenes have been<br />

consistently observed in neoplastic hematopoietic cells.<br />

At the moment, no monitor system exists for the presence of leukemic<br />

cells in remission. The leukemic colony-forming-cell (CFC-Le) assays are not<br />

suitable for detecting leukemic cells in remission, since the culture conditions<br />

used also give rise to colonies derived from normal cells. In addition, the<br />

frequency of CFC-Le is low, 0.01% to 0.1% of the leukemic-cell population,<br />

which makes detection in remission unlikely. Because of these limitations,<br />

we have begun to investigate the use of molecular hybridization technologies,<br />

in particular RNA in situ hybridization, as sensitive detection methods for<br />

leukemic cells.<br />

Expression<br />

Levels<br />

RESULTS AMD DISCUSSION<br />

Northern Blot Analyses<br />

We have found that many of the proto-oncogenes studied were expressed<br />

in human normal bone marrow (Table 1). These data support the idea that<br />

these genes play a role in adult normal hematopoietic metabolism. Most of<br />

these genes (with the exception of c-fos) are expressed at very low levels in<br />

normal marrow samples. In contrast to the constant low-level expression of<br />

these genes in normal cells, their level of expression is high, but variable, in<br />

different forms of leukemia (Table 1). This high level of expression is<br />

particularly noticeable for c-myc in all leukemic samples studied. Cinder<br />

conditions where c-myc expression is barely detectable in normal bone<br />

marrow samples after northern blot hybridization to a 32 P-labeled probe, a<br />

strong signal is obtained for all acute leukemia samples tested. Although this<br />

increase in signal may simply be a result of an increase in the proportion of<br />

proliferating blast cells present in the cell population, it may also reflect an<br />

overexpression of c-myc in the leukemic cell population.<br />

Transcript Size<br />

There are data to suggest that the presence of an aberrantly sized<br />

transcript of certain proto-oncogenes is associated with leukemia (10). In all<br />

but two cases, c-fes and c-K-ras, the transcript size present in normal<br />

hematopoietic cells is the same as that detected in leukemia (Table 1). When<br />

probing with c-fes, we find a broad hybridization band probably representing<br />

two or three unresolved bands. In some, samples the transcript size is slightly<br />

smaller than 2.7 kb and in other samples slightly larger. We can find no<br />

correlation between the varying transcript sizes and the samples tested. This<br />

leads us to believe that the ability to detect an aberrant transcript will be

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