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An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
[Expression of Extracellular Matrix Protein Reelin in Patients with Multiple Myeloma and Its Relationship with
Quan-Ming An1, Yuan-Gen Liu1, Liang Lin1
1Department of Immunology, Peking University Health Science Center, Beijing 100101,China.
Objective:
To investigate the expression of extracellular matrix protein Reelin (RELN) and its relationship with the prognosis of patients with multiple myeloma.
Methods:
The mononuclear cells were collected from bone marrows of multiple myeloma patients by Ficoll gradient density centrifugation, the CD138+ cells were then purified by flow cytometry, the mRNA level of RELN was detected by real time PCR. The myeloma patients were divided into 2 groups according to the relative expression levels of RELN. Then the relationship of RELN expression level with clinical data was analyzed statistically.
Results:
The high expression of RELN significantly correlated with the percentage of CD138+ cells, progress-free and total survival, but did not correlate significantly with DS (P>0.05) and ISS stages (P>0.05). The RELN high expression group showed higher levels of serum M protein, uric acid and serum calcium, lower hemoglobin, and more abnormal FISH results (including RB1 deletion, 1q21 amplification, IgH recombination, P53 deletion, D13S319 deletion) than those in RELN low expression group.
Conclusion:
Reelin correlates with the progression of multiple myeloma.
Insights
High expression of Reelin (RELN) in multiple myeloma patients correlates with poorer prognosis and disease progression. This finding suggests RELN may be a valuable biomarker for predicting patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Multiple myeloma is a hematological malignancy characterized by uncontrolled proliferation of plasma cells.
- Extracellular matrix proteins play crucial roles in tumor microenvironment and progression.
- Reelin (RELN) is an extracellular matrix glycoprotein with known roles in neuronal development and tissue repair.
Purpose of the Study:
- To investigate the expression of Reelin (RELN) in multiple myeloma patients.
- To determine the relationship between RELN expression levels and patient prognosis.
Main Methods:
- Mononuclear cells were isolated from bone marrow of multiple myeloma patients.
- CD138+ plasma cells were purified using flow cytometry.
- Messenger RNA (mRNA) levels of RELN were quantified using real-time PCR.
- Statistical analysis correlated RELN expression with clinical data and survival outcomes.
Main Results:
- High RELN expression significantly correlated with increased CD138+ cell percentage, reduced progression-free survival, and shorter overall survival.
- RELN expression did not significantly correlate with Durie-Salmon (DS) or International Staging System (ISS) stages.
- Patients with high RELN expression exhibited elevated serum M protein, uric acid, and calcium, lower hemoglobin, and more frequent chromosomal abnormalities (e.g., RB1 deletion, 1q21 amplification).
Conclusions:
- Reelin (RELN) expression is significantly associated with disease progression in multiple myeloma.
- RELN may serve as a prognostic biomarker for multiple myeloma patients.
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