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Updated: Aug 15, 2026

Use of Hematopoietic Stem Cell Transplantation to Assess the Origin of Myelodysplastic Syndrome
Published on: October 3, 2018
[Apoptosis in MDS]
N Anzai1, H Kawabata, T Hishita
1Department of Medicine, Faculty of Medicine, Kyoto University.
Abstract:
We examined the endonuclease activity capable of inducing internucleosomal DNA fragmentation in hematopoietic cells. Mg(2+)-dependent nuclease activity was high in hematopoietic progenitor cells and the activity decreased with myeloid or erythroid differentiation. This was the case in MDS as well as in normal hematopoiesis. In contrast, Ca2+/Mg(2+)-dependent nuclease activity varied widely in the samples from MDS and the possibility was indicated that the activity of Glycophorin A+ cells was related to the degree of anemia. We also investigated DNA strand breaks in bone marrow samples from 16 patients with MDS and 10 with other diseases by an in situ end labeling (ISEL) technique. The reactivity in ISEL tended to increase parallel to disease progression of MDS. The high ISEL-positivity was also observed in some samples from patients with MPD and other diseases. Though ISEL is a useful technique for quantification of apoptosis, our results suggested that MDS cells with ISEL positive staining are not necessarily in the process of apoptosis.
Insights
Magnesium-dependent nuclease activity decreases during hematopoietic cell differentiation in myelodysplastic syndromes (MDS) and normal development. Calcium/magnesium-dependent nuclease activity in MDS may correlate with anemia severity.
Area of Science:
- Hematology
- Molecular Biology
- Cellular Biology
Background:
- Endonuclease activity is crucial for DNA fragmentation during apoptosis.
- Hematopoietic progenitor cells undergo differentiation into various blood cell lineages.
- Myelodysplastic syndromes (MDS) are a group of clonal hematopoietic stem cell disorders.
Purpose of the Study:
- To investigate the role of endonuclease activity in hematopoietic cells during normal and malignant hematopoiesis.
- To explore the correlation between nuclease activity, cellular differentiation, and disease progression in MDS.
- To differentiate apoptosis from other forms of DNA damage in MDS using in situ end labeling (ISEL).
Main Methods:
- Assay of Mg(2+)-dependent and Ca(2+)/Mg(2+)-dependent nuclease activity in hematopoietic cells.
- Analysis of nuclease activity in relation to myeloid and erythroid differentiation.
- Application of the in situ end labeling (ISEL) technique to bone marrow samples from MDS and other disease patients.
Main Results:
- Mg(2+)-dependent nuclease activity was high in hematopoietic progenitor cells and decreased with differentiation in both normal hematopoiesis and MDS.
- Ca(2+)/Mg(2+)-dependent nuclease activity varied in MDS, with potential links to anemia severity in Glycophorin A+ cells.
- ISEL reactivity increased with MDS disease progression, but high ISEL-positivity was also found in non-MDS conditions, suggesting it doesn't exclusively indicate apoptosis.
Conclusions:
- Mg(2+)-dependent nuclease activity is linked to the progenitor cell stage and diminishes upon differentiation.
- Ca(2+)/Mg(2+)-dependent nuclease activity may serve as a biomarker in MDS, potentially related to anemia.
- ISEL is a useful tool for detecting DNA strand breaks but should be interpreted cautiously in MDS as it may not solely reflect apoptosis.
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