title: Identification of defects in the transcriptional program during lineage-specific in vitro differentiation of CD34(+) cells selected from patients with both low- and high-risk myelodysplastic syndrome.
abstract: OBJECTIVE
  Development of myelodysplastic syndrome (MDS) is suggested to follow a multistep pathogenesis and is characterized by accumulation of molecular defects of the hematopoietic stem/progenitor cells, resulting in aberrant differentiation and proliferation.
  
  
  METHODS
  To detect alterations within the transcriptional program in MDS-derived CD34(+) cells during lineage-specific differentiation, we performed serial gene expression analysis of in vitro differentiated erythro-, granulo-, and megakaryopoietic cells using oligonucleotide microarrays (HG-U133A, Affymetrix, Santa Clara, CA, USA). For selected genes, expression data were confirmed using real-time polymerase chain reaction.
  
  
  RESULTS
  We identified genes with altered expression during lineage-specific differentiation in either low- or high-risk MDS cells compared to the expression patterns of continuously up- or downregulated genes from the normal transcriptional program of hematopoiesis. In cluster analyses, we could show that MDS samples have a distinct expression pattern of a set of selected genes compared to normal cells, which allows prediction of the affiliation of a sample to one group. Furthermore, this study gives an overview of genes that are differentially expressed in MDS cells compared to normal hematopoiesis.
  
  
  CONCLUSIONS
  Our data provide the first comprehensive transcriptional analysis of differentiating human CD34(+) cells derived from MDS patients compared to normal individuals. It gives new insights into the alteration of differentiation and proliferation of MDS stem cells.
authors.affiliation: Department of Hematology and Oncology, University Hospital, Frankfurt/Main, Germany.
authors.forename: Saskia
authors.initials: S
authors.lastname: Gueller
authors.forename: Martina
authors.initials: M
authors.lastname: Komor
authors.forename: Daniel
authors.initials: D
authors.lastname: Nowak
authors.forename: Claudia D
authors.initials: CD
authors.lastname: Baldus
authors.forename: Sven
authors.initials: S
authors.lastname: de Vos
authors.forename: Dieter
authors.initials: D
authors.lastname: Hoelzer
authors.forename: Oliver G
authors.initials: OG
authors.lastname: Ottmann
authors.forename: Wolf-K
authors.initials: WK
authors.lastname: Hofmann
mesh_terms: D002454:Cell Differentiation; D049109:Cell Proliferation; D020869:Gene Expression Profiling; D005786:Gene Expression Regulation; D006412:Hematopoietic Stem Cells / Q000378:metabolism* / Q000473:pathology; D006801:Humans; D018189:Immunomagnetic Separation; D009190:Myelodysplastic Syndromes / Q000235:genetics / Q000378:metabolism* / Q000473:pathology; D020411:Oligonucleotide Array Sequence Analysis; D012307:Risk Factors; D014158:Transcription, Genetic