Whole blood transcriptional profiling reveals deregulation of oxidative and antioxidative defence genes in myelofibrosis and related neoplasms. Potential implications of downregulation of Nrf2 for genomic instability and disease progression

PLoS One. 2014 Nov 14;9(11):e112786. doi: 10.1371/journal.pone.0112786. eCollection 2014.

Abstract

The Philadelphia-negative chronic myeloproliferative neoplasms - essential thrombocythemia (ET), polycythemia vera (PV), and myelofibrosis (MF) (MPNs) - have recently been shown to be associated with chronic inflammation, oxidative stress and accumulation of reactive oxygen species (ROS). Using whole blood transcriptional profiling, we report that several oxidative stress and anti-oxidative stress genes are significantly deregulated in MPNs. Among the twenty most up- and downregulated genes, ATOX1, DEFB122, GPX8, PRDX2, PRDX6, PTGS1, and SEPP1 were progressively upregulated from ET over PV to PMF, whereas AKR1B1, CYBA, SIRT2, TTN, and UCP2 were progressively downregulated in ET, PV and PMF (all FDR <0.05). The gene Nrf2, encoding the transcription factor nuclear factor erythroid 2-related factor 2 (NFE2L2 or Nrf2) was significantly downregulated in all MPNs. Nrf2 has a key role in the regulation of the oxidative stress response and modulates both migration and retention of hematopoietic stem cells (HSCs) in their niche. The patogenetic importance of Nrf2 depletion in the context of expansion of the hematopoietic progenitor pool in MPNs is discussed with particular focus upon the implications of concomitant downregulation of Nrf2 and CXCR4 for stem cell mobilization.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Proteins / metabolism*
  • Denmark
  • Disease Progression
  • Female
  • Gene Expression Profiling / methods*
  • Gene Expression Regulation, Neoplastic / physiology*
  • Genomic Instability / genetics
  • Genomic Instability / physiology
  • Humans
  • Male
  • Middle Aged
  • Myeloproliferative Disorders / metabolism*
  • NF-E2-Related Factor 2 / metabolism*
  • Receptors, CXCR4 / metabolism*

Substances

  • Blood Proteins
  • CXCR4 protein, human
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human
  • Receptors, CXCR4

Grants and funding

The study has received grants from the The Danish Council for Independent Research Medical Sciences (http://fivu.dk/forskning-og-innovation/rad-og-udvalg/det-frieforskningsrad/radet/dff-sundhed-og-sygdom). The funders had no role in study design, data Collection and analysis, decision to publish, or preparation of the manuscript.