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THE RELATIONSHIP BETWEEN BONE MARROW STROMAL FIBROBLASTS, MYELOGRAM PERFORMANCE AND EFFICIENCY OF CHEMOTHERAPY IN CHILDREN WITH ACUTE LEUKEMIA
Author(s): ,
Katherine Bruslova
Affiliations:
Radiation Hematology for Children,SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
,
Nataliia Tsvietkova
Affiliations:
Radiation Hematology for Children,SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
,
Lesya Panchenko
Affiliations:
SI'Institute of Traumatology and Orthopedics NAMS Ukraine',Kiev,Ukraine
,
Lyudmila Lyashenko
Affiliations:
SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
,
Tatiana Pushkareva
Affiliations:
Radiation Hematology for Children,SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
,
Sergiy Yatsemyrskyy
Affiliations:
Radiation Hematology for Children,SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
Olena Kuznetsova
Affiliations:
Radiation Hematology for Children,SI “National Research Center for Radiation Medicine of NAMS of Ukraine,Kiev,Ukraine
(Abstract release date: 05/19/16) EHA Library. Bruslova K. 06/09/16; 134751; PB1851
Prof. Katherine Bruslova
Prof. Katherine Bruslova
Contributions
Abstract
Abstract: PB1851

Type: Publication Only

Background
Tumor microenvironment plays an important role in cancer initiation and progression. The cancer associated fibroblasts  impact on  resistance development to chemotherapeutic agents in the treatment of acute leukemia (AL) discussed. 

Aims
The aim of the study was to determine the relation between colony-forming efficiency  of bone marrow stromal fibroblasts, myelogram parameters and  effectiveness of  chemotherapy (CT) in children with lympho- and myelo- variants  of acute leukemia (ALL, AML). 

Methods
The study involved 38 children: ALL - 24, AML - 14. Age of children ranged from 6 to 18 years. Treatment was performed by standard protocols. Investigation of patients executed in complete remission phase after  full chemotherapy course of  primary diagnosis leukemia. Retrospective surveillance was conducted for 15 years. The effectiveness of chemotherapy evaluated by presence/absence of AL relapse. Among patients with ALL the relapse stated in 8 persons,  among AML -  in 7 children. Efficiency of bone marrow stromal fibroblast colony-forming units (E -CFUf) in vitro,  myelogram performance were studied. Spearman correlation coefficient, U- test were used. 

Results
E-CFUf not depend on the variant of acute leukemia  (Uemp. = 61.5). In patients with AL  we found the inverse correlation between the E-CFUf index and the percentage of erythroblasts (Rs = - 0,52) and monocytes (Rs = - 0,45) in the bone marrow.  The direct connection between the number of monocytes and erythroblasts in myelogram defined (Rs = + 0,59), probably because of their joint operation in the development of  erythroid elements of hematopoiesis. The inverse correlation( Rs = -0,44) between the percentage of monocytes in patients myelogram and  AL relapse occurence was found. 

Conclusion
The inverse correlation between stromal  fibroblasts and erythroblasts as monocytes in the bone marrow of  AL children  indicates the regulatory role of stromal microenvironment elements in the functioning of hematopoiesis in the development of malignancy. Discovered correlation  between relapse development  and the number of monocytes in the  AL patients bone marrow after end of  protocol treatment  opens up further possibilities to determine the mechanisms of  chemoresistance formation  at AL and review the ways to prognose the effectiveness of treatment of such patients.

Session topic: E-poster

Keyword(s): Chemoresistance, Leukemia, Microenvironment, Prognosis
Abstract: PB1851

Type: Publication Only

Background
Tumor microenvironment plays an important role in cancer initiation and progression. The cancer associated fibroblasts  impact on  resistance development to chemotherapeutic agents in the treatment of acute leukemia (AL) discussed. 

Aims
The aim of the study was to determine the relation between colony-forming efficiency  of bone marrow stromal fibroblasts, myelogram parameters and  effectiveness of  chemotherapy (CT) in children with lympho- and myelo- variants  of acute leukemia (ALL, AML). 

Methods
The study involved 38 children: ALL - 24, AML - 14. Age of children ranged from 6 to 18 years. Treatment was performed by standard protocols. Investigation of patients executed in complete remission phase after  full chemotherapy course of  primary diagnosis leukemia. Retrospective surveillance was conducted for 15 years. The effectiveness of chemotherapy evaluated by presence/absence of AL relapse. Among patients with ALL the relapse stated in 8 persons,  among AML -  in 7 children. Efficiency of bone marrow stromal fibroblast colony-forming units (E -CFUf) in vitro,  myelogram performance were studied. Spearman correlation coefficient, U- test were used. 

Results
E-CFUf not depend on the variant of acute leukemia  (Uemp. = 61.5). In patients with AL  we found the inverse correlation between the E-CFUf index and the percentage of erythroblasts (Rs = - 0,52) and monocytes (Rs = - 0,45) in the bone marrow.  The direct connection between the number of monocytes and erythroblasts in myelogram defined (Rs = + 0,59), probably because of their joint operation in the development of  erythroid elements of hematopoiesis. The inverse correlation( Rs = -0,44) between the percentage of monocytes in patients myelogram and  AL relapse occurence was found. 

Conclusion
The inverse correlation between stromal  fibroblasts and erythroblasts as monocytes in the bone marrow of  AL children  indicates the regulatory role of stromal microenvironment elements in the functioning of hematopoiesis in the development of malignancy. Discovered correlation  between relapse development  and the number of monocytes in the  AL patients bone marrow after end of  protocol treatment  opens up further possibilities to determine the mechanisms of  chemoresistance formation  at AL and review the ways to prognose the effectiveness of treatment of such patients.

Session topic: E-poster

Keyword(s): Chemoresistance, Leukemia, Microenvironment, Prognosis

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