Effects of Imatinib Mesylate on Renin–Angiotensin System (RAS) Activity during the Clinical Course of Chronic Myeloid Leukaemia

The renin–angiotensin system (RAS) is involved in cell growth, proliferation and differentiation in bone marrow in an autocrine–paracrine manner, and it modulates normal and neoplastic haematopoietic cell proliferation. This study aimed to assess expressions of the RAS components, renin, angiotensin...

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Veröffentlicht in:Journal of international medical research 2009-07, Vol.37 (4), p.1018-1028
Hauptverfasser: Sayitoglu, M, Haznedaroğlu, IC, Hatirnaz, O, Erbilgin, Y, Aksu, S, Koca, E, Adiguzel, C, Bayik, M, Akalin, I, Gülbas, Z, Akay, M, Unal, A, Kaynar, L, Ovali, E, Yilmaz, M, Yenerel, M, Dagdas, S, Ozet, G, Ar, C, Aydin, Y, Soysal, T, Durgun, B, Ozcebe, O, Tukun, A, Ilhan, O, Ozbek, U
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container_end_page 1028
container_issue 4
container_start_page 1018
container_title Journal of international medical research
container_volume 37
creator Sayitoglu, M
Haznedaroğlu, IC
Hatirnaz, O
Erbilgin, Y
Aksu, S
Koca, E
Adiguzel, C
Bayik, M
Akalin, I
Gülbas, Z
Akay, M
Unal, A
Kaynar, L
Ovali, E
Yilmaz, M
Yenerel, M
Dagdas, S
Ozet, G
Ar, C
Aydin, Y
Soysal, T
Durgun, B
Ozcebe, O
Tukun, A
Ilhan, O
Ozbek, U
description The renin–angiotensin system (RAS) is involved in cell growth, proliferation and differentiation in bone marrow in an autocrine–paracrine manner, and it modulates normal and neoplastic haematopoietic cell proliferation. This study aimed to assess expressions of the RAS components, renin, angiotensinogen and angiotensin-converting enzyme (ACE), during imatinib mesylate treatment of patients with chronic myeloid leukaemia (CML). Expressions of RAS components were studied in patients with CML at the time of diagnosis (n = 83) and at 3, 6 and 12 months after diagnosis (n = 35) by quantitative real-time polymerase chain reaction. De novo CML patients had increased ACE, angiotensinogen and renin mRNA levels and these expression levels decreased following administration of imatinib. The RAS activities were significantly different among Sokal risk groups of CML, highlighting the altered biological activity of RAS in neoplastic disorders. The results of this study confirm that haematopoietic RAS affects neoplastic cell production, which may be altered via administration of tyrosine kinase inhibitors such as imatinib mesylate.
doi_str_mv 10.1177/147323000903700406
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This study aimed to assess expressions of the RAS components, renin, angiotensinogen and angiotensin-converting enzyme (ACE), during imatinib mesylate treatment of patients with chronic myeloid leukaemia (CML). Expressions of RAS components were studied in patients with CML at the time of diagnosis (n = 83) and at 3, 6 and 12 months after diagnosis (n = 35) by quantitative real-time polymerase chain reaction. De novo CML patients had increased ACE, angiotensinogen and renin mRNA levels and these expression levels decreased following administration of imatinib. The RAS activities were significantly different among Sokal risk groups of CML, highlighting the altered biological activity of RAS in neoplastic disorders. The results of this study confirm that haematopoietic RAS affects neoplastic cell production, which may be altered via administration of tyrosine kinase inhibitors such as imatinib mesylate.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19761684</pmid><doi>10.1177/147323000903700406</doi><tpages>11</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Angiotensinogen - genetics
Angiotensinogen - metabolism
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Benzamides
Bone Marrow - drug effects
Bone Marrow - pathology
Drug Therapy, Combination
Female
Gene Expression
Humans
Imatinib Mesylate
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - drug therapy
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - metabolism
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - physiopathology
Male
Middle Aged
Peptidyl-Dipeptidase A - genetics
Peptidyl-Dipeptidase A - metabolism
Piperazines - pharmacology
Piperazines - therapeutic use
Protein Kinase Inhibitors - pharmacology
Protein Kinase Inhibitors - therapeutic use
Pyrimidines - pharmacology
Pyrimidines - therapeutic use
Renin - genetics
Renin - metabolism
Renin-Angiotensin System - drug effects
Renin-Angiotensin System - physiology
Young Adult
title Effects of Imatinib Mesylate on Renin–Angiotensin System (RAS) Activity during the Clinical Course of Chronic Myeloid Leukaemia
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