Abstract
Myeloproliferative neoplasms (MPN) are hematological disorders characterized by increased proliferation of precursor and mature myeloid cells. MPN patients may present driver mutations in JAK2, MPL, and CALR genes, which are essential to describe the molecular mechanisms of MPN pathogenesis. Despite all the new knowledge on MPN pathogenesis, many questions remain to be answered to develop effective therapies to cure MPN or impair its progression to acute myeloid leukemia. The present study examined the expression levels of the Hippo signaling pathway members in patients with polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF), as well as the role that they play in disease pathogenesis. The Hippo pathway is a tumor suppressor pathway that participates in the regulation of cell proliferation, differentiation, and death. Our main finding was that the expression of tumor suppressor genes from Hippo pathway were downregulated and seemed to be associated with cell resistance to apoptosis and increased proliferation rate. Therefore, the decreased expression of Hippo pathway-related genes may contribute to the malignant phenotype, apoptosis resistance, and cell proliferation in MPN pathogenesis.
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Funding
This study was supported by the Coordination for the Improvement of Higher Education Personnel (CAPES; Finance Code 001); the São Paulo Research Foundation (FAPESP; Regular Research Grant #2018/19714-7; CTC Grant #2013/08135-2; INCTC Grant #2014/50947-7; Young Investigator Grant# 2015/21866-1), and by the National Council for Scientific and Technological Development (CNPq Grants #163064/2018-0, #169093/2018-2, and #305959/2018-2). MCC and MGBC are recipients from FAPESP scholarships (Grants #2014/04234-9 and #2015/23555-3, respectively).
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by MdCC, JGC, LMP, MGB-C, GMB, LB, TM, RT, NdSN, and EXS. The first draft of the manuscript was written by MdCC and FAdC. The manuscript was reviewed by LLdF-P, APY, and FAdC. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Cacemiro, M.C., Cominal, J.G., Pereira, L.M. et al. Hippo pathway-related genes expression is deregulated in myeloproliferative neoplasms. Med Oncol 39, 97 (2022). https://doi.org/10.1007/s12032-022-01696-x
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DOI: https://doi.org/10.1007/s12032-022-01696-x