粒—巨噬细胞集落刺激因子对Vp16诱导白血病细胞凋亡的调控作用

目的：探讨粒－巨噬细胞集落刺激因子（ＧＭ－ＣＳＦ）对Ｖｐ１６诱导白血病细胞凋亡的调控作用，指导白血病临床治疗中正确使用ＧＭ－ＣＳＦ。方法：在构建高效表达ＧＭ－ＣＳＦ的逆转录载体Ｎ２Ａ／ＣＭＶ／ＧＭ－ＣＳＦ表达系统的基础上，对转ＧＭ－ＣＳＦ基因和未转ＧＭ－ＣＳＦ基因的白血病ＨＬ－６０细胞进行研究。结果：未转ＧＭ－ＣＳＦ基因及转空载体Ｎ２Ａ的ＨＬ－６０细胞经Ｖｐ１６处理后均出现凋亡的特征性表现：ＤＮＡ电泳呈梯状；流式细胞仪ＤＮＡ直方图上呈现特征性的亚二倍体（亚Ｇ１）峰；透射电镜观察细胞形态可见凋亡的特征性改变。结论：Ｖｐ１６具有诱导白血病细胞发生凋亡的作用，而ＧＭ－ＣＳＦ能够抑制Ｖｐ１６诱导的细胞凋亡。以上结果表明，白血病临床治疗中为预防和改善化疗所致骨髓抑制而应用ＧＭ－ＣＳＦ时，应谨慎地选择时机，在化疗前和化疗期间不宜使用，以避免白血病细胞对抗癌药物诱导的凋亡产生抵抗而导致耐药。

GM CSF regulates the Vp16 induced leukemic cell apoptosis

OBJECTIVE: To explore the regulatory effects of granulocyte-macrophage colony stimulating factor (GM-CSF) on the apoptosis of leukemic cells induced by Vp16. METHODS: High expression retrovirus vector, N2A/CMV/GM-CSF, was constructed and transferred into human leukemic cell line HL-60, and Vp16 (final concentration 10microg/ml) was administered to transferred or nontransferred HL-60 cells. RESULTS: After Vp16 treatment, characteristic changes for apoptosis emerged in HL-60 cells. However, these findings did not emerge in GM-CSF gene transferred HL-60 cells. CONCLUSION: GM-CSF can suppress the leukemic cell apoptosis induced by Vp16.