The Role of β-Catenin in Bcr/Abl Negative Myeloproliferative Neoplasms: An Immunohistochemical Study

Clin Lymphoma Myeloma Leuk. 2015 Dec;15(12):785-9. doi: 10.1016/j.clml.2015.08.084. Epub 2015 Sep 3.

Abstract

Introduction: β-Catenin is a multifunctional protein that acts as a central effector molecule in the Wnt signaling pathway. Aberrant activation of the Wnt/β-catenin signaling pathway causes various diseases including cancer. In this study we evaluated β-catenin expression in bcr/abl-negative myeloproliferative neoplasms (MPNs).

Materials and methods: The expression of β-catenin was evaluated in bone marrow using immunohistochemical methods in 66 patients with bcr/abl-negative myeloproliferative neoplasms (MPNs) and in 30 healthy control subjects. Immunreactive score (IRS; staining intensity × percentage of positive stained cells) was used for the evaluation of the cell staining reaction.

Results: IRS of megakaryocytes (IRSmega) was higher in essential thrombocytemia (ET) compared with the control group (P = .022) and primary myelofibrosis (PMF; P = .001). IRS of vascular endothelial cells (IRSvas) was higher in the bcr/abl negative MPN compared with the control group (P = .024). Also, IRSvas was higher in the PMF compared with the control group (P = .001), policythemia vera (PV; P = .005), and ET (P = .006). A positive correlation was detected between IRSmega and platelet counts (P = .019).

Conclusion: Results of this study suggest that the Wnt/β-catenin signaling pathway has a role in the angiogenesis of PMF and in the thrombopoiesis of PV and ET. Hence, targeting the Wnt/β-catenin signaling pathway could open new avenues for novel therapeutic approaches in bcr/abl-negative MPNs.

Keywords: Angiogenesis; Essential thrombocytemia; Primary myelofibrosis; Thrombopoiesis; Wnt/β-catenin signaling pathway.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Marrow / metabolism
  • Female
  • Fusion Proteins, bcr-abl / metabolism
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Polycythemia Vera / metabolism
  • Primary Myelofibrosis / metabolism*
  • Retrospective Studies
  • Thrombocythemia, Essential / metabolism
  • Wnt Signaling Pathway
  • Young Adult
  • beta Catenin / physiology*

Substances

  • CTNNB1 protein, human
  • beta Catenin
  • Fusion Proteins, bcr-abl