Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.

Diamond-Blackfan Anaemia (DBA) is a rare inherited anaemia caused by heterozygous mutations in one of 13 ribosomal protein genes. Erythroid progenitors (BFU-E and CFU-E) in bone marrow (BM) show a proapoptotic phenotype. Suspicion of DBA is reached after exclusion of other forms of BM failure syndro...

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Main Authors: Serena Macrì, Elisa Pavesi, Rossella Crescitelli, Anna Aspesi, Claudia Vizziello, Carlotta Botto, Paola Corti, Paola Quarello, Patrizia Notari, Ugo Ramenghi, Steven Robert Ellis, Irma Dianzani
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0138200
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author Serena Macrì
Elisa Pavesi
Rossella Crescitelli
Anna Aspesi
Claudia Vizziello
Carlotta Botto
Paola Corti
Paola Quarello
Patrizia Notari
Ugo Ramenghi
Steven Robert Ellis
Irma Dianzani
author_facet Serena Macrì
Elisa Pavesi
Rossella Crescitelli
Anna Aspesi
Claudia Vizziello
Carlotta Botto
Paola Corti
Paola Quarello
Patrizia Notari
Ugo Ramenghi
Steven Robert Ellis
Irma Dianzani
author_sort Serena Macrì
collection DOAJ
description Diamond-Blackfan Anaemia (DBA) is a rare inherited anaemia caused by heterozygous mutations in one of 13 ribosomal protein genes. Erythroid progenitors (BFU-E and CFU-E) in bone marrow (BM) show a proapoptotic phenotype. Suspicion of DBA is reached after exclusion of other forms of BM failure syndromes. To improve DBA diagnosis, which is confirmed by mutation analysis, we tested a new approach based on the study of extracellular vesicles (EVs) isolated from plasma by differential centrifugations and analysed by flow cytometry. We chose CD34, CD71 and CD235a markers to study erythroid EVs. We characterised the EVs immunophentoypic profiles of 13 DBA patients, 22 healthy controls and 16 patients with other haematological diseases. Among the three EVs clusters we found, only the CD34+/CD71low population showed statistically significant differences between DBA patients and controls (p< 0.05). The absence of this cluster is in agreement with the low levels of BFU-E found in DBA patients. The assessment of ROC curves demonstrated the potential diagnostic value of this population. We suggest that this assay may be useful to improve DBA diagnosis as a quicker and less invasive alternative to BM BFU-E culture analysis.
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spelling doaj-art-a1c3e6f53aa74e10a720cd0223b55a8a2025-08-20T02:22:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01109e013820010.1371/journal.pone.0138200Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.Serena MacrìElisa PavesiRossella CrescitelliAnna AspesiClaudia VizzielloCarlotta BottoPaola CortiPaola QuarelloPatrizia NotariUgo RamenghiSteven Robert EllisIrma DianzaniDiamond-Blackfan Anaemia (DBA) is a rare inherited anaemia caused by heterozygous mutations in one of 13 ribosomal protein genes. Erythroid progenitors (BFU-E and CFU-E) in bone marrow (BM) show a proapoptotic phenotype. Suspicion of DBA is reached after exclusion of other forms of BM failure syndromes. To improve DBA diagnosis, which is confirmed by mutation analysis, we tested a new approach based on the study of extracellular vesicles (EVs) isolated from plasma by differential centrifugations and analysed by flow cytometry. We chose CD34, CD71 and CD235a markers to study erythroid EVs. We characterised the EVs immunophentoypic profiles of 13 DBA patients, 22 healthy controls and 16 patients with other haematological diseases. Among the three EVs clusters we found, only the CD34+/CD71low population showed statistically significant differences between DBA patients and controls (p< 0.05). The absence of this cluster is in agreement with the low levels of BFU-E found in DBA patients. The assessment of ROC curves demonstrated the potential diagnostic value of this population. We suggest that this assay may be useful to improve DBA diagnosis as a quicker and less invasive alternative to BM BFU-E culture analysis.https://doi.org/10.1371/journal.pone.0138200
spellingShingle Serena Macrì
Elisa Pavesi
Rossella Crescitelli
Anna Aspesi
Claudia Vizziello
Carlotta Botto
Paola Corti
Paola Quarello
Patrizia Notari
Ugo Ramenghi
Steven Robert Ellis
Irma Dianzani
Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
PLoS ONE
title Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
title_full Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
title_fullStr Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
title_full_unstemmed Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
title_short Immunophenotypic Profiling of Erythroid Progenitor-Derived Extracellular Vesicles in Diamond-Blackfan Anaemia: A New Diagnostic Strategy.
title_sort immunophenotypic profiling of erythroid progenitor derived extracellular vesicles in diamond blackfan anaemia a new diagnostic strategy
url https://doi.org/10.1371/journal.pone.0138200
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