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急性白血病IgH基因重排的研究
引用本文:潘秋炉,仇一华,郭淑芬,钱关祥,徐淑芝,沈红强,洪文澜,陈诗书. 急性白血病IgH基因重排的研究[J]. 中华儿科杂志, 1995, 0(2)
作者姓名:潘秋炉  仇一华  郭淑芬  钱关祥  徐淑芝  沈红强  洪文澜  陈诗书
作者单位:浙江医科大学附属儿童医院,上海第二医科大学分子生物学实验室
基金项目:浙江省科委基金,国家自然科学基金
摘    要:
对105例儿童白血病细胞作了IgH基因重排半巢式聚合酶链反应(PCR)分析,结果显示重排主要见于B细胞系急性淋巴细胞白血病(阳性率75.5%)及相关杂合性白血病(HAL)中,说明IgH基因重排PCR分析结果可作为分型指标之一。15例正常外周血淋巴细胞则无明显条带,说明可以区分克隆性和反应性增生。22例同时与DNA印迹比较,结果相关。5例PCR产物序列分析表明序列同源性小,是克隆特异性的。3例动态分析示3例均在完全缓解期测得白血病克隆,说明IgH基因重排PCR分析可以检测白血病克隆的消长、演变,值得进一步研究。

关 键 词:白血病,基因,聚合酶链反应

A STUDY ON CDRIII OF IgH GENE INCHILDREN WITH ACUTE LEUKEMIA
Pan Qiulu, Chou Yikua, Guo Shufen,et al.. A STUDY ON CDRIII OF IgH GENE INCHILDREN WITH ACUTE LEUKEMIA[J]. Chinese journal of pediatrics, 1995, 0(2)
Authors:Pan Qiulu   Chou Yikua   Guo Shufen  et al.
Affiliation:Pan Qiulu, Chou Yikua, Guo Shufen, et al.
Abstract:
he DNAs from leukemic cells in 105 childrenwith acute leukemia were analyzed by using PCRmethod. The results indicated that IgH gene rearrange-ments were mainly in B precursor acute leukemia , sug-gesting that it can be used for leukemia subtyping. ThePBL DNAs from 15 normal subjects were also analyzedin the same way; however, no sharp band was noted ,which was different from those of leukemia. IgH generearrangements were further analyzed in 22 cases of a-cute leukemia by Southern blot. The resuhs obtainedby both methods showed a good correlation. Analysisof DNA sequences of PCR product was done in fivecases. The data showed that sequences of V-D-J rear-rangement was of clonal specificity. Dynamic analysisin totally three cases showed a clonal remission. It isconcluded that PCR analysis of IgH gene can be used todetect clonal changes in acute leukemia.
Keywords:Leukemia Genes Polymerasechain reaction
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