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急性髓系白血病细胞CD34+抗原表达及与预后的关系
引用本文:李玲,王蕊,钟笛,温丙昭,迪丽娜孜·阿不来提,蔺志强,贾明,郝建萍,陈瑢,郭新红,王蕾.急性髓系白血病细胞CD34+抗原表达及与预后的关系[J].中国实验血液学杂志,2005,13(5):812-814.
作者姓名:李玲  王蕊  钟笛  温丙昭  迪丽娜孜·阿不来提  蔺志强  贾明  郝建萍  陈瑢  郭新红  王蕾
作者单位:1. 新疆医科大学第一附属医院血液科、新疆血液病研究所,乌鲁木齐,830054
2. 上海市杨浦区中心医院内科,上海,200090
3. 新疆富蕴县人民医院检验科,富蕴,836100
4. 兰州军区乌鲁木齐总医院血液科,乌鲁木齐,830000
基金项目:新疆维吾尔自治区科技厅自然科学基金资助,编号200121102
摘    要:为了检测初治急性髓系白血病(AML)细胞CD34^+抗原的表达,并分析其与预后的关系,应用间接免疫荧光法检测了238例AML患者.结果表明:238例AML中CD34阳性表达者有92例,占38.7%.除M3无CD34阳性表达外,CD34^+表达与FAB亚型M0、M1有关;CD34^+组完全缓解率为32%,明显低于CD34^-纽的61%;除淋系抗原CD7在CD34^+组表达明显增高外,其它淋系抗原表达在两组间无差异(P<0.05).结论:有CD34^+表达的AML患者预后差、CR率低,检测CD34表达对判断AML疗效有一定价值.

关 键 词:急性髓系白血病  CD34抗原  白血病预后
文章编号:1009-2137(2005)05-0812-03
收稿时间:2004-08-30
修稿时间:2005-04-11

CD34 + Antigen Expression Relating to Prognosis in Acute Myeloid Leukemia
LI Ling,WANG Rui,ZHONG Di,WEN Bin-Zao,Dilinazi · ABULAITI,LIN Zhi-Qiang,JIA Ming,HAO Jian-Ping,CHEN Rong,GUO Xin-Hong,WANG Lei.CD34 + Antigen Expression Relating to Prognosis in Acute Myeloid Leukemia[J].Journal of Experimental Hematology,2005,13(5):812-814.
Authors:LI Ling  WANG Rui  ZHONG Di  WEN Bin-Zao  Dilinazi · ABULAITI  LIN Zhi-Qiang  JIA Ming  HAO Jian-Ping  CHEN Rong  GUO Xin-Hong  WANG Lei
Institution:Department of Hematology, The First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China.
Abstract:To explore CD34~ antigen expression in new diagnosed acute myeloid leukemia (AML) and analyze the prognosis for CD34~ AML patients, the expression of antigen CD34 in 238 AML patients was detected by indirect immunofluorescence assay. The results showed that CD34 in 92 out of the 238 patients (38.7%) were positive, there was relationship between the CD34~ expression and FAB subtypes (M_0, M_1), and no CD34~ expression was observed in M_3 subtyes. The complete remission rate of CD34~ AML patients was 32%, which was lower than that of CD34~- AML(61%). The lymphoid-associated antigen (CD7) was significantly increased in CD34~ AML patients, compared with CD34~- patients (P<0.05). It is concluded that CD34~ AML patients show poor prognosis and lower CR rate. The detection of CD34 expression is of some value in predicting prognosis in AML.
Keywords:acute myeloid luekemia  CD34 antigen  leukemic prognosis
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