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多发性骨髓瘤免疫表型特征及其临床意义
引用本文:张翠萍,汪鹏,李庆,徐修才,胡超杰,郑南. 多发性骨髓瘤免疫表型特征及其临床意义[J]. 中国临床保健杂志, 2016, 0(3): 228-231. DOI: 10.3969/J.issn.1672-6790.2016.03.002
作者姓名:张翠萍  汪鹏  李庆  徐修才  胡超杰  郑南
作者单位:1. 安徽医科大学附属省立医院 安徽省立医院,中心实验室,合肥 230001;2. 安徽医科大学附属省立医院 安徽省立医院肾脏内科,合肥,230001
基金项目:国家自然科学基金面上项目(81472018);安徽省自然科学基金面上项目(1408085MH145)
摘    要:目的探讨流式细胞术检测多发性骨髓瘤(MM)的免疫表型特征及其临床意义。方法应用多参数流式细胞术(MP-FCM),采用CD138/CD45/SSC设门,检测40例MM患者和20例正常献髓者骨髓细胞免疫表型。结果 MM患者抗原异常表达率由高到低分别为CD45~(dim+/-)(95%)、CD81~(dim+/-)(80%)、CD56~+(70%)、CD27~(dim+/-)(50%)、CD200~(++)(48%)、CD33~+(40%)、CD28~(++)(35%)、CD117~+(18%)、CD19~+(5%)和CD20~+(3%)。CD56+、CD200~(dim+)、CD28~(dim+)在正常浆细胞的表达率分别为10%、10%和5%。结论应用MP-FCM检测MM细胞免疫表型,可准确地鉴别良恶性浆细胞,有助于MM的诊断、预后判断及靶向治疗。

关 键 词:多发性骨髓瘤  免疫表型分型  浆细胞  流式细胞术
收稿时间:2015-10-08

Immunophenotype and its clinical significant of multiple myeloma
Zhang Cuiping,Wang Peng,Li Qing,Xu Xiucai,Hu Chaojie and Zheng Nan. Immunophenotype and its clinical significant of multiple myeloma[J]. Chinese Journal of Clinical Healthcare, 2016, 0(3): 228-231. DOI: 10.3969/J.issn.1672-6790.2016.03.002
Authors:Zhang Cuiping  Wang Peng  Li Qing  Xu Xiucai  Hu Chaojie  Zheng Nan
Affiliation:Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China,Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China,Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China,Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China,Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China and Central Laboratory of Medical Research Center,Affiliated Provincial Hospital of Anhui Medical Universtiy,Hefei 230001,China
Abstract:Objective To explore the immunophenotype and its clinical significant of Multiple Myeloma (MM).Methods The immunophenotype of 40 patients with MMand 20 normal volunteers were detected by multipa-rameter flow cytometry(MP-FCM).Results The abnormality expression of antigens sequence of patients with MMwas CD45 dim +/-(95%),CD81 dim +/-(80%),CD56 + (70%),CD27 dim +/-(50%),CD200 ++ (48%),CD33 + (40%), CD28 ++(35%),CD117 +(18%),CD19 +(5%),CD20 +(3%)in order.However the positive rations of CD56 +, CD200dim +and CD28dim + were 10%,10%and 5%,respectively.Conclusion MP-FCM inspections can accurately discriminate the benign and malignant plasma cell,and provide evidence for prognosis evaluation and targeted therapy.
Keywords:Multiple myeloma  Immunophenotyping  Plasma Cells  Flow cytometry
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