抗原处理相关转运因子在小儿急性白血病患者中的表达及其临床意义

背景与目的:抗原处理相关转运因子(transporterassociatedwithantigenprocessing,TAP)参与免疫监视,因而可能与肿瘤发生有关。本文旨在探讨急性白血病TAP分子表达及其临床意义,探讨急性白血病的治疗策略。方法:采用RT-PCR检测34例初治急性淋巴细胞白血病(acutelymphoblasticleukemia,ALL)(初治组)、15例复发ALL(复发组)及20例急性髓系白血病(acutemyeloidleukemia,AML)患者骨髓中TAP亚单位TAP1和TAP2的表达。20例无全身性疾病外科住院患儿作为对照组。使用数码成像分析仪测定并计算扩增条带的相对于阳性内对照GAPDH的吸光度(A)值。结果:ALL初治组和ALL复发组的TAP1A值(分别为0.448±0.167和0.169±0.021)及TAP2的A值(分别为0.196±0.180和0.112±0.020)均低于对照组,P均<0.01;AML组TAP2的A值低于对照组(P<0.01);ALL复发组TAP1的A值低于ALL初治组,P<0.05;ALL初治组复发者(6/34)TAP1的A值(0.215±0.159)较持续完全缓解(constantcompleteremission,CCR)者低(24/34,0.462±0.189,P<0.05)。结论:小儿ALL和AML均存在TAP分子低表达,这可能促使白血病细胞逃避免疫监视;TAP1亚单位低表达可能与ALL的复发有关。

Expression of transporter associated with antigen processing (TAP) in childhood acute leukemia and its clinical significance

BACKGROUND & OBJECTIVE: Transporter associated with antigen processing(TAP) participates in immune surveillance, so it is probably relevant to carcinogenesis. Investigation of expression of TAP and its clinical significance in childhood acute leukemia will be helpful to clarify pathogenesis and to develop immunotherapy strategy. METHODS: RT-PCR analysis was used to detect the expression of TAP1 and TAP2 in leukemia cells from bone marrow in 34 inpatients with primary acute lymphoblastic leukemia (ALL), 15 inpatients with relapsed ALL, 20 inpatients with acute medullary leukemia (AML), and 20 surgical inpatients without systematic disorders as control. And then,the absorbance (A) values of expanded bands were measured by digital imaging analyzer and relative A values were worked out based on A value of GAPDH (positive inside control). RESULTS: The relative A values of TAP1(0.448+/-0.167 and 0.169+/-0.021,respectively) and TAP2(0.196+/-0.180 and 0.112+/-0.020, respectively) in primary ALL group and relapsed ALL group were lower than those in control group (P< 0.01). The A values of LMP2, LMP7, and PA28alpha (991.4+/-532.7, 686.3+/-663.8, and 2022.3+/-1622.3, respectively) in relapsed ALL group were lower than those in control group (P less than 0.01,0.01 and 0.05, respectively). The A value of LMP2 in relapsed group was lower than that in control (P< 0.01). The A values of LMP7 for the cases with no remission and relapse were both lower than that for the cases with constant complete remission in primary ALL group (P< 0.01). The relative A value of TAP2 in AML group was lower than that in control group (P< 0.05). The relative A value of TAP1 in relapsed ALL group was lower than that in primary ALL group (P< 0.05). In primary ALL group, the relative A value of TAP1 (0.215+/-0.159) for cases with relapse (6/34 cases) was lower than that (0.462+/-0.189) for those with constant complete remission (24/34 cases) (P< 0.05). CONCLUSION: There exists decreased expression of TAP in both childhood ALL and AML, which probably contributes to the escape of leukemia cells from immune surveillance. Decreased expression of TAP1 subunit is probably related to the relapse of ALL.