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弥漫性大B细胞淋巴瘤克隆性基因重排检测研究
引用本文:陈愉,赵彤,韩西群,吴炳绪,陈美燕.弥漫性大B细胞淋巴瘤克隆性基因重排检测研究[J].东南国防医药,2006,8(5):336-337,345.
作者姓名:陈愉  赵彤  韩西群  吴炳绪  陈美燕
作者单位:1. 解放军95临床部病理科,福建莆田,351100
2. 南方医科大学病理教研室,广东广州,510515
摘    要:目的对弥漫性大B细胞淋巴瘤(DLBCL)进行IgH基因重排研究。方法用免疫组化法标记筛选DLBCL,用针对IgH单轮扩增引物对DLBCL石蜡包埋组织进行多聚酶链反应(PCR)扩增检测克隆性基因重排。结果60例DLBCL IgH基因重排阳性率为51.7%(31/60),其中中心母细胞型阳性率54.5%(30/55),免疫母细胞型阳性率0.0%(0/3),间变性大细胞型阳性率50.0%(1/2)。结论DLBCL IgH基因重排检出率低于B细胞淋巴瘤总检出率,可能与DLBCL中存在IgH可变区体细胞超突变及背景细胞的数量有关。

关 键 词:淋巴瘤  大细胞  弥漫性  基因重排  多聚酶链反应
文章编号:1672-271X(2006)05-0336-03
收稿时间:2006-04-28
修稿时间:2006-07-03

Detection of gene rearrangement of immunoglobulin heavy chain in diffuse large B-cell lymphoma
CHEN Yu,ZHAO Tong,HAN Xi-Qun,WU Bing-Xu,CHEN Mei-Yan.Detection of gene rearrangement of immunoglobulin heavy chain in diffuse large B-cell lymphoma[J].Journal of Southeast China National Defence Medical Science,2006,8(5):336-337,345.
Authors:CHEN Yu  ZHAO Tong  HAN Xi-Qun  WU Bing-Xu  CHEN Mei-Yan
Abstract:Objective To investigate the features of gene rearrangement of immunoglobulin heavy chain(IgH) in diffuse large B-cell lymphoma(DLBCL).Methods 60 cases of DLBCL were selected by immunohistochemical method and IgH clonal gene rearrangement were analysed by PCR from paraffin-embeded sections derived from the cases above. Results IgH gene rearrangements were detected in 51.7%(31/60) of DLBCL.The positive rate of IgH gene rearrangement in centroblastic,immunoblastic,anaplastic large cell lymphoma was 54.5%,0.0% and 50.0% respectively.Conclusion The positive rate of IgH gene rearrangement in DLBCL is lower than that in total B-cell lymphoma,it may be correlated with somatic hypermutation in IgH variable region and the amount of background cells.
Keywords:Lymphoma  Large cell  Diffuse  Gene rearrangement  Polymerase chain reaction
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