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XIAP在成人急性淋巴细胞白血病中的表达及其意义
引用本文:汪清铭,李鸿鹏,杨桂玲,王东宁. XIAP在成人急性淋巴细胞白血病中的表达及其意义[J]. 南昌大学学报(医学版), 2010, 50(1)
作者姓名:汪清铭  李鸿鹏  杨桂玲  王东宁
作者单位:南昌大学第二附属医院血液内科;中山大学附属第三医院血液实验室;
摘    要:目的探讨X连锁凋亡抑制蛋白(XIAP)在成人急性淋巴细胞白血病(ALL)中的表达及其临床意义。方法选取63例ALL患者,初治者37例[B-ALL29例,T-ALL8例;ph(+)-ALL12例,ph(-)-ALL25例]为初治组,血液学完全缓解(CR)者15例(CR组),复发者11例(复发组)。应用半定量逆转录-聚合酶链反应(RT-PCR)检测ALL骨髓标本XIAP基因表达水平,以20例非恶性血液病患者骨髓标本为对照组。结果初治组XIAP基因表达水平高于CR组和对照组(P<0.05),与复发组相比差异无统计学意义(P>0.05);B-ALL患者XIAP表达水平与T-ALL比较差异无统计学意义(P>0.05);ph(+)-ALL患者XIAP表达水平高于ph(-)-ALL(P<0.05);初治组XIAP高表达者较低表达者CR率明显下降(P<0.05)。结论ALL患者XIAP基因高表达,提示XIAP可能通过抑制白血病细胞凋亡参与了ALL的发生发展,为ALL的治疗提供了新思路。XIAP高表达可能是急性淋巴细胞白血病预后不良的指标之一。

关 键 词:急性淋巴细胞白血病  X连锁凋亡抑制蛋白  半定量逆转录-聚合酶链反应  

Expression and Clinical Significance of the X-linked Inhibitor of Apoptosis Protein (XIAP) in Adult Acute Lymphocytic Leukemia
WANG Qing-ming,LI Hong-peng,YANG Gui-ling,WANG Dong-ning. Expression and Clinical Significance of the X-linked Inhibitor of Apoptosis Protein (XIAP) in Adult Acute Lymphocytic Leukemia[J]. Journal of Nanchang University(Medical Science), 2010, 50(1)
Authors:WANG Qing-ming  LI Hong-peng  YANG Gui-ling  WANG Dong-ning
Affiliation:1.Department of Hematology/a>;the Second Affiliated Hospital of Nanchang University/a>;Nanchang 330006/a>;China/a>;2.Hematology Laboratory/a>;the Third Affiliated Hospital/a>;SUN Yat-sen University/a>;Guangzhou 510630/a>;China
Abstract:Objective To investigate the expression and clinical significance of the X-linked inhibitor of apoptosis protein (XIAP) in adult acute lymphocytic leukemia(ALL).Methods 63 patients from ALL were divided into 3 groups,newly diagnosed group(B-ALL 29 cases,T-ALL 8 cases,ph(+)-ALL 12 cases,ph(-)-ALL 25 cases) with 37 cases,complete remission group with 15 cases and relapsed group with 11 cases.20 patients without malignant blood disease were enrolled as control group.The expression level of XIAP in bone marrow ...
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