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急性髓系白血病MDR1和BAALC基因表达水平及其预后意义的探讨
引用本文:刘秉珊,郭绪涛,查洁,史鹏程,黄芬,陈伟丰,徐兵.急性髓系白血病MDR1和BAALC基因表达水平及其预后意义的探讨[J].中华肿瘤防治杂志,2011,18(21).
作者姓名:刘秉珊  郭绪涛  查洁  史鹏程  黄芬  陈伟丰  徐兵
作者单位:1. 南方医科大学南方医院血液科,广东广州510515;解放军第一五五中心医院血液肿瘤科,河南开封475003
2. 南方医科大学南方医院血液科,广东广州,510515
3. 汕头市中心医院血液科,广东汕头,515031
基金项目:广东省科技计划资助项目(2007B030704010)
摘    要:目的:探讨联合检测初治急性髓系白血病(AML)组织多药耐药基因1(MDR1)及脑和急性白血病胞质(BAALC)的表达量以及在预后判断中的作用。方法:荧光定量PCR检测并分析160例初治AML组织MDR1和BAALC基因的表达量及其与临床疗效和预后的关系。结果:初治AML组织MDR1和BAALC基因表达水平呈正相关性,P<0.001。MDR1高表达的AML患者同低表达组相比完全缓解(CR)率低,复发率高,总生存率低,P值均<0.05;而BAALC高低表达的差异均无统计学意义。MDR1和BAALC均低表达组疗效及预后最好,均高表达组最差。MDR1和BAALC均低表达组和MDR1低表达且BAALC高表达组的CR率均显著高于均高表达组,P值分别为0.004和0.034;前2组复发率(21.6%和25.9%)也显著低于后者(56.0%),P值分别为0.006和0.029;而均低表达组总生存率(62.2%)也显著高于均高表达组(28.3%)和MDR1高表达且BAALC低表达组(38.2%),P值分别为0.002和0.048。结论:MDR1高表达对初治AML患者的预后意义高于BAALC基因,只要检测到MDR1基因的高表达,...

关 键 词:白血病  髓系  急性  基因  MDR  预后  

Simultaneous detection of MDR1 and BAALC gene expression in acute myeloid leukemias and its clinical implication
LIUBing shan,GUO Xu-tao,ZHA Jie,SHI Peng-cheng,HUANG Fen,CHEN Wei-feng,XU Bing.Simultaneous detection of MDR1 and BAALC gene expression in acute myeloid leukemias and its clinical implication[J].Chinese Journal of Cancer Prevention and Treatment,2011,18(21).
Authors:LIUBing shan  GUO Xu-tao  ZHA Jie  SHI Peng-cheng  HUANG Fen  CHEN Wei-feng  XU Bing
Institution:LIU Bing-shan1,3,GUO Xu-tao1,ZHA Jie1,SHI Peng-cheng1,HUANG Fen1,CHEN Wei-feng2,XU Bing1 1.Department of Hematology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,P.R China 2.Department of Hematology,Shantou Central Hospital,Shantou 515031,P.R China 3.Department of Hematology and Oncology,No.155 Central Hospital of PLA,Kaifeng 475003,P.R China
Abstract:OBJECTIVE: To simultaneous detecte MDR1 and BAALC gene expressionsl in adult patients with AML patients and investigated its prognostic implications.METHODS: The MDR1 and BAALC expressions were detected by real-time fluorescent quantitative polymerase chain reaction(RQ-PCR) in 160 adult AML patients.RESULTS: There was a correlation between the expression of MDR1 and BAALC gene expression(P<0.001)in adult AML patients.There was a significant difference of CR rate,the cumulative relapse rates and survival cur...
Keywords:lymphoblastic leukemia  acute  genes  MDR  prognosis  
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