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小儿急性白血病骨髓细胞糖皮质激素受体表达及其临床意义
引用本文:盛光耀,王淑霞,高铁铮,邹湘,方营旗,赵晓明,王家勤.小儿急性白血病骨髓细胞糖皮质激素受体表达及其临床意义[J].中国小儿血液与肿瘤杂志,1996(2).
作者姓名:盛光耀  王淑霞  高铁铮  邹湘  方营旗  赵晓明  王家勤
作者单位:河南医科大学第一附属医院,新乡医学院三附院
摘    要:本文应用放射配体结合法测定了30例ALL骨髓细胞GCR为7873±3002位点/细胞;17例ANLL为6113±1622位点/细胞(P<0.05)。形态学分型L1型17例,GCR为7267±3178位点/细胞;L2型13例,GCR为7650±3362位点/细胞(P>0.05)。临床分型标危型ALL14例,GCR为8998±1963位点/细胞;高危型9例为5847±3885位点/细胞(P<0.05)。对18例ALL经联合化疗完全缓解前后比较发现,GCR分别为8115±3258位/细胞和4669±2106位点/细胞(P<0.01)。本实验同时测定了ALL和ANLL患儿血浆皮质醇浓度,平均分别为112.20±41.14ng/mi和104.65±43.49ng/ml,相关系数分别为r=0.15和0.11,说明GCR表达水平不受皮质醇含量的影响。

关 键 词:儿童急性白血病,骨髓细胞,糖皮质激素受体

EXPRESSION AND CLINICAL SIGNIFICANCE OF GLUCOCORTICOID RECEPTOR OF BONE MARROW CELL IN CHILDREN WITH ACUTE LEUKEMIA
Abstract:Abstract:This study measured the levels of GCR in bone marrow cells of 47 cases of children withleukenda by tadioloigand binding assay. The mean levels of 30 cases of children with ALLwere 7873±3002 sites/cell; those of 17 cases with ANLL were 6113±1622 sits/cells (P<0.05). The mean levels of ALL-L1 (17 cases) were 7267±3178 sits/cell; those of ALL-L2 (13cases) were 7650±3362 sits/cell (P<0. 05). The standard risk ALL (SR-ALL) (14 cases)were 8998±1963 sits/cell; the high risk ALL(HR-ALL) (9 cases) 5847±3885 sits/cell (P<0. 05). The GCR levels of 18 cases with ALL were 8115±3258 sits/cella before combinationchemotherapy, those were 4669±2106 sits/cell after combination chemotherapy (P<0. 01),The mean levels of plasma cortisol of ALL and ANLL were 112^2±41. 14ng/ml and 104. 65±43. 49ng/ml, respectively, (r=0. 15 and 0. 11). The results suggested that the mean GCRexpression of ALL and ANLL had no relatioship with.plasma cortisol.
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