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多发性骨髓瘤分子细胞遗传学异常的研究
引用本文:刘淑艳,李建勇,陈丽娟,黄金文,潘金兰,仇海荣,沈云峰,徐卫,薛永权. 多发性骨髓瘤分子细胞遗传学异常的研究[J]. 中华血液学杂志, 2007, 28(4): 223-226
作者姓名:刘淑艳  李建勇  陈丽娟  黄金文  潘金兰  仇海荣  沈云峰  徐卫  薛永权
作者单位:1. 浙江大学附属邵逸夫医院血液科,杭州310016
2. 210019,南京医科大学第一附属医院、江苏省人民医院血液科
3. 浙江大学附属邵逸夫医院血液科
4. 苏州大学附属第一医院、江苏省血液研究所
5. 南京医科大学附属无锡第一人民医院血液科
基金项目:江苏省社会发展基金资助项目(BS2006071);江苏省“135工程”重点人才基金资助项目(RC2002044);江苏省135工程重点学科开放课题项目(WK200210).
摘    要:目的探讨多发性骨髓瘤(MM)的分子细胞遗传学异常。方法应用CD138单克隆抗体磁珠分选系统纯化23例初治MM患者的骨髓浆细胞,结合一组探针和间期荧光原位杂交技术检测MM患者13q14缺失、p53缺失以及IgH基因重排的发生率。结果23例MM患者中,10例(43.5%)13q14缺失。阳性率为79%-96%;11例(47.8%)IgH基因重排;7例(30.4%)有13q14缺失和IgH基因重排;所有病例均未检测到p53基因缺失。结论13q14缺失及IgH基因重排在MM患者中的发生率较高;13q14的缺失和IgH基因重排的发生率同疾病进展、预后的关系有待进一步研究。

关 键 词:多发性骨髓瘤 浆细胞 原位杂交  荧光 遗传学研究
修稿时间:2006-08-21

Study on molecular cytogenetic abnormalities in multiple myeloma
LIU Shu-yan,LI Jian-yong,CHEN Li-juan,HUANG Jin-wen,PAN Jin-lan,QIU Hai-rong,SHEN Yun-feng,XU Wei,XUE Yong-quan. Study on molecular cytogenetic abnormalities in multiple myeloma[J]. Chinese Journal of Hematology, 2007, 28(4): 223-226
Authors:LIU Shu-yan  LI Jian-yong  CHEN Li-juan  HUANG Jin-wen  PAN Jin-lan  QIU Hai-rong  SHEN Yun-feng  XU Wei  XUE Yong-quan
Affiliation:Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China
Abstract:OBJECTIVE: To explore the molecular cytogenetic abnormalities in multiple myeloma (MM). METHODS: Bone marrow plasma cells from 23 previously untreated MM patients were purified by CD138 McAb magnetic cell sorting system, and a panel of probes for interphase fluorescence in situ hybridization were used to detect the 13q14 deletion, p53 deletion and IgH gene translocation in the sorted MM cells. RESULTS: Among 23 MM patients, 13q14 deletion was observed in 10 (43.5%) cases, with the positive rate of 13q14 deleted cells ranged from 79% to 96%; 14q32 translocation was observed in 11 (47.8%) cases; 13q14 deletion and 14q32 translocation were simultaneously observed in 7 (30.4%) cases; and p53 deletion was observed in none of the 23 cases. CONCLUSION: The frequency of 13q14 deletion and IgH gene translocation in multiple myeloma are high; and the relationship between 13q14 deletion, IgH gene translocation and prognosis is worth further investigating.
Keywords:Multiple myeloma   Plasma cells   In situ hybridization, fluorescence   Genetic research
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