急性髓系白血病病人CDH13基因甲基化状态检测及其临床意义

    The methylation detection of CDH13 gene in patients with acute myeloid leukemia, and its clinical significance

    • 摘要: 目的:检测急性髓系白血病(AML)病人CDH13基因甲基化状态,探讨其与病人临床特征及预后的相关性。方法:用甲基化特异性PCR法分别检测34例AML病人(AML组)和22例非恶性肿瘤的缺铁性贫血病人(对照组)骨髓标本中CDH13基因启动子甲基化状态,用半定量反转录PCR法检测2组标本中CDH13 mRNA相对含量。AML组病人随访2年,统计总体生存时间。结果:AML组标本CDH13基因甲基化阳性率为61.76%,高于对照组的27.27%(P<0.05);AML组CDH13mRNA相对含量为0.355±0.109,明显低于对照组的0.745±0.271(P<0.01)。不同性别、年龄以及临床分型AML病人的CDH13基因甲基化差异均无统计学意义(P>0.05)。Kaplan-Meier生存曲线分析显示,CDH13基因甲基化阳性的AML病人总体生存时间为(12.4±3.3)个月,明显短于甲基化阴性病人的(18.6±4.1)个月(P<0.01)。结论:AML病人中存在CDH13基因甲基化现象,检测CDH13基因表达水平有助于判断AML病人预后。

       

      Abstract: Objective:To detect the methylation of CDH13 gene in patients with acute myeloid leukemia(AML),and explore the relationships with clinical features and prognosis of AML patients.Methods:The methylation status of CDH13 promoter gene in bone marrow from 34 patients with AML(AML group) and 22 nonmalignant tumor patients with iron deficiency anemia(control group) were detected using the methylation specific polymerase chain reaction(PCR).The expressions of CDH13 mRNA in two groups were detected using semi-quantitative reverse transcription PCR.All patients were followed-up for 2 years,and the overall survival time of patients were calculated.Results:The CDH13 gene methylation positive rate of AML group(61.76%) was higher than that of control group(27.27%)(P<0.05).The relative content of CDH13 mRNA in AML group(0.355±0.109) was significantly lower than that in control group(0.745±0.271)(P<0.01).The differences of the methylation status of CDH13 gene in AML patients of indifferent gender,age and clinical typing were not statistically significant(P>0.05).Kaplan-Meier survival curve analysis showed that the overall survival time in AML patients with positive methylation of CDH13 gene(12.4±3.3)months was significantly shorter than that in AML patients with negative methylation of CDH13 gene(18.6±4.1) months(P<0.01).Conclusions:The methylation phenomenon of CDH13 gene can be found in patients with AML,and detecting the CDH13 gene expression can help to judge the prognosis of patients.

       

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