Quesnel B, Preudhomme C
Service des maladies du sang, CHU Lille, 1, place de Verdun, 59037 Lille.
Bull Cancer. 2001 Jun;88(6):571-5.
Minimal residual disease (MRD) can be easily studied in hematological malignancies by analyses of various fusion transcripts or tumor-specific immunoglobulin heavy-chain or T-cell receptor rearrangements as markers of disease. Correlation between MRD and prognosis has been extensively investigated mostly in acute leukemia and chronic myeloid leukemia. Quantitative aspect seems an essential criterion but the current absence of standardization makes difficult clinical decision according to MRD results. Development of real time quantitative PCR techniques would probably overcome these limitations. Only follicular non-Hodgkin's lymphomas are currently routinely analyzed using BCL2-JH PCR but signification of results obtained in complete remission remains uncertain. Analyses of tumor-specific immunoglobulin heavy-chain or T-cell receptor rearrangements allow physiological study and evaluation of bone marrow purgin system efficacy but are of limited interest in current clinical practice.
通过分析各种融合转录本或肿瘤特异性免疫球蛋白重链或T细胞受体重排作为疾病标志物,可轻松在血液系统恶性肿瘤中研究微小残留病(MRD)。MRD与预后之间的相关性已在急性白血病和慢性髓性白血病中得到广泛研究。定量方面似乎是一个重要标准,但目前缺乏标准化使得根据MRD结果做出临床决策变得困难。实时定量PCR技术的发展可能会克服这些局限性。目前仅使用BCL2-JH PCR对滤泡性非霍奇金淋巴瘤进行常规分析,但完全缓解时获得的结果的意义仍不确定。肿瘤特异性免疫球蛋白重链或T细胞受体重排的分析有助于生理研究和评估骨髓净化系统的疗效,但在当前临床实践中的应用价值有限。