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急性髓系白血病微小残留病的检测

Detection of minimal residual disease in acute myeloid leukemia.

作者信息

Baer Maria R

机构信息

Leukemia Section, Department of Medicine, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.

出版信息

Curr Oncol Rep. 2002 Sep;4(5):398-402. doi: 10.1007/s11912-002-0033-z.

DOI:10.1007/s11912-002-0033-z
PMID:12162913
Abstract

Acute myeloid leukemia (AML) is a curable malignancy, but its cure rate remains disappointingly low. Accurate quantitation of residual AML cells would allow individualization of therapy and thereby increase the likelihood of cure for each patient. Techniques that are being studied for residual disease detection include molecular assays for abnormalities that are present in subsets of AML patients, and multiparameter flow cytometry, which has broader applicability. Although significant advances have been made in the development of assays for monitoring residual disease, and particularly in techniques for molecular quantitation, additional refinement and validation are needed before these assays can be applied routinely in clinical management.

摘要

急性髓系白血病(AML)是一种可治愈的恶性肿瘤,但其治愈率仍然低得令人失望。准确量化残留的AML细胞将使治疗个体化,从而提高每位患者的治愈可能性。正在研究用于检测残留疾病的技术包括针对AML患者亚群中存在的异常的分子检测,以及具有更广泛适用性的多参数流式细胞术。尽管在监测残留疾病的检测方法开发方面取得了重大进展,尤其是在分子定量技术方面,但在这些检测方法能够常规应用于临床管理之前,还需要进一步完善和验证。

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本文引用的文献

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Real-time quantitation of minimal residual disease in inv(16)-positive acute myeloid leukemia may indicate risk for clinical relapse and may identify patients in a curable state.实时定量检测inv(16)阳性急性髓系白血病微小残留病可能提示临床复发风险,并可识别处于可治愈状态的患者。
Blood. 2002 Jan 15;99(2):443-9. doi: 10.1182/blood.v99.2.443.
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Pre-clinical validation of a novel, highly sensitive assay to detect PML-RARalpha mRNA using real-time reverse-transcription polymerase chain reaction.使用实时逆转录聚合酶链反应检测PML-RARα mRNA的新型高灵敏度检测方法的临床前验证。
J Mol Diagn. 2001 Nov;3(4):141-9. doi: 10.1016/s1525-1578(10)60665-4.
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Quantitative, real-time polymerase chain reactions for FLT3 internal tandem duplications are highly sensitive and specific.
用于检测FLT3内部串联重复序列的定量实时聚合酶链反应具有高度的敏感性和特异性。
Leuk Res. 2001 Dec;25(12):1085-8. doi: 10.1016/s0145-2126(01)00087-x.
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Prognostic significance of minimal residual disease detection and PML/RAR-alpha isoform type: long-term follow-up in acute promyelocytic leukemia.微小残留病检测及PML/RAR-α异构体类型的预后意义:急性早幼粒细胞白血病的长期随访
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Functional characterization of minimal residual disease for P-glycoprotein and multidrug resistance protein activity in acute myeloid leukemia.急性髓系白血病中P-糖蛋白和多药耐药蛋白活性的微小残留病功能特征
Leukemia. 2001 Oct;15(10):1554-63. doi: 10.1038/sj.leu.2402245.
6
The presence of a FLT3 internal tandem duplication in patients with acute myeloid leukemia (AML) adds important prognostic information to cytogenetic risk group and response to the first cycle of chemotherapy: analysis of 854 patients from the United Kingdom Medical Research Council AML 10 and 12 trials.急性髓系白血病(AML)患者中FLT3内部串联重复序列的存在为细胞遗传学风险分组及对首个化疗周期的反应增添了重要的预后信息:对来自英国医学研究委员会AML 10和12试验的854例患者的分析
Blood. 2001 Sep 15;98(6):1752-9. doi: 10.1182/blood.v98.6.1752.
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Early immunophenotypical evaluation of minimal residual disease in acute myeloid leukemia identifies different patient risk groups and may contribute to postinduction treatment stratification.
Blood. 2001 Sep 15;98(6):1746-51. doi: 10.1182/blood.v98.6.1746.
8
Fluorescent 5'-exonuclease assay for the absolute quantification of Wilms' tumour gene (WT1) mRNA: implications for monitoring human leukaemias.用于肾母细胞瘤基因(WT1)mRNA绝对定量的荧光5'-核酸外切酶测定:对监测人类白血病的意义
Br J Haematol. 2001 Aug;114(2):313-8. doi: 10.1046/j.1365-2141.2001.02912.x.
9
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Leukemia. 2001 Sep;15(9):1408-14. doi: 10.1038/sj.leu.2402219.
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Quantification of CBFbeta/MYH11 fusion transcript by real time RT-PCR in patients with INV(16) acute myeloid leukemia.通过实时逆转录聚合酶链反应对16号染色体倒位的急性髓性白血病患者的CBFβ/MYH11融合转录本进行定量分析。
Leukemia. 2001 Jul;15(7):1072-80. doi: 10.1038/sj.leu.2402159.