Löwenberg B, Delwel H R, Valk P J M
Erasmus Medisch Centrum, afd. Hematologie, Postbus 2040, 3000 CA Rotterdam.
Ned Tijdschr Geneeskd. 2005 Mar 19;149(12):623-5.
Recently, two studies have shown that the use ofgene-expression profiling using DNA microarrays or DNA chips may improve the classification of acute myeloid leukaemia (AML). In both studies, cluster analyses based on the molecular signatures defined known subgroups as well as novel subgroups of AML. Chromosomal lesions, mutations, and abnormal gene expression with prognostic value determined the clustering. In fact, gene-expression profiling recognized leukaemias with certain chromosomal aberrations that had been missed by routine cytogenetics. Thus, gene-expression profiling allows a comprehensive classification of AML that includes previously-identified genetically-defined as well as novel prognostically-relevant subgroups. One comprehensive DNA chip may in the future replace a variety of cytogenetic, immunological and molecular techniques that are currently used in combination.
最近,两项研究表明,使用DNA微阵列或DNA芯片进行基因表达谱分析可能会改善急性髓系白血病(AML)的分类。在这两项研究中,基于分子特征的聚类分析确定了AML已知的亚组以及新的亚组。具有预后价值的染色体病变、突变和异常基因表达决定了聚类。事实上,基因表达谱分析识别出了常规细胞遗传学遗漏的某些染色体畸变的白血病。因此,基因表达谱分析能够对AML进行全面分类,包括先前确定的基因定义亚组以及新的预后相关亚组。未来,一块综合DNA芯片可能会取代目前联合使用的多种细胞遗传学、免疫学和分子技术。