Nakamura K, Mizutani S, Matsue T
Department of Pediatrics, Tokyo University Branch Hospital.
Rinsho Ketsueki. 1992 Apr;33(4):436-44.
Thirty three patients with chronic myelogenous leukemia (CML) treated by allogeneic bone marrow transplantation (BMT) were evaluated for bcr/abl mRNA using the reverse transcriptase-polymerase chain reaction (RT-PCR). The bcr/abl mRNA was detected in 22 out of 33 patients in clinical complete remission after BMT. The bcr/abl mRNA was present only transiently in 6 patients. It was speculated that leukemia cells were not eradicated by conditioning therapy of BMT, but patients maintained clinical complete remission due to GVL (graft versus leukemia) effect. Further study is necessary to estimate the clinical value of this technique to predict the outcome in CML patients.
对33例接受异基因骨髓移植(BMT)治疗的慢性粒细胞白血病(CML)患者,采用逆转录聚合酶链反应(RT-PCR)检测其bcr/abl mRNA。33例患者中,22例在BMT后临床完全缓解时检测到bcr/abl mRNA。6例患者的bcr/abl mRNA仅短暂出现。推测BMT的预处理方案未能根除白血病细胞,但患者因移植物抗白血病(GVL)效应而维持临床完全缓解。有必要进一步研究该技术对预测CML患者预后的临床价值。