Lin Xiao-Yan, Sun Ling, Zou Hong-Zhi, Le Xiao-Ping, Guo Xue-Jun, Liu Yan-Fang, Sun Hui, Zou Dian-Bin
Department of Hematology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2005 Dec;13(6):948-50.
In order to investigate the mechanism of acute lymphoblastic leukemic cell malignant proliferation, the expressions of hMSH2 mRNA and mutation P53 (mtP53) protein in bone marrow cells of de novo acute lymphoblastic leukemia (ALL) were determined by in situ hybridization and immunocytochemical methods. The results showed the that percentage of positive cell with hMSH2 mRNA expression was (32.88 +/- 11.46)% in the de novo ALL group and (64.22 +/- 8.51)% in the control group. The percentage of positive cell with mtP53 protein expression was (29.25 +/- 9.45)% in the de novo ALL group, and (12.63 +/- 6.66)% in the control group. There was a significant negative correlation between the positive percentages of hMSH2 mRNA expression and mtP53 protein expression (r = -0.45, P < 0.05). It is concluded that defective MSH2 mRNA expression plays an important role in the pathogenesis of acute lymphoblastic leukemia, mtP53 protein mutation plays an important role in the development of acute lymphoblastic leukemia, the hMSH2 mRNA defect can lead to accumulation of the mutant P53 protein in acute lymphoblastic leukemia, and both jointly promote the pathogenesis of ALL.
为探讨急性淋巴细胞白血病细胞恶性增殖的机制,采用原位杂交和免疫细胞化学方法检测初发急性淋巴细胞白血病(ALL)患者骨髓细胞中hMSH2 mRNA表达及P53基因突变蛋白(mtP53)表达情况。结果显示,初发ALL组hMSH2 mRNA表达阳性细胞百分比为(32.88±11.46)%,对照组为(64.22±8.51)%;初发ALL组mtP53蛋白表达阳性细胞百分比为(29.25±9.45)%,对照组为(12.63±6.66)%。hMSH2 mRNA表达阳性率与mtP53蛋白表达阳性率呈显著负相关(r = -0.45,P < 0.05)。结论:MSH2 mRNA表达缺陷在急性淋巴细胞白血病发病机制中起重要作用,mtP53蛋白突变在急性淋巴细胞白血病发展中起重要作用,hMSH2 mRNA缺陷可导致急性淋巴细胞白血病中突变型P53蛋白蓄积,二者共同促进ALL发病。