Yang Hai-Ping, Dai Min, Zhou Hong-Sheng, Huang Liang, Zhang Dong-Hua
Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2006 Aug;14(4):677-80.
In order to investigate the suppressor of cytokine signaling-1 (SOCS-1) expression in peripheral blood mononuclear cells (PBMNC) of patients with acute and chronic myeloid leukemia and analyze its clinical significance, RT-PCR method was used for detecting SOCS-1 mRNA expression in PBMNC of 50 newly diagnosed patients. The result showed that positive expressions of SOCS-1 were observed in 4 of 25 patients with AML (16.00%), in 11 of 25 patients with CML (44.00%) and none in 10 normal controls. The differences between patients with AML and normal controls, and between patients with CML and normal controls were statistically significant. In CML group, 2 out of 12 cases with non-progression (chronic phase), 9 of 13 cases with progression showed the positive expression, the difference between two subgroups was statistically significant. Those CML patients with SOCS-1 mRNA expression had poor response to IFN-alpha. When they transformed into accelerated phase, SOCS-1 mRNA expression was more persistently and frequently observed, and no response to IFN-alpha was observed. Most of them had very poor prognosis. It is concluded that the SOCS-1 mRNA can be detected in the PBMNC of the patients with acute and chronic myeloid leukemia. The SOCS-1 mRNA expression in the patients with CML is higher than that in patients with AML, and it is higher in accelerated phase and blast crisis significantly. This phenomenon is highly related to the reaction of IFN-alpha and prognosis.
为探讨细胞因子信号转导抑制因子1(SOCS-1)在急性和慢性髓系白血病患者外周血单个核细胞(PBMNC)中的表达情况并分析其临床意义,采用逆转录聚合酶链反应(RT-PCR)法检测50例初诊患者PBMNC中SOCS-1 mRNA的表达。结果显示,25例急性髓系白血病(AML)患者中有4例(16.00%)SOCS-1表达阳性,25例慢性髓系白血病(CML)患者中有11例(44.00%)表达阳性,10例正常对照者均无阳性表达。AML患者与正常对照者之间、CML患者与正常对照者之间差异有统计学意义。在CML组中,12例病情未进展(慢性期)患者中有2例、13例病情进展患者中有9例表达阳性,两个亚组之间差异有统计学意义。SOCS-1 mRNA表达阳性的CML患者对α干扰素反应较差。当他们转化为加速期时,更持续且频繁地观察到SOCS-1 mRNA表达,且对α干扰素无反应。他们中的大多数预后很差。结论:急性和慢性髓系白血病患者的PBMNC中可检测到SOCS-1 mRNA。CML患者的SOCS-1 mRNA表达高于AML患者,在加速期和急变期显著升高。这一现象与α干扰素反应及预后高度相关。