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[骨髓增殖性疾病的bcr-abl阴性患者中socs3 mRNA表达与jak2v617f点突变的关系]

[Relationship between socs3 mRNA expression and jak2v617f point mutation in bcr-abl negative patients with myelo-proliferative disease].

作者信息

Wang Dong-Mei, Pan Ling, Zhang Jun-Mian, Li Ying-Hua, Wang Hong-Fen, Wang Xiu-Qian

机构信息

Department of Hematology, Hengshui Harrison International Peace Hospital, Hengshui, 053000 Hebei Province, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2008 Jun;16(3):479-83.

Abstract

To investigate the relationship between socs3 mRNA expression and jak2v617f point mutation in bcr-abl negative patients with myelo-proliferative disease (MPD), 62 bcr-abl negative MPD patients (26 cases of PV, 26 cases of ET, 9 cases of IMF, and one case of CNL) were arranged as experiment group, and the others (20 cases of CML, 10 cases of AL and 15 healthy volunteers) were arranged as control group. All the diagnosis had been made according to the 2001 WHO criteria. jak2v617f point mutation was detected by AS-PCR and confirmed by direct sequencing. The expression level of socs3 mRNA was measured by RT-PCR. The association jak2v617f point mutation with socs3 mRNA expression in bcr-abl negative MPD patients was observed and analyzed. The results showed that among 62 bcr-abl negative MPD patients, the somatic jak2v617f point mutation was positive in 44 patients (PV 23, ET 15, IMF 5, CNL 1) while negative in the other 18 patients and control group. The expression of socs3 mRNA could be detected in 39 patients from 44 jak2v617f mutation positive patients and in 10 patients from 18 jak2v617f mutation-negative patients. There was a statistically significant difference in socs3 mRNA expression rates between jak2v617f mutation positive and negative group (chi(2) = 8.44, p < 0.005). There was a statistically significant difference in socs3 mRNA expression levels between jak2v617f mutation positive and negative groups (p = 0.035). It is concluded that there is a statistically significant difference in the expression level of socs3 mRNA in the patients between jak2v617f mutation positive group and negative group.

摘要

为研究骨髓增殖性疾病(MPD)bcr-abl阴性患者中socs3 mRNA表达与jak2v617f点突变的关系,将62例bcr-abl阴性MPD患者(26例真性红细胞增多症、26例原发性血小板增多症、9例原发性骨髓纤维化和1例慢性中性粒细胞白血病)设为实验组,将其他患者(20例慢性粒细胞白血病、10例急性白血病和15名健康志愿者)设为对照组。所有诊断均依据2001年世界卫生组织标准。采用等位基因特异性聚合酶链反应(AS-PCR)检测jak2v617f点突变,并通过直接测序进行确认。采用逆转录聚合酶链反应(RT-PCR)检测socs3 mRNA的表达水平。观察并分析jak2v617f点突变与bcr-abl阴性MPD患者中socs3 mRNA表达的相关性。结果显示,62例bcr-abl阴性MPD患者中,44例患者(真性红细胞增多症23例、原发性血小板增多症15例、原发性骨髓纤维化5例、慢性中性粒细胞白血病1例)体细胞jak2v617f点突变为阳性,其余18例患者及对照组为阴性。在44例jak2v617f突变阳性患者中的39例患者以及18例jak2v617f突变阴性患者中的10例患者中可检测到socs3 mRNA的表达。jak2v617f突变阳性组与阴性组之间socs3 mRNA表达率差异有统计学意义(χ² = 8.44,p < 0.005)。jak2v617f突变阳性组与阴性组之间socs3 mRNA表达水平差异有统计学意义(p = 0.035)。结论:jak2v617f突变阳性组与阴性组患者之间socs3 mRNA表达水平差异有统计学意义。

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