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利用实时聚合酶链反应对犬淋巴瘤微小残留病(MRD)进行定量评估。

Quantitative assessment of minimal residual disease (MRD) in canine lymphoma by using real-time polymerase chain reaction.

作者信息

Yamazaki Jumpei, Baba Kenji, Goto-Koshino Yuko, Setoguchi-Mukai Asuka, Fujino Yasuhito, Ohno Koichi, Tsujimoto Hajime

机构信息

Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.

出版信息

Vet Immunol Immunopathol. 2008 Dec 15;126(3-4):321-31. doi: 10.1016/j.vetimm.2008.09.004. Epub 2008 Sep 19.

Abstract

Lymphoma is the most common hematopoietic malignancy in dogs. Although a large proportion of dogs with lymphoma can achieve clinical remission by initial chemotherapy, most dogs die as a consequence of tumor relapse. We established a quantitative detection system for minimal residual disease (MRD) in canine lymphoma by using real-time polymerase chain reaction (PCR). A canine T-cell lymphoma-derived cell line, namely, UL-1, was used to examine the specificity and sensitivity of the MRD detecting system. Allele-specific oligonucleotide primers and probes were designed based on the sequence of T-cell receptor gamma chain (TCRgamma) gene fragment of UL-1 cells in conjunction with its downstream sequence, which were obtained from the dog genome database. The real-time PCR system for plasmid DNA containing the TCRgamma gene derived from UL-1 cells and the genomic DNA of UL-1 cells revealed that the system was accurate for 10-100,000 copies per reaction and its sensitivity was 1 cell per 10,000 cells. In order to monitor the kinetics of tumor cell number in canine lymphoma, we quantified the level of MRD in the peripheral blood of 7 dogs with lymphoma under chemotherapy. Since the lymphoma cells from the 7 patients were shown to be B-cell origin from the finding of clonal rearrangement of immunoglobulin heavy chain (IgH) gene, allele-specific oligonucleotide primers and probes were prepared based on the sequence of rearranged IgH gene in each case. The number of peripheral blood tumor cells measured by the real-time PCR was comparable to that estimated by conventional hematological examination in 2 cases of stage V lymphoma. MRD in the peripheral blood was detectable in all 7 cases, even in the complete remission (CR) phase. In the 7 lymphoma dogs, changes in the MRD levels of peripheral blood generally paralleled with the changes in the volumes of lymph nodes. Molecular CR, in which the MRD level was below the detection limit, was not observed in any of these 7 patients under chemotherapy. The MRD level detected by the real-time PCR method described here would be useful for investigating the kinetics of tumor cell growth and its regression in canine lymphoma patients.

摘要

淋巴瘤是犬类最常见的造血系统恶性肿瘤。尽管大部分患淋巴瘤的犬通过初始化疗可实现临床缓解,但大多数犬最终因肿瘤复发而死亡。我们利用实时聚合酶链反应(PCR)建立了一种用于检测犬淋巴瘤微小残留病(MRD)的定量检测系统。使用一种源自犬T细胞淋巴瘤的细胞系UL-1来检测MRD检测系统的特异性和灵敏度。基于从犬基因组数据库获取的UL-1细胞的T细胞受体γ链(TCRγ)基因片段序列及其下游序列,设计了等位基因特异性寡核苷酸引物和探针。针对含有源自UL-1细胞的TCRγ基因的质粒DNA以及UL-1细胞的基因组DNA的实时PCR系统显示,该系统在每个反应10 - 100,000个拷贝时准确无误,其灵敏度为每10,000个细胞中有1个细胞。为了监测犬淋巴瘤肿瘤细胞数量的动态变化,我们对7只接受化疗的淋巴瘤犬外周血中的MRD水平进行了定量分析。由于从7例患者的免疫球蛋白重链(IgH)基因克隆重排结果显示淋巴瘤细胞为B细胞起源,因此针对每种情况基于重排的IgH基因序列制备了等位基因特异性寡核苷酸引物和探针。在2例V期淋巴瘤病例中,通过实时PCR检测到的外周血肿瘤细胞数量与通过传统血液学检查估计的数量相当。在所有7例病例中,即使处于完全缓解(CR)期,外周血中的MRD均可检测到。在这7只淋巴瘤犬中,外周血MRD水平的变化通常与淋巴结体积的变化平行。在接受化疗的这7例患者中,均未观察到MRD水平低于检测限的分子学完全缓解(Molecular CR)情况。本文所述的实时PCR方法检测到的MRD水平,对于研究犬淋巴瘤患者肿瘤细胞生长及其消退的动力学将是有用的。

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