Lozyns'ka M P, Vyhovs'ka Ia I, Tomashevs'ka N Ia, Masliak Z V, Lozyns'kyĭ R Iu, Novak V L
Tsitol Genet. 2009 Jan-Feb;43(1):61-8.
We carried out the cytogenetic investigation of bone marrow aspirate from 32 patients with different types of MDS. The patients were from 8 regions of Ukraine. 11 patients had abnormal karyotype, and the transformation to AML were observed in 5 of them (45.5%). 27% of all patients had chromosomal changes with 3 or more chromosomes involved. The highest percentage of the patients with chromosomal anomalies (66.7%) was in cases of RAEB. Chromosome deletions were the most frequently detected karyotype abnormalities. We consider the phenomenon of chromosome fragmentation as the cytogenetic approval of the increased level of apoptosis in patients with MDS. The risk of the transformation to AML was measured using new international score system IPSS.
我们对32例不同类型骨髓增生异常综合征(MDS)患者的骨髓穿刺液进行了细胞遗传学研究。这些患者来自乌克兰的8个地区。11例患者核型异常,其中5例(45.5%)发生了向急性髓系白血病(AML)的转化。所有患者中有27%出现涉及3条或更多染色体的染色体改变。染色体异常患者比例最高(66.7%)的是难治性贫血伴原始细胞过多(RAEB)病例。染色体缺失是最常检测到的核型异常。我们认为染色体碎裂现象是MDS患者细胞凋亡水平升高的细胞遗传学证据。使用新的国际预后评分系统(IPSS)来评估向AML转化的风险。