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[多荧光原位杂交技术在伴有复杂染色体畸变的急性白血病诊断及预后分析中的应用]

[M-FISH technique in diagnosis and prognostic analysis for acute leukemia with complex chromosomal aberrations].

作者信息

Zhou Gui-Na, Chen Bao-An

机构信息

Department of Hematology, Zongda Hospital, Southeast University Clinical Medical College, Nanjing 210009, Jiangsu Province, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2010 Feb;18(1):246-9.

Abstract

The M-FISH includes multi-colour FISH and multiplex FISH, it represents one of the most significant developments in molecular cytogenetics of the past decade. This technique was originally designed to generate 24 colour karyotyping in human's 23 pair chromosome, now the technique has many variations and has been used in different fields. In leukaemia cytogenetics, the M-FISH now is used in detection for AL patients with following chromosome abnormality: (1) harbouring minimal chromosome translocation is respected; (2) chromosome translocation with complex abnormal karyotypes exists in patients with leukemia which are difficulty detected by using conventional method. The final results detected by M-FISH have guide significance for diagnosis, therapy and prognosis of AL patients. In this article the technical basis with commonly used probe for M-FISH, application of M-FISH in diagnosis, evaluation of therapeutic efficacy and prognostic analysis of AL patients are summarised.

摘要

多重荧光原位杂交(M-FISH)包括多色荧光原位杂交和多重荧光原位杂交,它是过去十年分子细胞遗传学领域最重要的进展之一。该技术最初旨在对人类的23对染色体进行24色核型分析,如今该技术有多种变体并已应用于不同领域。在白血病细胞遗传学中,M-FISH目前用于检测患有以下染色体异常的急性白血病(AL)患者:(1)隐匿微小染色体易位者;(2)白血病患者存在伴有复杂异常核型的染色体易位,而用传统方法难以检测到。M-FISH检测的最终结果对AL患者的诊断、治疗及预后具有指导意义。本文总结了M-FISH的技术基础、常用探针、M-FISH在AL患者诊断、疗效评估及预后分析中的应用。

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