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[骨髓增生异常综合征和急性髓性白血病中ras癌基因的激活]

[Activation of ras oncogene in myelodysplastic syndrome and acute myelogenous leukemia].

作者信息

Hirai H, Hirano N, Yazaki Y

机构信息

Third Dept. of Internal Medicine Faculty of Medicine, University of Tokyo.

出版信息

Gan To Kagaku Ryoho. 1991 Jun;18(7):1090-7.

PMID:2053767
Abstract

N-ras oncogenes activated by point mutation have been frequently detected in various types of human leukemias. Analysis of a large number of leukemias revealed that activated N-ras oncogenes were observed preferentially in AML, AMoL, T-ALL and Null-ALL but rarely in CML and B-cell leukemia. These results suggest that N-ras oncogene plays an important role in human leukemogenesis. Activated N-ras oncogenes were also detected in myelodysplastic syndrome (MDS) that is considered to be a preleukemic disease. MDS patients bearing an activated N-ras oncogene frequently showed leukemic progression of the disease, suggesting that an activated N-ras oncogene can be a critical factor for prognosis of MDS patients. Thus, detection of an activated N-ras oncogene is useful for diagnosis, prognostic evaluation and therapeutic decision. Recently, we demonstrated that detection of the minimal residual disease by analysis of N-ras oncogene can lead to improvement of the remission rate in leukemias. Moreover, we made it possible to screen N-ras oncogene by a sensitive non-radioactive method. Our research procedure seems to be a good model for clinical application of the molecular biological technique.

摘要

通过点突变激活的N-ras癌基因在各种类型的人类白血病中经常被检测到。对大量白血病的分析表明,激活的N-ras癌基因在急性髓系白血病(AML)、急性单核细胞白血病(AMoL)、T细胞急性淋巴细胞白血病(T-ALL)和裸细胞急性淋巴细胞白血病(Null-ALL)中优先被观察到,但在慢性粒细胞白血病(CML)和B细胞白血病中很少见。这些结果表明,N-ras癌基因在人类白血病发生中起重要作用。在被认为是白血病前期疾病的骨髓增生异常综合征(MDS)中也检测到了激活的N-ras癌基因。携带激活的N-ras癌基因的MDS患者经常出现疾病的白血病进展,这表明激活的N-ras癌基因可能是MDS患者预后的关键因素。因此,检测激活的N-ras癌基因对诊断、预后评估和治疗决策是有用的。最近,我们证明通过分析N-ras癌基因检测微小残留病可以提高白血病的缓解率。此外,我们能够通过一种灵敏的非放射性方法筛选N-ras癌基因。我们的研究程序似乎是分子生物学技术临床应用的一个良好模型。

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