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[急性髓系白血病患者hPer3基因启动子甲基化状态及地西他滨对该状态的体外影响]

[Promoter methylation status of hPer3 gene in AML patients and the in vitro effect of decitabine on the status].

作者信息

Wang Ye-kai, Zhou Ji-hang, Zhou Shi-quan, Fang Guo-an, Li Yi-wei, Qiu Lei, Yang Xu-chun, Liu Xiao-guang

机构信息

Zhoushan Hospital, Zhoushan 316004, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2011 May;32(5):317-21.

Abstract

OBJECTIVE

To investigate the clinical significance of promoter methylation status of hPer3 gene in acute myeloid leukemia (AML) patients and the in vitro effect of decitabine (DCA) on AML cell lines HL-60 and U937.

METHODS

The promoter methylation status of hPer3 gene and mRNA expression levels in bone marrow of 206 AML and 40 iron deficiency anemia (IDA) patients (as control) were detected by methylation specific PCR (MS-PCR) and real-time PCR (RT-PCR). The HL-60 and U937 cell lines were treated with different concentrations of DCA for 48 and 72 h. The inhibition rates of cell proliferation were detected by methyl thiazolyl tetrazolium (MTT); the early apoptosis rates by staining with Annexin V and PI; the CD14 and CD11b expressions by flow cytometry (FCM); the promoter methylation status of hPer3 gene by MS-PCR; and the hPer3 mRNA expressions levels by RT-PCR.

RESULTS

The promoter methylation rates of hPer3 in newly diagnosed (ND) group, partial remission(PR) group, complete remission (CR) group, relapse (R) group and control group were 93.65% (59/63), 54.39% (31/57), 24.66% (18/73), 61.54% (8/13) and 0% (0/40), and the hPer3 mRNA expression levels were 0.19 ± 0.08, 6.28 ± 2.11, 52.76 ± 14.17, 8.18 ± 4.36, 75.03 ± 18.16, respectively. There was a significant statistic difference between any two group (P < 0.01) excepting for between PR and R group (P > 0.05). After DCA treatment, the promoter hypermethylation status of hPer3 was reduced and the mRNA and CD14, CD11b expression levels were up regulated in a dose dependent manner with an induction of cell apoptosis.

CONCLUSIONS

Promotor methylation status and mRNA expression of hPer3 gene may be indicators for evaluating AML. DCA can induce the expression of hPer3 gene and cells apoptosis in AML.

摘要

目的

探讨hPer3基因启动子甲基化状态在急性髓系白血病(AML)患者中的临床意义以及地西他滨(DCA)对AML细胞系HL - 60和U937的体外作用。

方法

采用甲基化特异性PCR(MS - PCR)和实时荧光定量PCR(RT - PCR)检测206例AML患者及40例缺铁性贫血(IDA)患者(作为对照)骨髓中hPer3基因启动子甲基化状态及mRNA表达水平。用不同浓度的DCA处理HL - 60和U937细胞系48小时和72小时。采用甲基噻唑基四氮唑(MTT)法检测细胞增殖抑制率;用膜联蛋白V和碘化丙啶染色检测早期凋亡率;通过流式细胞术(FCM)检测CD14和CD11b表达;用MS - PCR检测hPer3基因启动子甲基化状态;用RT - PCR检测hPer3 mRNA表达水平。

结果

初诊(ND)组、部分缓解(PR)组、完全缓解(CR)组、复发(R)组和对照组hPer3启动子甲基化率分别为93.65%(59/63)、54.39%(31/57)、24.66%(18/73)、61.54%(8/13)和0%(0/40),hPer3 mRNA表达水平分别为0.19±0.08、6.28±2.11、52.76±14.17、8.18±4.36、75.03±18.16。除PR组和R组之间差异无统计学意义(P>0.05)外,其余任意两组之间差异均有统计学意义(P<0.01)。DCA处理后,hPer3启动子高甲基化状态降低,mRNA及CD14、CD11b表达水平呈剂量依赖性上调,并诱导细胞凋亡。

结论

hPer3基因启动子甲基化状态和mRNA表达可能是评估AML的指标。DCA可诱导AML中hPer3基因表达及细胞凋亡。

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