Fernández-Torres Javier, Flores-Jiménez Denhi, Arroyo-Pérez Antonio, Granados Julio, López-Reyes Alberto
Laboratorio de Sinovio Análisis Molecular, Instituto Nacional de Rehabilitación, Secretaría de Salud (SSA), Calzada México-Xochimilco Número 289, Tlalpan, 14389 México, DF, Mexico ; Departamento de Biología, Facultad de Química, Universidad Nacional Autónoma de México (UNAM), Circuito Interior, Ciudad Universitaria, Coyoacán, 04510 México, DF, Mexico.
Centro Nacional de la Transfusión Sanguínea, SSA. Avenida Othón de Mendizábal 195, Gustavo A. Madero, 07360 México, DF, Mexico.
Biomed Res Int. 2013;2013:705862. doi: 10.1155/2013/705862. Epub 2013 Nov 13.
UNLABELLED: Among oncohematological diseases, acute lymphoid leukemia (ALL) and acute myeloid leukemia (AML) are characterized by the uncontrolled production and accumulation of blasts that can lead to death. Although the physiopathology of these diseases is multifactorial, a genetic factor seems to be at play. Several studies worldwide have shown association of ALL and AML with several alleles of the major histocompatibility complex (MHC). OBJECTIVE: To determine gene frequencies of HLA-B alleles in Mexicans (individuals with Native American genetic background admixed with European descent) with ALL and AML. METHODS: We compared the HLA-B alleles in 213 patients with ALL and 85 patients with AML to those present in 731 umbilical cord blood (UCB) samples as a control group; this was done by means of the PCR-SSP technique. RESULTS: We found an increased frequency of the HLA-B40 allele in ALL patients as compared to the control group (14.5% versus 9.84%, P = 0.003, OR = 1.67); this was particularly evident in a subgroup of young (less than 18 years old) ALL patients (P = 0.002, OR = 1.76); likewise, a decreased frequency of HLA-B40 allele in AML patients was observed as compared to the control group (4.70% versus 9.84%, P = 0.02, OR = 0.42). CONCLUSIONS: These results might suggest opposing effects of the HLA-B*40 in the genetic susceptibility to develop ALL or AML and offer the possibility to study further the molecular mechanisms of cell differentiation within the bone marrow lineage.
未标注:在肿瘤血液学疾病中,急性淋巴细胞白血病(ALL)和急性髓细胞白血病(AML)的特征是原始细胞不受控制地产生和积累,这可能导致死亡。尽管这些疾病的生理病理学是多因素的,但遗传因素似乎在其中起作用。全球多项研究表明,ALL和AML与主要组织相容性复合体(MHC)的多个等位基因有关。 目的:确定患有ALL和AML的墨西哥人(具有美洲原住民遗传背景并与欧洲血统混合的个体)中HLA - B等位基因的基因频率。 方法:我们将213例ALL患者和85例AML患者的HLA - B等位基因与731份脐带血(UCB)样本中的等位基因进行比较,后者作为对照组;这是通过PCR - SSP技术完成的。 结果:我们发现,与对照组相比,ALL患者中HLA - B40等位基因的频率增加(14.5%对9.84%,P = 0.003,OR = 1.67);这在年轻(小于18岁)ALL患者亚组中尤为明显(P = 0.002,OR = 1.76);同样,与对照组相比,AML患者中HLA - B40等位基因的频率降低(4.70%对9.84%,P = 0.02,OR = 0.42)。 结论:这些结果可能表明HLA - B*40在发生ALL或AML的遗传易感性中具有相反的作用,并为进一步研究骨髓谱系内细胞分化的分子机制提供了可能性。
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