下调的多聚胞嘧啶结合蛋白-1是与急性髓系白血病预后不良相关的一种新型预测指标。

Downregulated Poly-C binding protein-1 is a novel predictor associated with poor prognosis in Acute Myeloid Leukemia.

作者信息

Zhou Meifeng, Tong Xiuzhen

机构信息

Department of Hematology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.

出版信息

Diagn Pathol. 2015 Aug 21;10:147. doi: 10.1186/s13000-015-0377-y.

Abstract

BACKGROUND

Depletion of Poly-C binding protein-1(PCBP1) is implicated in various human malignancies. However, the underlying biological effect of PCBP1 in cancers, including acute myeloid leukemia (AML), still remains elusive. The purpose of this study was to examine the expression and clinical outcome of PCBP1in acute myeloid leukemia.

METHODS

Bone marrow fluids of 88 newly diagnosed AML patients were sampled, and the PCBP1 mRNA expression level was evaluated using quantitative RT-PCR. The association between PCBP1 expression and clinicopathological features or the survival status of the patients was assessed by Chi-square test and Kaplan-Meier method.

RESULTS

Comparing newly diagnosed AML patients to normal healthy donors, PCBP1 expression was significantly decreased in AML patients (P < 0.001). Conversely, PCBP1 expression had accordingly recovered back to normal in patients with complete remission (P < 0.001). Clinical feature analyses showed that PCBP1 expression was negatively correlated with white blood cell count (P = 0.024). In addition, patients with low PCBP1 expression had poor disease-free survival (11.8% vs. 45.3%; P = 0.01) and overall survival (18.2% vs. 42.4%; P = 0.032), respectively.

CONCLUSIONS

Taken together, our results showed for the first time that expression of PCBP1 was down-regulated in newly diagnosed AML patients and might be an independent prognostic marker in AML and should to be further investigated.

摘要

背景

多聚胞嘧啶结合蛋白1(PCBP1)的缺失与多种人类恶性肿瘤有关。然而,PCBP1在包括急性髓系白血病(AML)在内的癌症中的潜在生物学效应仍不清楚。本研究的目的是检测PCBP1在急性髓系白血病中的表达及临床预后。

方法

采集88例新诊断AML患者的骨髓液,采用定量逆转录聚合酶链反应(RT-PCR)评估PCBP1 mRNA表达水平。采用卡方检验和Kaplan-Meier法评估PCBP1表达与临床病理特征或患者生存状态之间的关联。

结果

与正常健康供者相比,新诊断AML患者的PCBP1表达显著降低(P<0.001)。相反,完全缓解患者的PCBP1表达相应恢复正常(P<0.001)。临床特征分析表明,PCBP1表达与白细胞计数呈负相关(P=0.024)。此外,PCBP1表达低的患者无病生存率(11.8%对45.3%;P=0.01)和总生存率(18.2%对42.4%;P=0.032)均较差。

结论

综上所述,我们的结果首次表明,新诊断AML患者中PCBP1表达下调,可能是AML的一个独立预后标志物,值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3c1/4546103/40ded4c7ece5/13000_2015_377_Fig1_HTML.jpg

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