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[BAG3基因在急性髓系白血病中的表达及其预后价值]

[Expression of BAG3 Gene in Acute Myeloid Leukemia and Its Prognostic Value].

作者信息

Zhu Hua-Yuan, Fu Yuan, Wu Wei, Xu Jia-Dai, Chen Ting-Mei, Qiao Chun, Li Jian-Yong, Liu Peng

机构信息

Department of Hematology, The First Affiliated Hospital of Nanjing Medical University; Jiangsu Provincial People's Hospital, Nanjing 210029, Jiangsu Province, China.

Department of Hematology, The First Affiliated Hospital of Nanjing Medical University; Jiangsu Provincial People's Hospital, Nanjing 210029, Jiangsu Province, China. E-mail:

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2015 Aug;23(4):925-9. doi: 10.7534/j.issn.1009-2137.2015.04.003.

Abstract

OBJECTIVE

To investigate the expression of BAG3 gene in acue myeloid leukemia (AML) and its prognostic value.

METHODS

Real-time quantitative RT-PCR was used to detect the expression of BAG3 mRNA in 88 previously untreated AML patients. The corelation of BAG3 expression level with clinical characteristics and known prognostic markers of AML was analyzed.

RESULTS

In 88 patients with AML, the expression of BAG3 mRNA in NPMI mutated AML patients was obviously lower than that in NPMI unmutated patients (P = 0.018). The expression level of BAG3 mRNA did not related to clinical parameters, such as age, sex, FAB subtype, WBC count, extra-modullary presentation, and to prognostic factors including cytogenetics, FLT3-ITD, c-kit and CEBPα mutation status (P > 0.05). The expression level of BAG3 had no obvious effect on complete remission (CR) of patients in first treatment. The expression level of BAG3 in non-M3 patients was higher than that in relapsed patients (P = 0.036). The expression level of BAG3 had no effect on overall survival (OS) of patients.

CONCLUSION

The expression level of BAG3 does not correlated with known-prognostic markers of AML, only the expression level of BAG3 in NPM1 mutated patients is lower than that in NPM1 unmutated patients. The expression level of BAG3 has no effect on OS of AML patients, the BAG3 can not be difined as a prognostic marker in AML.

摘要

目的

探讨BAG3基因在急性髓系白血病(AML)中的表达及其预后价值。

方法

采用实时定量逆转录聚合酶链反应(RT-PCR)检测88例初治AML患者中BAG3 mRNA的表达。分析BAG3表达水平与AML临床特征及已知预后标志物的相关性。

结果

88例AML患者中,NPMI突变的AML患者BAG3 mRNA表达明显低于NPMI未突变患者(P = 0.018)。BAG3 mRNA表达水平与年龄、性别、FAB亚型、白细胞计数、髓外表现等临床参数以及细胞遗传学、FLT3-ITD、c-kit和CEBPα突变状态等预后因素无关(P > 0.05)。BAG3表达水平对患者首次治疗的完全缓解(CR)无明显影响。非M3患者的BAG3表达水平高于复发患者(P = 0.036)。BAG3表达水平对患者总生存期(OS)无影响。

结论

BAG3表达水平与AML已知预后标志物无关,仅NPM1突变患者的BAG3表达水平低于NPM1未突变患者。BAG3表达水平对AML患者的OS无影响,BAG3不能作为AML的预后标志物。

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