Knuutila S, Teerenhovi L
Department of Medical Genetics, University of Helsinki, Finland.
Cancer Genet Cytogenet. 1989 Aug;41(1):1-17. doi: 10.1016/0165-4608(89)90103-9.
This review article describes the MAC and MACISH (morphology, antibody, chromosomes, in situ hybridization) methods, which allow the examination of numerical chromosome abnormalities of morphologically and immunologically classified interphase or mitotic cells. Results of studies using these methods indicate that the proportion of mitotic B cells is the same in phytohemagglutinin- and pokeweed mitogen-stimulated lymphocyte cultures, that the proportions of different cell lineages vary greatly after short-term culture of bone marrow cells, that only B cells have a clonal chromosome abnormality in B-cell type chronic lymphatic leukemia and lymphoma, that a clonal chromosome abnormality of patients with T-cell lymphoma may occur in a different T cell subpopulation or at a different maturation stage in certain lineages while B cells show a normal karyotype, that only Reed-Sternberg cells have a clonal chromosome abnormality in Hodgkin's disease, and that in a proportion of patients with acute myeloid leukemia not only a granulocytic-monocytic lineage but also erythrocytic and megakaryocytic lineages show a clonal chromosome abnormality.
这篇综述文章描述了MAC和MACISH(形态学、抗体、染色体、原位杂交)方法,这些方法可用于检测形态学和免疫分类的间期或有丝分裂细胞的染色体数目异常。使用这些方法的研究结果表明,在植物血凝素和商陆有丝分裂原刺激的淋巴细胞培养物中,有丝分裂B细胞的比例相同;骨髓细胞短期培养后,不同细胞谱系的比例差异很大;在B细胞型慢性淋巴细胞白血病和淋巴瘤中,只有B细胞存在克隆性染色体异常;T细胞淋巴瘤患者的克隆性染色体异常可能发生在不同的T细胞亚群或某些谱系的不同成熟阶段,而B细胞显示核型正常;在霍奇金病中,只有里德-斯腾伯格细胞存在克隆性染色体异常;在一部分急性髓系白血病患者中,不仅粒细胞-单核细胞谱系,而且红细胞和巨核细胞谱系也显示克隆性染色体异常。