Cheng Yan-Qin, Zhai Xiao-Wen
Department of Hematology, Children′s Hospital of Fudan University, Shanghai 201102, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2018 May;20(5):416-420. doi: 10.7499/j.issn.1008-8830.2018.05.015.
In recent years, great progress has been made in the treatment outcome of childhood acute leukemia with the improvement of chemotherapy regimens and the introduction of risk-stratified therapy; however, minimal residual disease (MRD) is still a difficult problem which affects the prognosis of acute leukemia. MRD influences the selection of chemotherapy regimens and recurrence risk stratification, and meanwhile, it can be used for prognostic prediction. At present, flow cytometry and polymerase chain reaction are mainly used for MRD detection. The next-generation sequencing also plays an important role in MRD detection, especially in MRD detection after stem cell transplantation. This article reviews the methodology and significance of MRD detection in childhood acute leukemia.
近年来,随着化疗方案的改进和风险分层治疗的引入,儿童急性白血病的治疗效果取得了巨大进展;然而,微小残留病(MRD)仍然是一个影响急性白血病预后的难题。MRD影响化疗方案的选择和复发风险分层,同时,它可用于预后预测。目前,流式细胞术和聚合酶链反应主要用于MRD检测。下一代测序在MRD检测中也发挥着重要作用,尤其是在干细胞移植后的MRD检测中。本文综述了儿童急性白血病MRD检测的方法及意义。