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CD105流式细胞术表达对儿童B系急性淋巴细胞白血病的影响

Impact of CD105 Flow-Cytometric Expression on Childhood B-Acute Lymphoblastic Leukemia.

作者信息

Elkholy Rasha A, Fouda Mohamed H, Elhawary Eslam E, Elkholy Reem A, Elshora Ola A

机构信息

Clinical Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Pediatrics Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

出版信息

J Blood Med. 2021 Mar 16;12:147-156. doi: 10.2147/JBM.S300067. eCollection 2021.

DOI:10.2147/JBM.S300067
PMID:33758569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981143/
Abstract

BACKGROUND

CD105 (Endoglin) is a receptor of the transforming growth factor-Beta (TGF- β) superfamily. It is expressed in angiogenic endothelial cells and is considered a powerful marker of angiogenesis and a potential main player in the pathogenesis of vascular diseases as well as tumor progression. CD105 expression was correlated with poor prognosis in many types of solid malignancies, however, its influence on hematological neoplasms is still an area of interest.

PURPOSE

To assess the flow-cytometric expression of CD105 in childhood B-acute lymphoblastic leukemia (B-ALL) and its relation to disease response after the induction chemotherapy.

SUBJECTS AND METHODS

Eighty children newly diagnosed with B-ALL were screened for flow-cytometric expression of CD105 at time of diagnosis, then they were followed up to detect their response to induction therapy.

RESULTS

CD105 was expressed in 41.2% of B-ALL patients. Higher expression of CD105 was observed in high and very high-risk groups. The multivariate analysis considered CD105 positivity as an independent prognostic marker for response to induction therapy. Values higher than 2.5 Specific fluorescence indices (SFIs) and 35% expression were sensitive predictors to induction failure.

CONCLUSION

CD105 can be considered as a potential prognostic marker for the detection of response to induction therapy in childhood B-ALL, and it can serve to optimize treatment decisions.

摘要

背景

CD105(内皮糖蛋白)是转化生长因子-β(TGF-β)超家族的一种受体。它在血管生成的内皮细胞中表达,被认为是血管生成的有力标志物,也是血管疾病以及肿瘤进展发病机制中的一个潜在主要因素。在许多类型的实体恶性肿瘤中,CD105表达与预后不良相关,然而,其对血液系统肿瘤的影响仍是一个研究热点。

目的

评估儿童B淋巴细胞急性淋巴细胞白血病(B-ALL)中CD105的流式细胞术表达情况及其与诱导化疗后疾病反应的关系。

对象与方法

对80例新诊断的B-ALL患儿在诊断时进行CD105流式细胞术表达筛查,然后对他们进行随访以检测其对诱导治疗的反应。

结果

41.2%的B-ALL患者表达CD105。在高危和极高危组中观察到CD105的高表达。多变量分析将CD105阳性视为诱导治疗反应的独立预后标志物。高于2.5个特异性荧光指数(SFIs)和35%表达的值是诱导失败的敏感预测指标。

结论

CD105可被视为检测儿童B-ALL诱导治疗反应的潜在预后标志物,它有助于优化治疗决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/16e8ed4b3472/JBM-12-147-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/4595678e2d9a/JBM-12-147-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/a22f3b33ccf1/JBM-12-147-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/16e8ed4b3472/JBM-12-147-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/4595678e2d9a/JBM-12-147-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/a22f3b33ccf1/JBM-12-147-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423c/7981143/16e8ed4b3472/JBM-12-147-g0003.jpg

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本文引用的文献

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MicroRNA as a prognostic biomarker for survival in childhood acute lymphoblastic leukemia: a systematic review.miRNA 作为儿童急性淋巴细胞白血病生存的预后生物标志物:系统综述。
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CD105 (Endoglin) as negative prognostic factor in AML.CD105(内皮糖蛋白)作为 AML 的预后不良因素。
Sci Rep. 2019 Dec 4;9(1):18337. doi: 10.1038/s41598-019-54767-x.
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Serial transplantation reveals a critical role for endoglin in hematopoietic stem cell quiescence.连续移植揭示了内皮糖蛋白(endoglin)在造血干细胞静止中的关键作用。
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Endoglin: a novel target for therapeutic intervention in acute leukemias revealed in xenograft mouse models.内皮糖蛋白:异种移植小鼠模型中揭示的急性白血病治疗干预新靶点。
Blood. 2017 May 4;129(18):2526-2536. doi: 10.1182/blood-2017-01-763581. Epub 2017 Mar 28.
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Adult Acute Lymphoblastic Leukemia.成人急性淋巴细胞白血病。
Mayo Clin Proc. 2016 Nov;91(11):1645-1666. doi: 10.1016/j.mayocp.2016.09.010.
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New monoclonal antibodies for the treatment of acute lymphoblastic leukemia.用于治疗急性淋巴细胞白血病的新型单克隆抗体。
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Novel Therapeutic Strategies in Acute Lymphoblastic Leukemia.急性淋巴细胞白血病的新型治疗策略
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