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毛细胞白血病的细胞遗传学研究。

Cytogenetic studies in hairy cell leukemia.

作者信息

Ohyashiki K, Ohyashiki J H, Takeuchi J, Han T, Henderson E S, Sandberg A A

出版信息

Cancer Genet Cytogenet. 1987 Jan;24(1):109-17. doi: 10.1016/0165-4608(87)90087-2.

DOI:10.1016/0165-4608(87)90087-2
PMID:3491670
Abstract

Cytogenetic analyses were performed on cells from 17 patients with hairy cell leukemia stimulated with polyclonal B-cell activators (in 155 different cultures). No mitosis was obtained in samples from four cases (23.5%). Of 14 bone marrows, four (28.6%) showed mitoses, two with clonal abnormalities. All four samples from the spleen had mitoses with four clonal changes; eight of 13 (37.5%) blood samples had mitoses with three clonal changes. Of the polyclonal B-cell activators (PBA), lipopolysaccharide and protein A seemed to be effective for the detection of clonal abnormalities in hairy cell leukemia. Among the clonal aberrations, chromosomes #3, #10, and #17 were affected in two cases each; frequent numerical changes were monosomies of #10 and #17 and structural changes were deletions at band 3p21 (two cases), 6q-, and der(9)t(9;?)(p22;?). The chromosomal bands involved in structural changes were close to accepted constitutive fragile sites.

摘要

对17例毛细胞白血病患者经多克隆B细胞激活剂刺激后的细胞进行了细胞遗传学分析(共155种不同培养物)。4例患者(23.5%)的样本未获得有丝分裂。14例骨髓样本中,4例(28.6%)出现有丝分裂,其中2例有克隆异常。所有4例脾脏样本均出现有丝分裂,伴有4种克隆改变;13例血液样本中有8例(37.5%)出现有丝分裂,伴有3种克隆改变。在多克隆B细胞激活剂(PBA)中,脂多糖和蛋白A似乎对检测毛细胞白血病中的克隆异常有效。在克隆畸变中,3号、10号和17号染色体各有2例受累;常见的数目改变是10号和17号染色体单体,结构改变是3p21带缺失(2例)、6号染色体长臂缺失以及9号衍生染色体t(9;?)(p22;?)。结构改变所涉及的染色体带接近公认的结构型脆性位点。

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