Special Surgical Disciplines Department, International Higher School of Medicine, Bishkek, Kyrgyz Republic.
Department of Therapy, International Higher School of Medicine, Bishkek, Kyrgyz Republic.
Asian Pac J Cancer Prev. 2023 May 1;24(5):1687-1693. doi: 10.31557/APJCP.2023.24.5.1687.
The relevance of the research of the article is conditioned upon the problem of the development of molecular genetic diagnostics to determine the effectiveness of treatment for acute lymphoblastic leukemia in children. The purpose of the article is to identify the polymorphism parameters of the P53 Arg72Pro and XRCC1 Arg399Gln genes in acute lymphoblastic leukemia with criteria for determining the survival rates of sick children.
Methods for the study of the identified problem are the study of the medical histories of children with acute leukemia, which allowed selection of the necessary contingent of patients for further genetic study of their frozen blood, where the genomic part of deoxyribonucleic acid was isolated from the frozen blood in a standard way using molecular biological research when performing a polymerase chain reaction.
The article presents the results of a study that shows that in children with acute lymphoblastic leukemia, the frequency of genotypes of the XRCC1 Arg399Gln gene is variable. The most common genotypes are Arg/Gln and Arg/Arg, approximately 48% each. The Gln/Gln genotype is less common. Relapse-free survival of children with the Arg/Gln and Gln/Gln genotypes was the highest, slightly lower rates were noted with the Arg/Arg genotype.
It was identified that the frequency of genotypes of the XRCC1 Arg399Gln gene can be a predictor of prognosis in acute lymphocytic leukemia in children, which can be considered when choosing treatment tactics, and this has practical significance for the field of medicine.
本文研究的相关性取决于分子遗传学诊断的发展问题,以确定儿童急性淋巴细胞白血病治疗的效果。本文的目的是确定急性淋巴细胞白血病中 P53Arg72Pro 和 XRCC1Arg399Gln 基因的多态性参数,以确定患儿的生存率。
研究该问题的方法是研究儿童急性白血病的病史,这使得我们能够选择必要的患者群体,以便对其冷冻血液进行进一步的遗传研究,在使用聚合酶链反应进行分子生物学研究时,从冷冻血液中以标准方式分离出脱氧核糖核酸的基因组部分。
本文介绍了一项研究结果,表明在儿童急性淋巴细胞白血病中,XRCC1Arg399Gln 基因的基因型频率是可变的。最常见的基因型是 Arg/Gln 和 Arg/Arg,各约占 48%。Gln/Gln 基因型较少见。Arg/Gln 和 Gln/Gln 基因型患儿的无复发生存率最高,Arg/Arg 基因型的生存率略低。
确定 XRCC1Arg399Gln 基因的基因型频率可以作为儿童急性淋巴细胞白血病预后的预测因子,在选择治疗策略时可以考虑这一点,这对医学领域具有实际意义。