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基于数字 PCR 的急性髓系白血病甲基化检测:诊断、预后和监测。

Digital PCR-based methylation testing in acute myeloid leukemia: diagnosis, prognosis and monitoring.

机构信息

Department of Hematology, Shandong Provincial Qianfoshan Hospital, Shandong University.

Department of Hematology, Liaocheng People's Hospital.

出版信息

Epigenomics. 2024 Feb;16(4):233-247. doi: 10.2217/epi-2023-0406. Epub 2024 Feb 12.

Abstract

Acute myeloid leukemia (AML) is a challenging disease with high rates of recurrence. The role of the cancer-related gene in AML has not been widely studied. Peripheral blood samples were collected from 73 AML patients and 68 healthy controls. Droplet digital PCR was used to detect methylation levels to explore the value of methylation in the diagnosis, treatment response and prognosis of AML. methylation was significantly increased in AML patients (p < 0.01), with high diagnostic accuracy (area under the curve: 0.848; p < 0.001). methylation was correlated with chemotherapy response (p < 0.05) and is an independent prognostic factor for AML (p < 0.05). methylation is expected to serve as a biomarker for diagnosing AML patients and predicting prognosis.

摘要

急性髓系白血病(AML)是一种具有高复发率的挑战性疾病。癌症相关基因在 AML 中的作用尚未得到广泛研究。本研究收集了 73 例 AML 患者和 68 例健康对照者的外周血样本。采用微滴式数字 PCR 检测甲基化水平,探讨甲基化在 AML 诊断、治疗反应及预后中的价值。结果显示,AML 患者中 甲基化水平显著升高(p<0.01),且具有较高的诊断准确性(曲线下面积:0.848;p<0.001)。 甲基化与化疗反应相关(p<0.05),是 AML 的独立预后因素(p<0.05)。 甲基化有望成为诊断 AML 患者和预测预后的生物标志物。

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