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[在新诊断急性髓系白血病患者中的表达及临床意义] (你原文中“of”后面缺少具体内容,我按你提供的原样翻译了)

[The Expression and Clinical Significance of in Newly Diagnosed Acute Myeloid Leukemia Patients].

作者信息

Li Jia-Jia, Wu Yan-Ping, Liu Lin, Zhang Meng-Meng, Wang Meng, Zhang Ping-Ping, Zhang Feng

机构信息

Department of Hematology, The First Affiliated Hospital of Bengbu Medical University, Bengbu 233003, Anhui Province, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2025 Apr;33(2):339-343. doi: 10.19746/j.cnki.issn.1009-2137.2025.02.005.

Abstract

OBJECTIVE

To detect the expression level of T-complex polypeptide 1 (TCP1) in the bone marrow of newly diagnosed acute myeloid leukemia (AML) patients, and explore its correlation with clinical characteristics and prognosis.

METHODS

The bone marrow samples from 80 newly diagnosed AML patients and 30 iron deficiency anemia (IDA) patients were collected, and real time fluorescence quantitative PCR was used to detect the expression level of . The clinical data of AML patients were collected, and the correlation of expression with clinical characteristics and prognosis of patients were analyzed. The impact of on overall survival (OS) of AML patients was identified by using Kaplan-Meier curve analysis. Cox regression analysis was used to identify the factors affecting prognosis of AML patients.

RESULTS

Compared with IDA patients, the expression of was significantly increased in AML patients ( < 0.01). The high expression group of showed a higher proportion of patients with ≥60 years and non-remission after treatment, more accompanied by mutation and poor prognosis but shorter OS compared to the low expression group (all < 0.05). The results of multivariate Cox regression analysis showed that age, chromosomal abnormalities, therapeutic efficacy and expression were independent risk factors affecting prognosis of AML patients (all < 0.05).

CONCLUSION

is significantly upregulated in AML patients, and its expression is associated with partial clinical features and poor prognosis. It can serve as a prognostic indicator and potential therapeutic target for AML patients.

摘要

目的

检测新诊断急性髓系白血病(AML)患者骨髓中T复合多肽1(TCP1)的表达水平,探讨其与临床特征及预后的相关性。

方法

收集80例新诊断AML患者及30例缺铁性贫血(IDA)患者的骨髓样本,采用实时荧光定量PCR检测TCP1的表达水平。收集AML患者的临床资料,分析TCP1表达与患者临床特征及预后的相关性。采用Kaplan-Meier曲线分析TCP1对AML患者总生存(OS)的影响。采用Cox回归分析确定影响AML患者预后的因素。

结果

与IDA患者相比,AML患者中TCP1的表达显著升高(P<0.01)。与低表达组相比,TCP1高表达组≥60岁及治疗后未缓解的患者比例更高,更多伴有基因突变且预后较差但OS更短(均P<0.05)。多因素Cox回归分析结果显示,年龄、染色体异常、治疗疗效及TCP1表达是影响AML患者预后的独立危险因素(均P<0.05)。

结论

TCP1在AML患者中显著上调,其表达与部分临床特征及不良预后相关。它可作为AML患者的预后指标及潜在治疗靶点。

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