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循环“末端转移酶阳性”细胞的检测不能预测急性淋巴细胞白血病的复发。

Detection of circulating 'terminal transferase-positive' cells does not predict relapse in acute lymphoblastic leukemia.

作者信息

Barr R D, Koekebakker M

出版信息

Leuk Res. 1984;8(6):1051-5. doi: 10.1016/0145-2126(84)90060-2.

DOI:10.1016/0145-2126(84)90060-2
PMID:6595478
Abstract

Serial samples of peripheral blood were obtained from 35 children with ALL over a period of 18 months. The mononuclear cells were examined for TdT by indirect immunofluorescence using an unpurified anti-calf thymus TdT as the primary antibody. This analysis failed to distinguish those children who were destined to relapse (n = 9) from those who remained in continuous complete remission. Rather, the exhibition of fluorescence was linked to the co-existence of infection, with a negative predictive value of 0.91. Putative 'TdT-positive' cells were concentrated in the T-lymphocyte fraction and the very process of E-rosette formation seemed to contribute to this phenomenon. It appears as if the anti-TdT reagent recognizes not only TdT but also a variety of antigens which are expressed on or in immature and activated lymphocytes.

摘要

在18个月的时间里,从35名急性淋巴细胞白血病患儿身上采集了外周血系列样本。使用未纯化的抗小牛胸腺末端脱氧核苷酸转移酶(TdT)作为一抗,通过间接免疫荧光法检测单核细胞中的TdT。该分析未能区分那些注定会复发的儿童(n = 9)和那些持续完全缓解的儿童。相反,荧光的出现与感染的并存有关,阴性预测值为0.91。假定的“TdT阳性”细胞集中在T淋巴细胞部分,而E玫瑰花结形成过程似乎促成了这一现象。似乎抗TdT试剂不仅识别TdT,还识别在未成熟和活化淋巴细胞上或其中表达的多种抗原。

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1
Detection of circulating 'terminal transferase-positive' cells does not predict relapse in acute lymphoblastic leukemia.循环“末端转移酶阳性”细胞的检测不能预测急性淋巴细胞白血病的复发。
Leuk Res. 1984;8(6):1051-5. doi: 10.1016/0145-2126(84)90060-2.
2
Terminal deoxynucleotidyl transferase (TdT)-containing peripheral blood mononuclear cells during remission of acute lymphoblastic leukemia: low sensitivity and specificity prevent accurate prediction of relapse.急性淋巴细胞白血病缓解期含末端脱氧核苷酸转移酶(TdT)的外周血单个核细胞:低敏感性和特异性妨碍对复发的准确预测。
Leuk Res. 1987;11(6):537-43. doi: 10.1016/0145-2126(87)90089-0.
3
Terminal deoxynucleotidyl transferase (TdT)-containing peripheral blood mononuclear cells during remission of acute lymphoblastic leukemia.
Leuk Res. 1987;11(12):1157. doi: 10.1016/0145-2126(87)90171-8.
4
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Clinical utility of terminal deoxynucleotidyl transferase and adenosine deaminase determinations in adult leukemia with a lymphoid phenotype.末端脱氧核苷酸转移酶和腺苷脱氨酶检测在成人淋巴样表型白血病中的临床应用
J Clin Oncol. 1984 Aug;2(8):871-80. doi: 10.1200/JCO.1984.2.8.871.
6
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Terminal deoxynucleotidyl transferase-containing cells in peripheral blood: implications for the surveillance of patients with lymphoblastic leukemia or lymphoma in remission.外周血中含末端脱氧核苷酸转移酶的细胞:对淋巴细胞白血病或淋巴瘤缓解期患者监测的意义
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