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多发性骨髓瘤和急性白血病微小残留病的检测

Detection of minimal residual disease in multiple myeloma and acute leukaemia.

作者信息

Bakkus M H, Juge-Morineau N, van der Werff ten Bosch J E

机构信息

Department of Hematology-Immunology, Medical School, Vrije Universiteit Brussel, Belgium.

出版信息

Med Oncol. 1996 Jun;13(2):121-31. doi: 10.1007/BF02993863.

DOI:10.1007/BF02993863
PMID:9013476
Abstract

The importance of minimal residual disease detection has increased due to the advanced therapeutic protocols available for multiple myeloma and acute leukaemia. High-dose chemotherapy, followed by stem cell transplantation is often used in patients with multiple myeloma. But despite a longer disease-free period and overall survival, all patients relapse. In the treatment of acute leukaemia, there are similar problems. The present strategy is to give continuous chemotherapy to eradicate minimal residual disease. In this review, we consider the methods used to detect and quantify minimal residual disease. At present, the most effective seem to be those based on the use of polymerase chain reactions to detect the malignant cells.

摘要

由于针对多发性骨髓瘤和急性白血病有先进的治疗方案,微小残留病检测的重要性日益增加。多发性骨髓瘤患者常采用大剂量化疗,随后进行干细胞移植。但尽管无病生存期和总生存期延长,所有患者都会复发。在急性白血病的治疗中也存在类似问题。目前的策略是给予持续化疗以根除微小残留病。在本综述中,我们考虑了用于检测和量化微小残留病的方法。目前,最有效的方法似乎是基于使用聚合酶链反应来检测恶性细胞的那些方法。

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1
Detection of minimal residual disease in multiple myeloma and acute leukaemia.多发性骨髓瘤和急性白血病微小残留病的检测
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2
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4
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本文引用的文献

1
CD34 selections from myeloma peripheral blood cell autografts contain residual tumour cells due to impurity, not to CD34+ myeloma cells.骨髓瘤外周血细胞自体移植物的CD34分选物中含有残留肿瘤细胞,原因是杂质而非CD34+骨髓瘤细胞。
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Triple immunofluorescence staining for prediction of relapse in childhood precursor B acute lymphoblastic leukaemia.
三重免疫荧光染色预测儿童前体B细胞急性淋巴细胞白血病复发情况
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4
Clinical relevance of residual disease monitoring by polymerase chain reaction in patients with ALL-1/AF-4 positive-acute lymphoblastic leukaemia.聚合酶链反应监测残留疾病在 ALL-1/AF-4 阳性急性淋巴细胞白血病患者中的临床相关性
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Reverse transcriptase/polymerase chain reaction follow-up and minimal residual disease detection in t(1;19)-positive acute lymphoblastic leukaemia.t(1;19)阳性急性淋巴细胞白血病的逆转录酶/聚合酶链反应随访及微小残留病检测
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Comparison of myeloma cell contamination of bone marrow and peripheral blood stem cell harvests.骨髓和外周血干细胞采集物中骨髓瘤细胞污染情况的比较。
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The use of IgH fingerprinting and ASO-dependent PCR for the investigation of residual disease (MRD) in ALL.利用免疫球蛋白重链(IgH)基因分型和等位基因特异性寡核苷酸依赖的聚合酶链反应(ASO-dependent PCR)检测急性淋巴细胞白血病(ALL)微小残留病(MRD)
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9
An AML1/ETO fusion transcript is consistently detected by RNA-based polymerase chain reaction in acute myelogenous leukemia containing the (8;21)(q22;q22) translocation.在含有(8;21)(q22;q22)易位的急性髓性白血病中,通过基于RNA的聚合酶链反应可始终检测到AML1/ETO融合转录本。
Blood. 1993 Jun 1;81(11):2860-5.
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Detection of minimal residual disease in acute promyelocytic leukemia by a reverse transcription polymerase chain reaction assay for the PML/RAR-alpha fusion mRNA.通过针对PML/RAR-α融合mRNA的逆转录聚合酶链反应检测急性早幼粒细胞白血病中的微小残留病。
Blood. 1993 Sep 15;82(6):1689-94.