Sebók P, Takács I, Szabó G, Zeher M, Matolcsy A, Szegedi G, Semsei I
Debreceni Orvostudományi Egyetem.
Orv Hetil. 1997 Dec 28;138(52):3301-5.
Chromosome translocation of t(14;18) can be detected in most cases of centroblastic/centrocytic follicular lymphomas. They are causative factors of lymphomas but the translocation is present in different other types of diseases although the translocation does not belong to the features of these illnesses. Our present work shows the appearance of t(14;18) translocation in lymphocytes of two patients of Sjögren's syndrome, one that of Whipple disease as well as one of healthy donors' lymphocytes using polymerase chain reaction technique presented in one of our previous publication. The translocation occurred in the mbr of bcl-2 gene in all cases showed and the bcl-2 gene was coupled with the immunoglobulin heavy chain gene. These results are definitively positive concerning the fact of translocation as it has been proved by sequencing of the amplification products showed in our earlier and present paper. Because relatively high percentages of Sjögren's syndrome patients develop later on lymphoma, the early detection of the translocation could result in a more successful diagnosis as well as treatment of the disease. The question arises, however, what role the translocation plays in illnesses such as the Whipple disease or what kind of consequences can be drawn from the appearance of the t(14;18) translocation in lymphocytes of healthy donors.
在大多数中心母细胞/中心细胞性滤泡性淋巴瘤病例中可检测到t(14;18)染色体易位。它们是淋巴瘤的致病因素,但这种易位也存在于其他不同类型的疾病中,尽管该易位并不属于这些疾病的特征。我们目前的研究工作表明,利用我们之前一篇出版物中介绍的聚合酶链反应技术,在两名干燥综合征患者的淋巴细胞、一名惠普尔病患者的淋巴细胞以及一名健康供体的淋巴细胞中均出现了t(14;18)易位。在所有显示的病例中,易位均发生在bcl - 2基因的mbr区域,且bcl - 2基因与免疫球蛋白重链基因相连。正如我们早期和当前论文中扩增产物测序所证明的那样,这些结果对于易位这一事实具有明确的阳性意义。由于相当比例的干燥综合征患者后来会发展为淋巴瘤,早期检测到这种易位可能会使疾病的诊断和治疗更加成功。然而,问题在于这种易位在惠普尔病等疾病中起什么作用,或者从健康供体淋巴细胞中出现t(14;18)易位能得出什么样的结论。