BCR-ABL探针在慢性粒细胞白血病中的应用  

Application of BCR-ABL in chronic myelogenous leukemia

作　　者：李娟[1] 陆莉[1] 蒲育栋[1] 杨柳[1] 赵丽[1] 

机构地区：[1]兰州大学第一医院中心实验室,730000

出　　处：《中国优生与遗传杂志》2009年第12期33-35,F0002,共4页Chinese Journal of Birth Health & Heredity

摘　　要：目的用常规细胞遗传学(conventional cytogenetics,CC)和荧光原位杂交(fluorescence chromosomal in situ hybridization,FISH)技术检测Ph染色体。方法常规细胞遗传学分析(CC),荧光原位杂交(FISH)技术。结果7例患者4例Ph染色体阴性,其中2例分别伴有t(18;22)和t(17;22)异常,其余2例为异基因造血干细胞移植后正常核型。一例培养后无中期分裂相。2例Ph染色体阳性,FISH结果bcr/abl(+)细胞检出率分别为63.87%,84.51%,7.56%,4.0%,74.45%,67%,47%。结论常规细胞遗传学与荧光原位杂交技术相结合对CML患者诊断治疗过程中肿瘤负荷动态检测有显著意义。Objective ： To detect Ph chromosome in CML patients by the use of conventional cytogenetics and FISH. Methods ： The bone marrow samples were collected in heparinised syringe from 5 diagnosed CML patients and transported to cytogenetic laboratory for chromosomal analysis. Conventional karyotype was prepared by direct harvesting and short -term culture. The FISH analysis was car- ried out on interphase cells of five patients to confirm the cytogenetic diagnosis. Results ： Out of 6 CML patients, 4 CML patients were 100% Philadelphia negative, 2 CML patients were carried two different acquired and apparently balanced translocations, （18; 22） and （17; 22） , 2 CML patients have done bone marrow transplantation and karyotype were normal. 1 patient cytogenetic analysis failed. 2 patients were Philadelphia positive findings. FISH was carried out in interphase cells from bone marrow preparations of four patients. The signals for BCR - ABL fusion gene was absent in Ph negative CML patients. 63.87% , 84. 51%, 7.56%, 4. 0%. Conclusion ： Conventional cytogenetics is a useful method for detection of Ph chromosome in metaphase stage of cell division. FISH can be used in interphase stage of cell division for the same purpose.

关 键 词：染色体 FISH技术 慢性粒细胞白血病 

分 类 号：R733.72[医药卫生—肿瘤]