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作 者:赵纯平[1] 李敬兰[1] 赵子恩[1] 曹金霓[1]
机构地区:[1]天津市第一中心医院,300192
出 处:《天津医药》1999年第5期286-287,共2页Tianjin Medical Journal
摘 要:检测34例急性白血病(AL)患者治疗前后vWF:Ag(Laurell免疫电泳法),TM(ELISA法)和ET(RIA法)三种血管内皮细胞损伤分子标志物的变化。结果表明,AL治疗前vWF,TM,ET均比正常对照组显著升高,ANLL和ALL组间无明显差异。化疗完全缓解后,TM和ET恢复正常,vWF也明显降低,但仍高于正常。复发患者vWF、ITM、ET又均显著升高。13例非恶性血液病与正常组无明显差别。结果提示,此3种分子标志物可作为反映AL病情和监测疗效的有用指标,其在白血病时的病理生理作用值得进一步研究。The plasma concentrations of von Willebrand factor(vWF), thrombomodulin (TM) and endothelin (ET) as molecular markers indicating vascular endothelium injury were investigated in 34 cases of acute leukemia(AL)before and after anti- leukemia therapy, 13 cases of non-malignant hematologic diseases and 30 normal controls. The results showed that plasma levels of vWF,TM, ET were significantly increased in AL Patients and decreased after remission, and increased again re- markably if AL relapsed. But no marked difference between ANLL and ALL. In 13 cases of non-malignant hematologic diseases the Plasma levels of vWF, TM, ET had no differences comparing with the normal controls. Hence, significant de- gree of vascular endothelial cell injury existed in leukemia patients, and determination of Plasma vWF, TM, ET may be use- ful in predicting the seventy of the disease.
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