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在家系完整的单倍体联合第三方脐血移植中研究供受者HLA单倍型和等位基因错配对移植预后的影响 被引量:3
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作者 朱文娟 何军 +6 位作者 鲍晓晶 袁晓妮 李杨 薛胜利 潘芝娟 陈佳 吴德沛 《中华血液学杂志》 CAS CSCD 北大核心 2016年第7期591-596,共6页
目的在HLA—A、-B、-C、-DRB1、-DQB14高分辨基因分型的基础上,分析供受者单倍型和等位基因错配在单倍体联合第三方脐血移植对预后的影响。方法回顾性分析2012年1月至2014年12月期间行单倍体联合第三方脐血移植的230例恶性血液病患者... 目的在HLA—A、-B、-C、-DRB1、-DQB14高分辨基因分型的基础上,分析供受者单倍型和等位基因错配在单倍体联合第三方脐血移植对预后的影响。方法回顾性分析2012年1月至2014年12月期间行单倍体联合第三方脐血移植的230例恶性血液病患者,采用基因测序和寡核苷酸探针杂交方法进行供受者HLA—A、-B、-C、-DRB1、-DQB1高分辨基因分型。结果供受者根据HLA—A、-B、-C、-DRB1、-DQB1基因分型结果及相合度,分为HLA-5/10、-6/10、-7/10、98/10四组,其3年总生存(OS)率分别为48.7%、59.3%、71.1%、38.3%(P=0.068)。供受者HLA-6/10相合组与HLA-5/10相合组相比,3年OS率差异有统计学意义(P=-0.041)。在供受者HLA-6/10相合组:当HLA—I类位点(HLA-A、-B、-C)相合3年OS率为61.5%,与HLA-5/10相合组相比差异有统计学意义(P=0.017),且HLA—A位点等位基因相合3年OS及无事件生存(EFS)率分别为90.5%8n84.4%,明显高于HLA-5/10相合组(P=0.013,P=0.013)。供受者与脐血单倍型相合88例,不合51例,两者巨核系重建累积发生率分别为95.3%和86.2%(P=0.007),粒系重建累积发生率分别为98.8%和96.1%(P=0.022)。结论在单倍体联合第三方脐血移植的供者选择中,HLA相合度及等位基因错配对预后均有意义,选择与供受者单倍型相合的第三方脐血可促进移植后造血重建。 展开更多
关键词 造血干细胞移植 胎血 人类白细胞抗原 等位基因错配 单倍型
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Microsatellite Alterations on Chromosome 8 of Hepatocellular Carcinoma 被引量:1
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作者 张树辉 冼志红 +1 位作者 丛文铭 吴孟超 《The Chinese-German Journal of Clinical Oncology》 CAS 2004年第1期5-10,64,共7页
Objective: To study the features of microsatellite alterations on chromosome 8 and their asso- ciation with clinicopathological characteristics of hepatocellular carcinoma (HCC). Methods: Ten highly- ... Objective: To study the features of microsatellite alterations on chromosome 8 and their asso- ciation with clinicopathological characteristics of hepatocellular carcinoma (HCC). Methods: Ten highly- polymorphic microsatellite markers on chromosome 8 were selected to be detected for loss of heterozygosity (LOH), microsatellite instability (MSI) and allelic imbalance (AI) in 56 HCC using MegaBACE 500 auto- matic DNA analysis system. Results: LOH was found in 37 of 56 HCC (66.1%) on at least 1 locus, and the top three loci were D8S261(53.5%), D8S1721(52.5%) and D8S1771(52.5%). LOH frequency on D8S277 was signi?cantly higher in cases positive for serum HBsAg than in those negative for HBsAg (P <0.01). Similarly, LOH on D8S261, D8S298 and D8S1733 occurred more frequently in patients with negative HB- sAg than those with positive HBsAg (P <0.01). LOH on D8S298 and D8S1771 was more frequent in those tumors larger than 3 cm in size (P <0.05 or P <0.01). LOH frequencies of D8S1721 were signi?cantly higher in the patients with absent or not intact tumor capsule than in those with intact tumor capsule (P <0.05). LOH on D8S298 and D8S1771 was more frequently detected in tumors with intrahepatic metastasis than in those without intrahepatic metastasis (P <0.01). MSI was found in 12.5% (7/56) cases, and AI was found in 19.6% (11/56), no correlation was found between MSI and AI and clinicopathological character- istics of HCC. Conclusion: Frequent microsatellite alterations on chromosome 8 existed in HCC. LOH, which represents tumor suppressor gene pathway, plays a more important role in hepatocarcinogenesis; MSI representing mismatch repair gene pathway ranks next. LOH at a particula locus is associated with the clinicopathological parameters of human HCC. 展开更多
关键词 liver neoplasms carcinoma hepatocellular loss of heterozygosity microsatellite instability allelic imbalance
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