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儿童急性淋巴细胞白血病e2a-pbx1融合基因的表达水平与临床特点、早期治疗反应的相关性 被引量:12
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作者 高超 李志刚 +1 位作者 赵玮 吴敏媛 《中国实验血液学杂志》 CAS CSCD 2008年第3期569-573,共5页
为了探讨急性淋巴细胞白血病儿童初诊的e2a-pbx1融合基因表达水平与患儿临床特点和早期治疗反应的关系,采用实时定量聚合酶链反应定量检测45例患儿初诊e2a-pbx1表达水平和23例诱导缓解治疗第33天时微小残留病(minimal residual disease,... 为了探讨急性淋巴细胞白血病儿童初诊的e2a-pbx1融合基因表达水平与患儿临床特点和早期治疗反应的关系,采用实时定量聚合酶链反应定量检测45例患儿初诊e2a-pbx1表达水平和23例诱导缓解治疗第33天时微小残留病(minimal residual disease,MRD)水平;分析初诊e2a-pbx1表达水平、MRD水平与临床特点和早期治疗反应的相关性;比较MRD阳性与阴性患儿初诊e2a-pbx1表达水平及临床特点的差异。结果表明:初诊时e2a-pbx1表达水平与初诊时外周血幼稚细胞百分比呈正相关。23例诱导缓解治疗第33天MRD水平与初诊时各临床特点及e2a-pbx1表达水平均缺乏相关性。MRD阳性组初诊时e2a-pbx1表达水平高于阴性组,而患儿年龄显著低于阴性组。外周血白细胞数<25×109/L的患儿,初诊时外周血幼稚细胞百分比显著低于≥25×109/L组,血小板计数显著高于≥25×109/L组。结论:初诊时e2a-pbx1表达水平可以提示患儿初诊时的肿瘤负荷。MRD阳性患儿初诊时e2a-pbx1表达水平高,年龄小。初诊肿瘤负荷高的患儿,外周血血小板数低。 展开更多
关键词 急性淋巴细胞白血病 e2a-pbx1融合基因 微小残留病
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New insights into transcriptional and leukemogenic mechanisms of AML1-ETO and E2A fusion proteins
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作者 Jian Li Chun Guo +1 位作者 Nickolas Steinauer Jinsong Zhang 《Frontiers in Biology》 CAS CSCD 2016年第4期285-304,共20页
BACKGROUND: Nearly 15% of acute myeloid leukemia (AML) cases are caused by aberrant expression of AML 1-ETO, a fusion protein generated by the t(8;21) chromosomal translocation. Since its discovery, AML 1-ETO has... BACKGROUND: Nearly 15% of acute myeloid leukemia (AML) cases are caused by aberrant expression of AML 1-ETO, a fusion protein generated by the t(8;21) chromosomal translocation. Since its discovery, AML 1-ETO has served as a prototype to understand how leukemia fusion proteins deregulate transcription to promote leukemogenesis. Another leukemia fusion protein, E2A-Pbx 1, generated by the t(1; 19) translocation, is involved in acute lymphoblastic leukemias (ALLs). While AML 1 - ETO and E2A-Pbxl are structurally unrelated fusion proteins, we have recently shown that a common axis, the ETO/E-protein interaction, is involved in the regulation of both fusion proteins, underscoring the importance of studying protein-protein interactions in elucidating the mechanisms of leukemia fusion proteins. OBJECTIVE: In this review, we aim to summarize these new developments while also providing a historic overview of the related early studies. METHODS: A total of 218 publications were reviewed in this article, a majority of which were published after 2004. We also downloaded 3D structures of AML1-ETO domains from Protein Data Bank and provided a systematic summary of their structures. RESULTS: By reviewing the literature, we summarized early and recent findings on AML 1-ETO, including its protein-protein interactions, transcriptional and lenkemogenic mechanisms, as well as the recently reported involvement of ETO family corepressors in regulating the function of E2A-Pbxl. CONCLUSION: While the recent development in genomic and structural studies has clearly demonstrated that the fusion proteins function by directly regulating transcription, a further understanding of the underlying mechanisms, including crosstalk with other transcription factors and cofactors, and the protein-protein interactions in the context of native proteins, may be necessary for the development of highly targeted drugs for leukemia therapy. 展开更多
关键词 AML1-eTO e2a-pbxl e-proteins chromosomal translocation TRANSCRIPTION LeUKeMIA
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