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粒细胞上CD59分子缺失表达在PNH特异性诊断指标的价值分析

乔伟振 李小雯 谢平 殷莹 林军

重庆医学2011,Vol.40Issue(20):1991-1994,封2,5.
重庆医学2011,Vol.40Issue(20):1991-1994,封2,5.DOI:10.3969/j.issn.1671-8348.2011.20.006

粒细胞上CD59分子缺失表达在PNH特异性诊断指标的价值分析

Diagnostic value of CD59 molecule deficient expression on granulocyte in PNH diagnosis

乔伟振 1李小雯 1谢平 1殷莹 1林军2

作者信息

  • 1. 南京医科大学附属无锡市人民医院中心实验室,江苏无锡,214023
  • 2. 上海市第一人民医院病理科,200080
  • 折叠

摘要

Abstract

Objective To investigate the expression of CD59- on the surface of granulocytic cells in patients with PNH and other type anemia,and to evaluate the diagnostic value of CD59 deficient expression.Methods Using PE fluorescence labeled monoclonal antibodies against CD59 ,the expression levels of CD59- were detected by flow cytometric analysis on granulocytic cells of 16 patients with PNH,7 with AA-PNH,33 with AA,29 with MDS.11 with MM,10 with SLF,10 with ALL,11 with AML,28 with MA, 66 with IDA and 13 with AIHA. One-way analysis of variance test was performed to compare the difference in the frequency of CD59 negative granulocytic populations.Results The average percents of CD59-cells expressed in granulocytes were 1.9% in normal individuals,43.6% in PNH, 29.3% in AA-PNH,17.7% in AA, 14.6% in MDS, 12.1% in MM, 12.1% in SLF, 11.7% in ALL,33.6% in AML,11.6% in MA , 8.0% in IDA and 11.2% in AIHA.Compared to the normal control group, the percentage of CD59- deficency increased apparently in patients with PNH , AA-PNH , AA, MDS, MM , SLE, ALL , AML, MA , IDA and AIHA ,and were statistics significant(P<0.01 or P<0.05).Conclusion The expression levels of CD59-deficency on granulocytic cells in patients with different type anemia are increase to different extent and the diminished expression of the surface molecular CD59 may not be specific to PNH diagnosis.

关键词

贫血/流式细胞术/阵发性睡眠性血红蛋白尿症/CD59

Key words

anemia / flow cytometry/ paroxysmal nocturnal hemoglobinuria / CD59

引用本文复制引用

乔伟振,李小雯,谢平,殷莹,林军..粒细胞上CD59分子缺失表达在PNH特异性诊断指标的价值分析[J].重庆医学,2011,40(20):1991-1994,封2,5.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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