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成人正常核型原发急性髓系白血病中TET2突变情况及临床意义

李佳佳 朱俊锋 周黎黎 朱凯 张凤 孙自敏 张竞竞

山东医药2017,Vol.57Issue(45):16-19,4.
山东医药2017,Vol.57Issue(45):16-19,4.DOI:10.3969/j.issn.1002-266X.2017.45.005

成人正常核型原发急性髓系白血病中TET2突变情况及临床意义

TET2 mutation and its clinical significance in adult normal karyotype acute myeloid leukemia

李佳佳 1朱俊锋 1周黎黎 1朱凯 1张凤 1孙自敏 2张竞竞1

作者信息

  • 1. 蚌埠医学院第一附属医院,安徽蚌埠233000
  • 2. 安徽医科大学附属省立医院
  • 折叠

摘要

Abstract

Objective To investigate the TET2 mutation and its significance in patients with acute myeloid leukemia (AML). Methods The bone marrow samples from 98 patients with newly diagnosed AML were collected. The target fragments were amplified by polymerase chain reaction (PCR). Then,TET2 mutations were detected by direct sequencing, and we explored the relationships between the TET2 mutation and the clinical features,efficacy,and survival rate of AML patients. Results Twenty-three patients had TET2 mutations (23. 46%). M2 and M5 were the main mutant types. Compared with the TET2 wild type group,the number of primitive cells,peripheral blood leukocyte count,and blood platelet count were lower in the TET2 mutant group (all P < 0. 05),and the TET2 mutant patients had a poor overall sur-vival rate. No significant difference was found in the age,sex,hemoglobin,chemotherapy regimen,chemotherapy efficacy, risk stratification,FLT3-ITD,and NPM1 mutations between the TET2 wild type group and TET2 mutant group (all P >0. 05). Conclusion The incidence rate of TET2 mutation is higher in AML patients,which is related to the poor progno-sis of patients.

关键词

急性髓系白血病/TET2突变/预后/成年人

Key words

acute myeloid leukemia/TET2 mutation/prognosis/adults

分类

医药卫生

引用本文复制引用

李佳佳,朱俊锋,周黎黎,朱凯,张凤,孙自敏,张竞竞..成人正常核型原发急性髓系白血病中TET2突变情况及临床意义[J].山东医药,2017,57(45):16-19,4.

基金项目

安徽省高等学校自然科学研究一般项目(KJ2015B88by) (KJ2015B88by)

蚌埠医学院院级课题基金(BYKY1470). (BYKY1470)

山东医药

OACSTPCD

1002-266X

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