Telomere length in myelodysplastic syndromes.

Telomere length in myelodysplastic syndromes.
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DOI:
10.3109/10428194.2011.568648
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发表时间:
2011-08
影响因子:
2.6
通讯作者:
List AF
List AF
中科院分区:
医学4区
文献类型:
--
作者:
Rollison DE;Epling-Burnette PK;Park JY;Lee JH;Park H;Jonathan K;Cole AL;Painter JS;Guerrier M;Meléndez-Santiago J;Fulp W;Komrokji R;Lancet J;List AF

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端粒长度(TL)与骨髓增生异常综合征(MDS)易感性之间的关系尚不清楚。我们比较了未经治疗且无既往癌症史的经组织学证实的MDS病例(n=65)与年龄匹配的对照组(n=63)的外周血白细胞(PBL)TL。通过定量PCR测量PBL和唾液中的相对TL,并通过Flow-FISH测量CD 15+和CD 19+细胞中的相对TL。PCR检测端粒酶逆转录酶基因(hTERT)突变。校正年龄和性别后,MDS病例与对照组相比,PBL(p=0.02)、CD 15+(p=0.01)、CD 19+(p=0.25)和唾液(p=0.13)的相对TL降低,尽管只有PBL和CD 15+结果具有统计学显著性。在MDS病例中,CD 15+和CD 19+细胞TL呈正相关(p=0.03)。PBL TL在职业暴露于油漆和农药的人群中减少,但与hTERT基因型无关。未来的研究需要进一步调查宪法端粒磨损作为一个可能的诱发因素MDS。
The relationship between telomere length (TL) and predisposition to myelodysplastic syndromes (MDS) remains unclear. We compared peripheral blood leukocyte (PBL) TL among cases of histologically-confirmed MDS (n=65) who were treatment-naive with no prior cancer history to age-matched controls (n=63). Relative TL was measured in PBL and saliva by quantitative PCR and in CD15+ and CD19+ cells by Flow-FISH. Human telomerase reverse transcriptase gene (hTERT) mutations were assessed by PCR. After adjustment for age and sex, relative TLs were reduced in PBL (p=0.02), CD15+ (p=0.01), CD19+ (p=0.25) and saliva (p=0.13) in MDS cases versus controls, although only PBL and CD15+ results were statistically significant. Among MDS cases, CD15+ and CD19+ cell TLs positively correlated (p=0.03). PBL TL was reduced among those occupationally exposed to paints and pesticides, but was not associated with hTERT genotype. Future studies are needed to further investigate constitutional telomere attrition as a possible predisposing factor for MDS.
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