慢性淋巴细胞白血病患者核糖核苷酸还原酶亚基RRM1和RRM2 mRNA水平的临床及预后意义

Sevastianos Chatzidavid, Christina-Nefeli Kontandreopoulou, Panagiotis T Diamantopoulos, Nefeli Giannakopoulou, Panagiota Katsiampoura, Christos Stafylidis, Georgios Dryllis, Marie-Christine Kyrtsonis, Maria Dimou, Panayiotis Panayiotidis, Nora-Athina Viniou
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摘要

核糖核苷酸还原酶(RNR)将核糖核苷酸转化为DNA复制和修复所需的脱氧核糖核苷酸。RNR由亚基M1和M2组成。它已被研究为几种实体瘤和慢性血液恶性肿瘤的预后因素,但在慢性淋巴细胞白血病(CLL)中没有。收集135例CLL患者外周血标本。测量M1/M2基因mRNA水平,并以RRM1-2/GAPDH比值表达。在患者亚组中研究了M1基因启动子甲基化。M1 mRNA在无贫血(p = 0.026)、无淋巴结病(p = 0.005)和17p基因缺失(p = 0.031)的患者中表达较高。LDH异常(p = 0.022)和Rai分期升高(p = 0.019)与M1 mRNA水平降低相关。M2 mRNA水平在无淋巴结病变(p = 0.048)、Rai分期(p = 0.025)和12三体(p = 0.025)患者中均较高。在CLL患者中,RNR亚基与临床生物学特征之间的相关性证明了RNR作为预后因素的潜在作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Clinical and Prognostic Significance of Ribonucleotide Reductase Subunits RRM1 and RRM2 mRNA Levels in Patients with Chronic Lymphocytic Leukemia.

Ribonucleotide Reductase (RNR) converts ribonucleotides to deoxyribonucleotides required for DNA replication and repair. RNR consists of subunits M1 and M2. It has been studied as a prognostic factor in several solid tumors and in chronic hematological malignancies, but not in chronic lymphocytic leukemia (CLL). Peripheral blood samples were collected from 135 CLL patients. M1/M2 gene mRNA levels were measured and expressed as a RRM1-2/GAPDH ratio. M1 gene promoter methylation was studied in a patients' subgroup. M1 mRNA expression was higher in patients without anemia (p = 0.026), without lymphadenopathy (p = 0.005) and 17p gene deletion (p = 0.031). Abnormal LDH (p = 0.022) and higher Rai stage (p = 0.019) were associated with lower M1 mRNA levels. Higher M2 mRNA levels were found in patients without lymphadenopathy (p = .048), Rai stage 0 (p = 0.025) and Trisomy 12 (p = 0.025). The correlation between RNR subunits and clinic-biological characteristics in CLL patients demonstrate RNR's potential role as a prognostic factor.

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