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探讨应用反义核酸(ASODN)替代ATRA治疗急性早幼粒细胞白血病(APL)的可行性。NB4和HL-60细胞的生长、分化及功能通过细胞生长曲线、形态学、细胞表面标志及NBT还原试验加以判定,细胞周期应用流式细胞仪进行分析。结果显示:①ASODN仅能够抑制NB4的生长,促进NB4细胞的分化,具有特异性;②ATRA能够同时影响NB4和HL-60细胞的生长分化;③ASODN能够降低NB4细胞S期细胞百分比,而ATRA不能;④与ATRA相比,ASODN对NB4细胞PML-RARα融合基因的抑制作用强,作用时相早。因此,通过单纯封闭PML-RARα基因对APL行使基因治疗是可行的,而将PML-RARα基因的封闭和RARα基因的激活结合起来也许是基因治疗的最佳方案。
To investigate the feasibility of using ASODN instead of ATRA in the treatment of acute promyelocytic leukemia (APL). The growth, differentiation and function of NB4 and HL-60 cells were determined by cell growth curves, morphology, cell surface markers, and NBT reduction assays, and cell cycle analysis was performed using flow cytometry. The results showed that: 1ASODN can only inhibit the growth of NB4, and promote the differentiation of NB4 cells, and has specificity; 2ATRA can simultaneously affect the growth and differentiation of NB4 and HL-60 cells; 3ASODN can reduce the percentage of S phase cells in NB4 cells, but ATRA can not; 4 Compared with ATRA, ASODN has a strong inhibitory effect on the PML-RARα fusion gene of NB4 cells, and its action phase is early. Therefore, it is feasible to perform gene therapy for APL by simply blocking the PML-RARα gene, and combining the blocking of PML-RARα gene with the activation of RARα gene may be the best solution for gene therapy.