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急性髓系白血病(AML)M_(2b)常伴有t(8:21)染色体易位,两个染色体重排导致形成AMLI/MTG8融合基因,并持续产生融合基因转录本。作者利用逆转录。多聚酶链反应(RT-PCR)扩增AML1/MTG8融合基因转录本进行AML-M_(2b)微量残留白血病的监测,在13例完全缓解的患者中,12例可检出残留白血病细胞。经随诊这12例中,2例已复发,1例死于强化治疗骨髓抑制期,9例仍持续完全缓解。
Acute myeloid leukemia (AML) M_(2b) is often accompanied by a t(8:21) chromosomal translocation. Two chromosome rearrangements lead to the formation of the AMLI/MTG8 fusion gene and continuous production of fused gene transcripts. The author uses reverse transcription. Polymerase chain reaction (RT-PCR) amplification of AML1/MTG8 fusion gene transcripts was used to monitor AML-M_(2b) minimal residual leukemia. Residual leukemia cells were detected in 12 of 13 complete remission patients. Of the 12 patients followed up, 2 had relapsed, 1 died of intensive therapy for myelosuppression, and 9 cases continued to have complete remission.