【摘要】 目的探讨白血病染色体微卫星不稳定性（ＭＳＩ）及杂合性丢失（ＬＯＨ）。方法用白血病易位断裂点区域附近的多个微卫星位点检测３０例不同类型白血病基因的不稳定性及杂合性丢失。结果２１例白血病存在ＭＳＩ或者ＬＯＨ。其中１５例急性白血病中１１例示１个以上位点有ＭＳＩ；６例慢性粒细胞性白血病中４例患者在３个以上位点有ＭＳＩ；１５例急性白血病中２例有ＬＯＨ，比其他白血病发生率高。结论白血病和骨髓增生异常综合征均存在较高的基因不稳定性，但这些基因变化与不同类型的白血病的染色体易位断裂点没有特殊联系更多还原

【Abstract】 Objective To investigate the microsatellite instability (MSI) and loss of heterozygosity(LOH) near the chromosome translocation breakpoints of various types of leukemia.Methods PCR amplification of 11 microsatellite loci closely linked to chromosome translocation breakpoints in 30 leukemia patients.Results Twenty one in 30 cases of leukemia had MSI in from 1 to 14 microsatellite loci. Eleven in 15 cases of acute leukemia had microsatellite instability (MSI) in more than 1 loci; among them 4 cases had MSI in from 7 to 11 loci. In order of MSI presence rate were D22S315>D9S179>D16S515>D8S559>D12S89。 In six cases of chronic myelocytic leukemia, 4 cases had MSI in more than 3 loci. Thirteen (2/15) percent of acute leukemia patients had loss of heterozygosity (LOH); the rate was higher than that in other leukemia types.Conclusion The results of MSI and LOH in many cases indicate that there are a lot of allelic alterations in leukemia patients, but those changes have no special relationship with chromosome translocation breakpoints in various leukemia types.更多还原