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早期蕈样肉芽肿采用激光捕获显微切割及基因扫描分子诊断基因重排的研究

Molecular diagnosis in early mycosis fungoides using T-cell receptor gene rearrangement by laser capture microdissection and genescan

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【作者】 张凡涂平卜定方武玲慎

【Author】 ZHANG Kan, TU Ping, BU Ding-fang, WU Ling-shen (Department of Dermatology and Venereology, Peking University, Beijing 100034, China)

【机构】 北京大学第一医院皮肤性病科

【摘要】 目的:研究激光捕获显微切割及基因扫描定性检测T细胞受体(TCR)γ基因重排在早期蕈样肉芽肿(MF)细胞中表达的可行性。方法:激光捕获显微切割(laser capture microdissection,LCM)分离早期MF中的肿瘤细胞,荧光标记引物双重聚合酶链反应(PCR)和基因扫描(GeneScan)分析TCRγ基因重排。结果:9例早期MF的TCRγ基因重排检出率为66.7%(6/9),2例肿瘤期MF的检出率为100%。结论:激光捕获显微切割技术可用于诊断早期MF的TCRγ基因重排检测。

【Abstract】 Objective: To investigate the feasibility of laser capture microdissection (LCM) and genescan in T cell receptor gamma gene rearrangement in early mycosis fungoides. Methods: LCM to obtain lymphocytic infiltrates from tissue sections of skin biopsy specimens was used. T cell receptor gamma-chain polymerase chain reaction genescan analysis (TCR-γ-PCR-GSA) was used to ana lyze the clonality status of 9 patients with early MF and 2 patients with tumor-stage MF. Results: A monoclonal T cell infiltrate was demonstrated in 66.7% of early stage MF cases and in 100% of tumor stage MF patients. Conclusion: Applying LCM to clonality analysis of early MF could be more rapid and sensitive than conventional methods, and to introduce this approach into the routine diagnosis is recommended.

【基金】 2007年度高等学校博士学科点专项科研基金(20070001706)资助项目
  • 【文献出处】 临床皮肤科杂志 ,Journal of Clinical Dermatology , 编辑部邮箱 ,2010年05期
  • 【分类号】R739.5
  • 【被引频次】2
  • 【下载频次】41
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