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强化心理护理干预对白血病患儿治疗依从性的影响 被引量:43
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作者 张凤伟 陈小萌 《中华现代护理杂志》 2014年第7期755-757,共3页
目的:探讨强化心理护理干预对白血病患儿治疗依从性的影响。方法选择2009年8月-2012年8月收治的白血病患儿214例,按照随机数字表法随机分成观察组与对照组各107例,对照组给予常规护理,观察组在对照组护理的基础上进行强化心理护理... 目的:探讨强化心理护理干预对白血病患儿治疗依从性的影响。方法选择2009年8月-2012年8月收治的白血病患儿214例,按照随机数字表法随机分成观察组与对照组各107例,对照组给予常规护理,观察组在对照组护理的基础上进行强化心理护理干预。分别采用改良耶鲁围手术期焦虑量表(mYPAS)、社会支持量表(SSRS)评价两组患儿焦虑水平及社会支持程度,并比较两组治疗依从性。结果观察组患儿依从性良好率为87.85%,对照组为68.22%,差异有统计学意义(χ2=12.024, P<0.05)。观察组患儿社会支持总分、主观支持、客观支持、支持利用度得分分别为(41.14±6.34),(24.95±3.61),(10.52±3.33),(6.95±2.86)分,均高于对照组的(39.01±4.68),(21.74±5.29),(8.78±3.46),(5.89±2.53)分,两组比较差异有统计学意义(t分别为2.796,5.185,3.748,2.872;P<0.05)。观察组mYPAS评分为(32.21±3.41)分,低于对照组的(35.89±3.36)分,差异有统计学意义(t=-7.952,P<0.05)。结论在常规护理的基础上联合强化心理护理干预,减轻了白血病患儿的焦虑程度,提高了白血病患儿的治疗依从性和社会支持水平,有助于患儿顺利完成化疗周期的治疗。 展开更多
关键词 心理护理 白血病 患儿 依从性
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Induction of apoptosis by homoharringtonine in G1 phase human chronic myeloid leukemic cells 被引量:22
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作者 MAIWen-yuan LINMao-fang 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第6期487-492,共6页
Background Homoharringtonine (HHT) is a cephalotaxine ester derived from an evergreen tree found wildely throughout southern China, which has antileukemic activities against a variety of acute myeloid leukemic cells. ... Background Homoharringtonine (HHT) is a cephalotaxine ester derived from an evergreen tree found wildely throughout southern China, which has antileukemic activities against a variety of acute myeloid leukemic cells. For the sake of illustrating the mechanisms of HHT in the treatment of leukemia, we assessed the effect of HHT on the apoptosis of human chronic myeloid leukemic cell line K562.Methods The apoptosis of K562 cells induced by HHT was analyzed by transmission electron microscopy, agarose gel electrophoresis of DNA, flow cytometry and terminal deoxyribonucleotidyl transferase-mediated dUTP-biotin nick labeling.Results Characteristic apoptosis-related features emerged in K562 cells after exposed to HHT at a concentration 0.05-100 μg/ml. Transmission electron microscopy of HHT treated K562 cells displayed chromatin condensation and aggregation under the nuclear membrane, nuclear fragmentation and apoptosis body formation. Typical DNA ladder in agarose gel electrophoresis was observed in the cells exposed to HHT. The cell cycle analysis measured by flow cytometry showed G1 phase cells decreased with the increase of S phase cells while apoptosis was induced by HHT in K562 cells. The percentage of apoptotic cells in K562 cells treated with 50 μg/ml of HHT decreased significantly when pretreated with 1 μg/ml of cycloheximide, 0.05 μg/ml of Actinomycin D respectively.Conclusions HHT has apoptotic effects on K562 cells. The HHT induced apoptosis mainly of the cells in G1 phase and this process required RNA transcription and protein synthesis. 展开更多
关键词 APOPTOSIS HOMOHARRINGTONINE leukemic cell cell cycle
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雷公藤甲素的抗肿瘤活性研究 被引量:15
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作者 董志华 《实用临床医药杂志》 CAS 2011年第1期36-38,共3页
目的研究雷公藤甲素在体内、体外抗肿瘤活性。方法选取人乳腺癌细胞MCF-7、肝癌细胞SMMC-7721、骨髓白血病细胞(HL-60),不同浓度的雷公藤甲素分别处理3种肿瘤细胞,MTT法分别检测雷公藤甲素的抗肿瘤活性;选取荷MCF-7肿瘤裸鼠,给予雷公藤... 目的研究雷公藤甲素在体内、体外抗肿瘤活性。方法选取人乳腺癌细胞MCF-7、肝癌细胞SMMC-7721、骨髓白血病细胞(HL-60),不同浓度的雷公藤甲素分别处理3种肿瘤细胞,MTT法分别检测雷公藤甲素的抗肿瘤活性;选取荷MCF-7肿瘤裸鼠,给予雷公藤甲素,通过肿瘤生长抑制率,考察雷公藤甲素的体内抗肿瘤活性。结果雷公藤甲素对3种肿瘤细胞均有抑制作用,呈剂量依赖性,IC50分别为42.1、54.83、1.9 nmol/L,雷公藤甲素可显著抑制肿瘤生长。结论雷公藤甲素体内外实验均显示良好抗肿瘤活性。 展开更多
关键词 雷公藤甲素 抗肿瘤活性 乳腺癌 肝癌 骨髓白血病
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核因子-κB活化抑制增强高三尖杉酯碱诱导白血病细胞凋亡 被引量:11
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作者 史剑慧 许小平 +3 位作者 张宗梁 张劲松 葛均波 程文英 《中华内科杂志》 CAS CSCD 北大核心 2003年第5期292-295,共4页
目的 研究地塞米松 (DXM)和长春新碱 (VCR)对高三尖杉酯碱 (HH)诱导白血病细胞凋亡与核因子 κB (NF κB)活化的影响。方法 采用TdT介导的dUTP缺口末端标记技术(TUNEL)、DNA电泳方法观察HH诱导K5 6 2 n细胞凋亡 ,采用电泳迁移率变... 目的 研究地塞米松 (DXM)和长春新碱 (VCR)对高三尖杉酯碱 (HH)诱导白血病细胞凋亡与核因子 κB (NF κB)活化的影响。方法 采用TdT介导的dUTP缺口末端标记技术(TUNEL)、DNA电泳方法观察HH诱导K5 6 2 n细胞凋亡 ,采用电泳迁移率变动分析 (EMSA)观察HH诱导K5 6 2 n细胞NF κB活化。结果 用 (0 5、5、5 0 ) μmol/L的HH均能诱导K5 6 2 n细胞凋亡率分别为 (30 0 0± 3 34,4 7 13± 3 18,6 8 6 3± 8 14 ) % ,与对照组相比 ,有良好的浓度依赖关系 (P <0 0 5 ) ;DXM 1μmol/L和VCR 0 1μmol/L本身无诱导K5 6 2 n细胞凋亡的作用 ,但均能增强HH 0 5μmol/L诱导的K5 6 2 n细胞凋亡 ,凋亡增加率分别为 85 8%和 114 6 % (P值均 <0 0 5 )。K5 6 2 n细胞未经药物诱导NF κB也有轻度活化 ;HH 0 5 μmol/L可明显诱导K5 6 2 n细胞NF κB活化 ,DXM 1μmol/L和VCR 0 1μmol/L能显著抑制HH 0 5 μmol/L诱导的NF κB活化 ,抑制率分别为 32 0 %和39 4 % (P值均 <0 0 5 )。结论 HH诱导K5 6 2 n细胞凋亡的同时激活NF κB ;DXM和VCR可通过抑制NF κB活化 ,增强其诱导K5 6 2 n细胞凋亡的作用。 展开更多
关键词 核因子—κB 三尖杉酯碱 诱导 白血病 细胞凋亡
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CHARACTERIZATION OF A HUMAN HERPES VIRUS-6(HHV-6) AND EPSTEIN-BARR VIRUS(EBV) ASSOCIATED LEUKEMIC CELL LINE,J6-1 被引量:9
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作者 吴克复 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1994年第3期157-168,共12页
This report characterizes the J6-1 cell line derived from a Chinese acute myelomonocytic leukemia patient and previously reported to be associated with EBV. These studies showed that J6-1 cells were also infected with... This report characterizes the J6-1 cell line derived from a Chinese acute myelomonocytic leukemia patient and previously reported to be associated with EBV. These studies showed that J6-1 cells were also infected with HHV-6 as demonstrate at the DNA level by PCR and Southern blot hybridization and by expression of HHV-6 early membrane antigen on the J6-1 cell surface. Further characterization showed J6-1 was co-infected with EBV type 2. Generally, cells infected with EBV type 2 do not grow well in vitro. However, J6-1 , although difficult to maintain in vitro, has been grown for 15 years. Possibly, co-infection with HHV6 confers this property. In this regard, J6-1 cells exhibited density dependent growth which could be inhibited with an anti-HHV-6-MA monoclonal antibody(MAb). In contrast, anti-HHV-6-VCA MAb stimulated the J6-1 cell proliferation. Electron microscopic analysis showed that, morphologically, there were two types of J6-1 cell, one with lymphoblastoid features and one with a monocytoid appearance. Accordingly, the flow profile of the J6-1 cell line showed heterogeneity. with two populations comprised of CD15-, CD19+ cells with low light scatter(small cells) and a population with greater light scatter(larger cells) which was CD15+ , CD19+. The population was negative for progenitor cell markers(CD33, 34 ), and T cell markers. Southern analysis showed no T cell receptor rearrangement, however there was a clonal JH and kappa light chain expressing population. Glycocytochemical analysis showed several endogenous lectin receptors on the J6-1 cell surface: BSA-Xylose, BSA-Rhamnose, BSAGal. BSA-Lac. This cell line shares many characteristics with other monocytic/ lymphoblastoid cell lines isolated elsewhere and provides circumstantial evidence linking Herpes viruses, as least as co- factors,to leukemia cell growth. 展开更多
关键词 Human herpes virus-6 (HHV-6) Epstein-barr virus (EBV) leukemic cell line.
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沙立度胺治疗急性白血病近期临床疗效观察 被引量:9
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作者 王明琳 穆惠荣 +3 位作者 刘曰芬 李英刚 吴红光 隋海涛 《中华内科杂志》 CAS CSCD 北大核心 2003年第5期296-299,共4页
目的 探讨沙立度胺 (反应停 )在治疗急性白血病 (AL)中的作用。方法  38例AL中 ,初治 2 7例 ,随机分为常规化疗加反应停治疗 (A)组和常规化疗 (B)组。复治 11例 ,列为C组 ,全部应用化疗加反应停。用Ⅷ因子相关抗原和CD3 4 单抗免疫组... 目的 探讨沙立度胺 (反应停 )在治疗急性白血病 (AL)中的作用。方法  38例AL中 ,初治 2 7例 ,随机分为常规化疗加反应停治疗 (A)组和常规化疗 (B)组。复治 11例 ,列为C组 ,全部应用化疗加反应停。用Ⅷ因子相关抗原和CD3 4 单抗免疫组化染色的方法 ,观察患者治疗前后骨髓微血管密度 (MVD)。用ELISA的方法测定患者治疗前后血清血管内皮细胞生长因子 (VEGF)的浓度。反应停起始剂量 2 0 0mg/d ,每 1周增加 5 0mg/d ,直到 4 0 0~ 5 0 0mg/d ,应用 4~ 6个月。 结果 两组初治病例的完全缓解 (CR)率和有效率 :CR +部分缓解 (PR)及达CR所需疗程数用或不用反应停均无差异 ,其CR率和有效率分别为 5 7 1%和 5 3 8%及 78 6 %和 76 9%。复治组CR率 2 7 3% ,有效率 5 4 5 %。A、B两组CR患者随访 6个月 ,A组复发率较低。患者MVD、VEGF治疗前与正常对照组相比差异非常显著 (P <0 0 0 1)。治疗前VEGF水平与疗效呈负相关。用反应停组无特殊的不良反应。结论 反应停治疗可维持AL患者的持续缓解状态 ,减少复发。在AL的治疗中加用反应停是合理的新的治疗策略。 展开更多
关键词 沙立度胺 治疗 急性白血病 近期 疗效观察
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Molecular and cellular bases of chronic myeloid leukemia 被引量:10
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作者 Yaoyu Chen Cong Peng +1 位作者 Dongguang Li Shaoguang Li 《Protein & Cell》 SCIE CSCD 2010年第2期124-132,共9页
Chronic myeloid leukemia(CML)is a myeloproliferative disease characterized by the overproduction of granulocytes,which leads to high white blood cell counts and splenomegaly in patients.Based on clinical symptoms and ... Chronic myeloid leukemia(CML)is a myeloproliferative disease characterized by the overproduction of granulocytes,which leads to high white blood cell counts and splenomegaly in patients.Based on clinical symptoms and laboratory findings,CML is classified into three clinical phases,often starting with a chronic phase,progressing to an accelerated phase and ultimately ending in a terminal phase called blast crisis.Blast crisis phase of CML is clinically similar to an acute leukemia;in particular,B-cell acute lymphoblastic leukemia(B-ALL)is a severe form of acute leukemia in blast crisis,and there is no effective therapy for it yet.CML is induced by the BCR-ABL oncogene,whose gene product is a BCR-ABL tyrosine kinase.Currently,inhibition of BCR-ABL kinase activity by its kinase inhibitor such as imatinib mesylate(Gleevec)is a major therapeutic strategy for CML.However,the inability of BCR-ABL kinase inhibitors to completely kill leukemia stem cells(LSCs)indicates that these kinase inhibitors are unlikely to cure CML.In addition,drug resistance due to the development of BCRABL mutations occurs before and during treatment of CML with kinase inhibitors.A critical issue to resolve this problem is to fully understand the biology of LSCs,and to identify key genes that play significant roles in survival and self-renewal of LSCs.In this review,we will focus on LSCs in CML by summarizing and discussing available experimental results,including the original studies from our own laboratory. 展开更多
关键词 BCR-ABL leukemic stem cells CML therapeutic agents
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Treatment strategies in acute myeloid leukemia 被引量:6
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作者 HAN Li-na ZHOU Jin +1 位作者 Jan Jacob Schuringa Edo Vellenga 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第9期1409-1421,共13页
Objective To summarize the risk stratification and current treatment strategies for acute myeloid leukemia (AML) and discuss the role of emerging novel agents that might be applied in future clinical trials.Data sou... Objective To summarize the risk stratification and current treatment strategies for acute myeloid leukemia (AML) and discuss the role of emerging novel agents that might be applied in future clinical trials.Data sources The data in this article were collected from PubMed database with relevant English articles published from 1991 to 2009.Study selection Articles regarding the risk stratification and therapeutic options of AML, as well as the characteristics of leukemic stem cells were selected.Results AML is a heterogeneous disease with variable clinical outcome dependent on several prognostic factors,including age, cytogenetics and molecular markers. The advances in the understanding of AML pathogenesis and development will generate potential novel agents that might improve the treatment results of standard chemotherapy.Conclusion Deeper insight into the multiple transforming events of AML may aid us in designing combinations of small molecule inhibitors based on the individual patient characteristics. 展开更多
关键词 acute myeloid leukemia leukemic stem cell TREATMENT novel agents
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羟基喜树碱对人白血病K562细胞增殖和凋亡的影响 被引量:8
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作者 邵淑丽 吴敏 武广慧 《安徽农业科学》 CAS 北大核心 2010年第9期4546-4549,共4页
[目的]研究羟基喜树碱对人白血病K562细胞增殖与凋亡的影响。[方法]通过光学显微镜、荧光显微镜、电子显微镜、琼脂糖凝胶电泳、流式细胞术等方法,探讨不同浓度羟基喜树碱作用不同时间后,K562细胞凋亡的情况。[结果]羟基喜树碱能够诱导K... [目的]研究羟基喜树碱对人白血病K562细胞增殖与凋亡的影响。[方法]通过光学显微镜、荧光显微镜、电子显微镜、琼脂糖凝胶电泳、流式细胞术等方法,探讨不同浓度羟基喜树碱作用不同时间后,K562细胞凋亡的情况。[结果]羟基喜树碱能够诱导K562细胞凋亡,作用48h的最佳浓度为8.0μg/ml。羟基喜树碱可影响K562细胞增殖周期中的S期,即DNA合成期,细胞在此期停滞,诱导其发生凋亡。[结论]为将羟基喜树碱应用于临床治疗白血病提供前期试验依据。 展开更多
关键词 白血病 K562细胞 羟基喜树碱 细胞增殖 细胞凋亡
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Expression of the human multidrug resistance gene mdr1 in leukemic cells and its application in studying P-glycoprotein antagonists 被引量:4
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作者 傅建新 陈子兴 +1 位作者 岑建农 阮长耿 《Chinese Medical Journal》 SCIE CAS CSCD 2000年第3期36-39,共4页
Objective To investigate the retrovirus mediated transfer and expression of multidrug resistance gene (mdr1) in hematopoietic cells and to develop a model for studying the possible reversal of the MDR mediated phen... Objective To investigate the retrovirus mediated transfer and expression of multidrug resistance gene (mdr1) in hematopoietic cells and to develop a model for studying the possible reversal of the MDR mediated phenotype Methods A retroviral vector HaMDR expressing the human mdr1 gene was packaged by PA317 cells with a titer of up to 8 5×10 5CFU/ml K562 leukemia cells were infected with MDR retrovirus, and transfectant K562/MDR cells were generated The integration and expression of the exogenous mdr1 gene in K562/MDR cells were determined by polymerase chain reaction and flow cytometry The reversal ability of P glycoprotein (P gp) antagonists was analyzed by in vitro drug sensitivity, accumulation and efflux of rhodamine 123 (Rh123) in this model Results Transduction with amphotropic MDR retrovirus resulted in integration and expression of the mdr1 gene in the resistant cells, where an aberrant splicing transcript of the mdr1 gene was found The K562/MDR cells displayed a classic MDR phenotype with a 41-78 fold resistance to vincristine and colchicine in comparison with parental K562 cells The drug sensitivity of K562/MDR cells to vincristine can be completely restored by cyclosporin A (CsA, 2?mg/L) and Cremophor EL (CRE 132?mg/L), either individually or in combination ( P <0 05) CsA (3 ?mg/L) can block the efflux pump function of P gp shown by the significantly increased accumulation and efflux reduction of Rh123 in K562/MDR cells Conclusions Retroviral vector HaMDR allows transfection with high level expression of the mdr1 gene in human myeloid progenitor cells K562 The transfected K562/MDR provides a simple, sensitive model for developing antagonists of P gp and studying their mechanism of action 展开更多
关键词 multidrug resistance gene leukemic cells P glycoprotein antagonists
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塞来昔布对K562白血病细胞的细胞毒作用及与伊马替尼的协同效应 被引量:2
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作者 李睿娟 龚凡杰 张广森 《中华医学杂志》 CAS CSCD 北大核心 2006年第20期1417-1420,共4页
目的研究塞来昔布(Celecoxib)对K562细胞增殖、早期凋亡的影响及Rb蛋白质(PRb)、P27Kip蛋白质表达变化,观察Celecoxib和伊马替尼联用对K562细胞增殖抑制和凋亡诱导是否具有协同效应。方法将K562细胞用不同浓度的Celecoxib(0、10、20、40... 目的研究塞来昔布(Celecoxib)对K562细胞增殖、早期凋亡的影响及Rb蛋白质(PRb)、P27Kip蛋白质表达变化,观察Celecoxib和伊马替尼联用对K562细胞增殖抑制和凋亡诱导是否具有协同效应。方法将K562细胞用不同浓度的Celecoxib(0、10、20、40、80及160μmol/L)作用36h,四甲基偶氮唑盐比色法(MTT法)测定细胞活力;磷脂结合蛋白V分析检测K562细胞早期凋亡;Western印迹检测不同浓度Celecoxib对K562细胞PRb和P27Kip蛋白质表达的影响;用40μmol/LCelecoxib、0·2μmol/L伊马替尼分别或联合作用K562细胞,观察药物对细胞活力和凋亡诱导是否具有协同作用。结果Celecoxib能明显抑制细胞活力,并呈药物剂量依赖性:随着Celecoxib浓度增高,K562细胞凋亡百分率相应增高,在160μmol/L浓度,凋亡率达25·92%,蛋白质印迹结果显示,Celecoxib可使K562细胞PRb蛋白质表达呈浓度依赖性下调;P27Kip蛋白质呈浓度依赖性上调。Celecoxib与伊马替尼联用,抑制K562细胞活力为对照组的27·68%。结论Celecoxib能以浓度依赖性方式抑制K562细胞增殖,诱导细胞凋亡;其抗增殖效应可能与PRb表达下调及P27Kip表达上调有关。Celecoxib与伊马替尼联用,在抗白血病细胞增殖作用上具有显著的协同效应。 展开更多
关键词 白血病 K562细胞 细胞毒性 伊马替尼
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夜香树提取物对小鼠白血病L1210细胞生长的抑制作用 被引量:6
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作者 罗发军 钟振国 +1 位作者 赵华平 赵世元 《时珍国医国药》 CAS CSCD 北大核心 2009年第2期335-336,共2页
目的探讨夜香树不同提取物对小鼠白血病细胞株L1210细胞的增殖抑制作用及机制。方法采用四甲基偶氮唑盐比色(MTT)法、平板集落法和Hoechst33258荧光染色法观察夜香树提取物对L1210细胞的生长抑制和凋亡的影响。结果夜香树提取物中正丁... 目的探讨夜香树不同提取物对小鼠白血病细胞株L1210细胞的增殖抑制作用及机制。方法采用四甲基偶氮唑盐比色(MTT)法、平板集落法和Hoechst33258荧光染色法观察夜香树提取物对L1210细胞的生长抑制和凋亡的影响。结果夜香树提取物中正丁醇提取物和多糖提取物对L1210细胞有浓度依赖性的细胞毒性作用,在终浓度为62.5μg.ml-1范围,其正丁醇提取物和多糖提取物对L1210细胞的抑制率大于90%,IC50均小于10μg.ml-1,夜香树正丁醇和多糖提取物能抑制L1210细胞集落形成,并可诱导L1210细胞发生凋亡。结论夜香树提取物对小鼠白血病细胞株L1210细胞的增殖抑制可能通过诱导L1210细胞发生凋亡而发挥作用。 展开更多
关键词 夜香树提取物 小鼠白血病细胞 细胞增殖 集落形成
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Inhibition of Leukemic Cell Telomerase Activity by Antisense Phosphorothioate Oligodeoxynucleotides 被引量:6
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作者 HEDongmei ZHANGYuan 《The Chinese-German Journal of Clinical Oncology》 CAS 2002年第2期104-106,共3页
Objective To evaluate the effect of human telomerase reverse transcriptase (hTERT) gene antisense oligodeoxynucleotide (ASODN) ontelomerase activity in K562 cells.Methods Telomerase activity was determined by polymera... Objective To evaluate the effect of human telomerase reverse transcriptase (hTERT) gene antisense oligodeoxynucleotide (ASODN) ontelomerase activity in K562 cells.Methods Telomerase activity was determined by polymerase chain reaction enzyme-linked immunoassay (PCR-ELISA) in K562 cellstreated with ASODN and hTERT mRNA expression was detected by reverse transcriptase polymerase chain reaction (RT-PCR).Results The hTERT mRNA level was decreased, and teloraerase activity was significantly inhibited when the K562 cells were treated withASODN for 48 h.Conclusion It is suggested that hTERT ASODN might specifically inhibit telomerase activity of K562 cells at translation level, and it isfurther proved that hTERT gene has significant correlation with telomerase activity. 展开更多
关键词 TELOMERASE HTRT K562 leukemic cells antisense phosphorothioate oligonucleotides
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HOX11原癌基因的活化对儿童急性白血病预后的影响 被引量:5
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作者 胡彩莲 柴忆欢 《肿瘤》 CAS CSCD 北大核心 2007年第12期1006-1007,1016,共3页
目的:探讨HOX11原癌基因的活化对儿童急性白血病(acute leukemia,AL)预后的影响。方法:对HOX11原癌基因表达阳性和阴性的282例初治急性淋巴细胞白血病(acute lymphoblastic leukemia,ALL)及82例急性髓细胞白血病(acute mye-locytic leuk... 目的:探讨HOX11原癌基因的活化对儿童急性白血病(acute leukemia,AL)预后的影响。方法:对HOX11原癌基因表达阳性和阴性的282例初治急性淋巴细胞白血病(acute lymphoblastic leukemia,ALL)及82例急性髓细胞白血病(acute mye-locytic leukemia,AML)患儿正规化疗后的治疗效应进行研究和分析。结果:在标危、中危、高危组ALL患儿的正规化疗中,HOX11原癌基因阳性表达患儿的复发或死亡率均明显高于表达阴性的患儿(分别为P<0.005,P<0.01,P<0.005);在AML患儿中,HOX11原癌基因阳性表达患儿的复发或死亡率虽与HOX11表达阴性患儿相比较差异无统计学意义P>0.05),但HOX11原癌基因活化的AML患儿临床化疗效果差。结论:HOX11原癌基因的活化可能影响AL的预后。 展开更多
关键词 白血病 淋巴细胞 急性 基因表达 调控 白血病 预后 儿童
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Effect of all-trans retinoic acid and arsenic trioxide on tissue factor expression in acute promyelocytic leukemia cells 被引量:2
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作者 郭为民 王鸿利 +3 位作者 赵维莅 诸江 璩斌 王学峰 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第1期30-34,共5页
OBJECTIVE: To study the effect of all-trans retinoic acid (ATRA) and arsenic troxide (As2O3) on tissue factor (TF) expression and procoagulant activity (PCA) of acute promyelocytic leukemia (APL) cells in vivo and in ... OBJECTIVE: To study the effect of all-trans retinoic acid (ATRA) and arsenic troxide (As2O3) on tissue factor (TF) expression and procoagulant activity (PCA) of acute promyelocytic leukemia (APL) cells in vivo and in vitro. METHODS: PCA from freshly isolated APL blasts from APL patients treated with ATRA or As2O3 was detected using a one-stage clotting assay. TF antigen was detected by ELISA and TF mRNA by RT-PCR. The maturation sensitive (NB4) or resistant subclones (NB4-R1) of the promyelocytic NB4 cell line, as well as U937 cells infected with pMSCV-PML-RARa treated with or without ATRA or As2O3, were also examined. RESULTS: Both ATRA and As2O3 can down-regulate the TF antigen, its mRNA transcription and membrane PCA of APL cells in vivo and in vitro, in a time-dependent manner. The TF antigen level in PML-RARa + U937 cells was significantly higher than that in U937 cells infected with retrovirus vector. Both ATRA and As2O3 can also down-regulate the TF antigen in U937 cells transfected with or without PML-RARa. CONCLUSION: Tissue factor expression and PCA in APL cells may be down-regulated by ATRA and As2O3. By down-regulating TF expression, As2O3 might also be used to improve the DIC-related hemorrhage in APL. Our data indicate that elevated TF antigen in PML-RARa + U937 may be related to the fusion protein PML-RARa. The down-regulating effect of ATRA and As2O3 on TF expression in U937 cells might not involve this fusion protein. 展开更多
关键词 ADOLESCENT Adult Antineoplastic Agents ARSENICALS Female Gene Expression Regulation leukemic Humans leukemia Promyelocytic Acute Male Middle Aged Neoplasm Proteins Oncogene Proteins Fusion Oxides RNA Messenger THROMBOPLASTIN TRETINOIN Tumor Cells Cultured
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Effects of Danshen Injection(丹参注射液) on Inhibiting Proliferation and Inducing Apoptosis through Down-Regulation of Mutant JAK2 Gene and Its Protein Phosphorylation in Human Erythroid Leukemic Cells 被引量:2
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作者 李琳洁 许能文 +5 位作者 高瑞兰 林筱洁 裘红英 刘伟红 金炀缙 赵敏蕾 《Chinese Journal of Integrative Medicine》 SCIE CAS 2014年第5期381-386,共6页
Objective: To explore the effects of Danshen Injection (丹参注射液) on inhibition proliferation, inducing apoptosis and its possible mechanisms on human erythroid leukemic (HEL) cells. Methods: The commercial Ch... Objective: To explore the effects of Danshen Injection (丹参注射液) on inhibition proliferation, inducing apoptosis and its possible mechanisms on human erythroid leukemic (HEL) cells. Methods: The commercial Chinese patent medicine of Danshen Injection was extracted and isolated from Chinese herb of Salvia miltiorrhiza bung. The inhibition effects of proliferation were assayed by 3-(4,5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (M'l-r) method in HEL cells treated by Danshen Injection at various concentrations for 48 h. The cellular apoptosis was observed in morphology, analyzed by flow cytometry with annexin V and propidium iodide (PI) staining, and examined by DNA degradation ladder on agarose gel electrophoresis. Meanwhile, the expression levels of mutant Janus kinasez (JAK2) gene and phosphorylation-JAK2 (P-JAK2) protein were detected by allele specific-polymerase chain reaction and Western blot. ]Results: The proliferation of HEL cells was effectively inhibited by Danshen Injection in a dose-dependent manner, with suppression rates from 19.46 ± 2.31% to 50.20 ± 5.21%. Typical apoptosis cells was observed in Danshen Injection treated HEL cells, the rates of annexin V positive cells increased obviously in a dose-dependent manner, as well as the DNA degradation ladder of apoptosis revealed on gel electrophoresis. The expression levels of mutant JAK2 gene and P-JAK2 protein reduced gradually with increasing dosage of Danshen injection. Conclusion: Danshen Injection could not only significantly inhibit the proliferation, but also induce apoptosis in HEL cells; down-regulation of the mutant JAK2 gene and P-JAK2 protein expressions are probably one of its molecular mechanisms. 展开更多
关键词 Danshen Injection human erythrcid leukemic cell PROLIFERATION APOPTOSIS mutant Janus kinase 2
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The Experimental and Clinical Study on the Effect of Curcumin on Cell Cycle Proteins and Regulating Proteins of Apoptosis in Acute Myelogenous Leukemia 被引量:2
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作者 陈燕 吴裕丹 +1 位作者 何静 陈文娟 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2002年第4期295-298,共4页
To investigate whether the Bcl- 2 gene family is involved in m odulating mechanism of apoptosis and change of cell cycle protein induced by curcumin in acute myeloid leukemia HL - 6 0 cell line and primary acute m y... To investigate whether the Bcl- 2 gene family is involved in m odulating mechanism of apoptosis and change of cell cycle protein induced by curcumin in acute myeloid leukemia HL - 6 0 cell line and primary acute m yelogenous leukem ic cells,the Bcl- 2 family member Mcl- 1,Bax and Bak and cell cycle proteins including P2 7kipl,P2 1wafl,cyclin D3and p Rbp- were selected and their ex- pression detected by SABC imm uno- histochem ical stain m ethod.The attitude of sub- G1 peak in DNA histogram was determined by FCM.The TU NEL positive cell percentage was identified by term inal deoxynucleotidyl transferase (Td T ) - m ediated Biotin d U NP end labeling technique.It was found that when HL - 6 0 cells were treated with 2 5μm ol/ L curcumin for 2 4 h,the expression level of Mcl- 1was down- regulated,but that of Bax and Bak up- regulated time- dependently.There was significant difference in the expression level of Mcl- 1,Bax and Bak between the curcumin- treated groups and control group(P<0 .0 5 - 0 .0 1) .At the sam e time,curcumin had no effect on progress of cell cycle in prim aty acute m yelogenous leukemia at newly diagnosis,but could in- crease the peak of Sub- G1 (P<0 .0 5 ) ,and down- regulate the expression of Mcl- 1and up- regulate the expression of Bax and Bak with the difference being statistically significant.The expression of P2 7kipl,P2 1wafl and p Rbp- were elevated and thatof cyclin D3decreased in the presence of curcum in. These findings suggested thatthe Bcl- 2 gene fam ily indeed participated in the regulatory process of apoptosis induced by curcumin in HL - 6 0 cells and AML cells.Curcumin can induce apoptosis of primary acute myelogenous leukemic cells and disturb cell cycle progression of HL - 6 0 cells.The m echanism appeared to be m ediated by perturbing G0 / G1 phases checkpoints which associated with up- regulation of P2 7kipl,P2 1wafl and p Rbp- expression,and down- regulation of cyclin D3. 展开更多
关键词 curcum in Bcl- 2 gene family cell cycle protein HL - 6 0 cell prim ary leukemic cell
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Bone marrow microenvironment: The guardian of leukemia stem cells 被引量:2
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作者 Mohammad Houshmand Teresa Mortera Blanco +4 位作者 Paola Circosta Narjes Yazdi Alireza Kazemi Giuseppe Saglio Mahin Nikougoftar Zarif 《World Journal of Stem Cells》 SCIE 2019年第8期476-490,共15页
Bone marrow microenvironment (BMM) is the main sanctuary of leukemic stem cells (LSCs) and protects these cells against conventional therapies. However, it may open up an opportunity to target LSCs by breaking the clo... Bone marrow microenvironment (BMM) is the main sanctuary of leukemic stem cells (LSCs) and protects these cells against conventional therapies. However, it may open up an opportunity to target LSCs by breaking the close connection between LSCs and the BMM. The elimination of LSCs is of high importance, since they follow cancer stem cell theory as a part of this population. Based on cancer stem cell theory, a cell with stem cell-like features stands at the apex of the hierarchy and produces a heterogeneous population and governs the disease. Secretion of cytokines, chemokines, and extracellular vesicles, whether through autocrine or paracrine mechanisms by activation of downstream signaling pathways in LSCs, favors their persistence and makes the BMM less hospitable for normal stem cells. While all details about the interactions of the BMM and LSCs remain to be elucidated, some clinical trials have been designed to limit these reciprocal interactions to cure leukemia more effectively. In this review, we focus on chronic myeloid leukemia and acute myeloid leukemia LSCs and their milieu in the bone marrow, how to segregate them from the normal compartment, and finally the possible ways to eliminate these cells. 展开更多
关键词 BONE MARROW MICROENVIRONMENT BONE MARROW NICHE leukemic stem cell Chronic MYELOID leukemIA Acute MYELOID leukemIA Target therapy
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Effects of Bufalin on Up-regulating Methylation of Wilm's Tumor 1 Gene in Human Erythroid Leukemic Cells 被引量:2
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作者 WANG Li-pei ZHAO Yan-na +1 位作者 SUN Xin GAO Rui-lan 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第4期288-294,共7页
Objective To explore the effects of bufalin on inhibiting proliferation, up-regulating methylation of Wilm’ tumor 1 gene (WT1) as well as its possible mechanisms in human erythroid leukemic (HEL) cells. Methods The H... Objective To explore the effects of bufalin on inhibiting proliferation, up-regulating methylation of Wilm’ tumor 1 gene (WT1) as well as its possible mechanisms in human erythroid leukemic (HEL) cells. Methods The HEL cells were treated with bufalin at various concentrations to observe cellular morphology, proliferation assay and cell cycle. The mRNA and protein expression levels of WT1 were detected by reverse transcription polymerase chain reaction (RT-PCR), Western blot and immunocytochemistry, DNA methylation of WT1 and protein expression levels of DNA methyltransferase 3a (DNMT3a) and DNMT3b were analyzed by methylation-specific PCR, and Western blot respectively. Results The bufalin was effective to inhibit proliferation of HEL cells in a dose-dependent manner, their suppression rates were from 23.4%±2.1% to 87.2%±5.4% with an half maximal inhibit concentration (IC<sub>50</sub>) of 0.046 μmol/L. Typical apoptosis morphology was observed in bufalin-treated HEL cells. The proliferation index of cell cycle decreased from 76.4%±1.9% to 49.7%±1.3%. The expression levels of WT1 mRNA and its protein reduced gradually with increasing doses of bufalin, meanwhile, the methylation status of WT1 gene changed from unmethylated into partially or totally methylated. While, the expression levels of DNMT3a and DNMT3b protein gradually increased by bufalin treatment in a dose-dependent manner. Conclusions Bufalin can not only significantly inhibit the proliferation of HEL cells and arrest cell cycle at G<sub>0</sub>/G<sub>1</sub> phase, but also induce cellular apoptosis and down-regulate the expression level of WT1. Our results provide the evidence of bufalin for anti-leukemia, its mechanism may involve in increasing WT1 methylation status which is related to the up-regulation of DNMT3a and DNMT3b proteins in erythroid leukemic HEL cells. 展开更多
关键词 BUFALIN human erythroid leukemic cells Wilm’s tumor 1 gene METHYLATION DNA methyltransferase 3a DNA methyltransferase 3b
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Leukemic transformation during anti-tuberculosis treatment in aplastic anemia-paroxysmal nocturnal hemoglobinuria syndrome:A case report and review of literature
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作者 Nuan-Nuan Xiu Xiao-Dong Yang +3 位作者 Jia Xu Bo Ju Xiao-Yun Sun Xi-Chen Zhao 《World Journal of Clinical Cases》 SCIE 2023年第28期6908-6919,共12页
BACKGROUND Accumulating evidence demonstrates that autoimmune hematopoietic failure and myeloid neoplasms have an intrinsic relationship with regard to clonal hematopoiesis and disease evolution.In approximately 10%-1... BACKGROUND Accumulating evidence demonstrates that autoimmune hematopoietic failure and myeloid neoplasms have an intrinsic relationship with regard to clonal hematopoiesis and disease evolution.In approximately 10%-15%of patients with severe aplastic anemia(SAA),the disease phenotype is transformed into myeloid neoplasms following antithymocyte globulin plus cyclosporine-based immunosuppressive therapy.In some of these patients,myeloid neoplasms appear during or shortly after immunosuppressive therapy.Leukemic transformation in SAA patients during anti-tuberculosis treatment has not been reported.CASE SUMMARY A middle-aged Chinese female had a 6-year history of non-SAA and a 2-year history of paroxysmal nocturnal hemoglobinuria(PNH).With aggravation of systemic inflammatory symptoms,severe pancytopenia developed,and her hemoglobinuria disappeared.Laboratory findings in cytological,immunological and cytogenetic analyses of bone marrow samples met the diagnostic criteria for“SAA.”Definitive diagnosis of disseminated tuberculosis was made in the search for infectious niches.Remarkable improvement in hematological parameters was achieved within 1 mo of anti-tuberculosis treatment,and complete hematological remission was achieved within 4 mo of treatment.Frustratingly,the hematological response lasted for only 3 mo,and pancytopenia reemerged.At this time,cytological findings(increased bone marrow cellularity and an increased percentage of myeloblasts that accounted for 16.0%of all nucleated hematopoietic cells),immunological findings(increased percentage of cluster of differentiation 34+cells that accounted for 12.28%of all nucleated hematopoietic cells)and molecular biological findings(identification of somatic mutations in nucleophosmin-1 and casitas B-lineage lymphoma genes)revealed that“SAA”had transformed into acute myeloid leukemia with mutated nucleophosmin-1.The transformation process suggested that the leukemic clones were preexistent but were suppressed in the PNH and SAA stages,as development of sy 展开更多
关键词 Aplastic anemia Paroxysmal nocturnal hemoglobinuria Acute myeloid leukemia TUBERCULOSIS leukemic transformation Case report
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