白细胞介素-2、γ干扰素净化模拟白血病缓解期骨髓及用PCR检测净化效果

The purging effect of interleukin-2 and interferon-γ on imitative bone marrow in remission and the detection by PCR of the effect

  • 摘要: 目的:探讨白细胞介素2(IL-2)、γ-干扰素(IFN-γ)用于自体骨髓中残留白血病细胞的净化及用聚合酶链反应(RT-PCR)方法检测净化效果。方法:将IL-2、IFN-γ与模拟慢性粒细胞白血病(CML)缓解期的骨髓在培养体系中分别培养1~6d,通过RT-PCR方法来检测缓解期骨髓中bcr/ablmRNA消失情况。结果:模拟缓解期CML骨髓经与IL-2、IFN-γ24h、48h和72h培养后用RT-PCR方法仍可检测到bcr/ablmRNA,而经6d培养后则已测不到。若将IL-2、IFN-γ合用,经24和48h培养的骨髓可检测到bcr/ablmRNA,但经72h和6d培养后便检测不到,而对照组在1~6d培养后仍可检测到该基因。结论:初步实验结果表明IL-2、IFN-γ对缓解期骨髓中的K562白血病细胞系具有净化作用,若两者合用具有协同作用,RT-PCR可作为评估净化效果较为敏感和较为可靠的检测方法。

     

    Abstract: Objective: To Evaluate the purging effect of interleukin-2 (IL-2) and interferon γ (IFN-γ) on minimal residual leukemic cells during autologous bone marrow transplantation and the use of RT PCR technique in determining the purging effect. Methods: The imitative chronic myeloid leukemic bone marrow in remission had been cultured in liquid mediam with IL-2 and IFN-γ for 1-6 days, and the puring effect was determined by detection of the bcr/ab1 mRNA. Results: The bcr/ab1 mRNA could be detected by RT PCR among bone marrow treated with IL-2 or IFN-γ alone for 24, 48 and 72 hours, but it was negative after 6 days of culture. And among bone marrows treated with both IL-2 and IFN-γ, the bcr/ab1 mRNA was positive when treated for 24 and 48 hours and negative when treated for 72 hours and 6 days. In those contrast bone marrows ,which neither IL-2 nor IFN-γ was used, the bcr/ab1 mRNA could still be detected after 6 days of culture. Conclusion: IL-2 and IFN-γ can be used to purge K562 leukemic cells in bone marrow in remission and they have coordinate effect when used together. RT PCR is a sensitive and reliable method to evaluate the purging efftec.

     

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