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骨髓增生异常综合征患者p15INK4B基因甲基化与疾病进展的Meta分析

张耀, 宋陆茜, 吴凌云, 常春康, 李晓

张耀, 宋陆茜, 吴凌云, 常春康, 李晓. 骨髓增生异常综合征患者p15INK4B基因甲基化与疾病进展的Meta分析[J]. 肿瘤防治研究, 2013, 40(06): 525-530. DOI: 10.3971/j.issn.1000-8578.2013.06.005
引用本文: 张耀, 宋陆茜, 吴凌云, 常春康, 李晓. 骨髓增生异常综合征患者p15INK4B基因甲基化与疾病进展的Meta分析[J]. 肿瘤防治研究, 2013, 40(06): 525-530. DOI: 10.3971/j.issn.1000-8578.2013.06.005
ZHANG Yao, SONG Luqian, WU Lingyun, CHANG Chunkang, LI Xiao. Effect of p15INK4B Gene Methylation in Myelodysplastic Syndromes' Progressing:A Meta-analysis of Literature[J]. Cancer Research on Prevention and Treatment, 2013, 40(06): 525-530. DOI: 10.3971/j.issn.1000-8578.2013.06.005
Citation: ZHANG Yao, SONG Luqian, WU Lingyun, CHANG Chunkang, LI Xiao. Effect of p15INK4B Gene Methylation in Myelodysplastic Syndromes' Progressing:A Meta-analysis of Literature[J]. Cancer Research on Prevention and Treatment, 2013, 40(06): 525-530. DOI: 10.3971/j.issn.1000-8578.2013.06.005

骨髓增生异常综合征患者p15INK4B基因甲基化与疾病进展的Meta分析

详细信息
    作者简介:

    张耀(1981-),男,硕士,主治医师,主要从事血液肿瘤的治疗研究

    通讯作者:

    常春康,E-mail:changchunkang7010@yahoo.cn

  • 中图分类号: R733.3;R730.231

Effect of p15INK4B Gene Methylation in Myelodysplastic Syndromes' Progressing:A Meta-analysis of Literature

  • 摘要: 目的 分析骨髓增生异常综合征(MDS)患者p15INK4B基因甲基化与疾病进展的关系。 方法 搜索Cochrane Library、Medline、PubMed、Embase、OVID、Springlink、CBMdisc、VIP、万方和 CNKI数据库(1979 to 2012),查找报道MDS 患者及sAML(MDS转化的白血病)患者p15INK4B基因甲基化发生率的文献,使用RevMan 5.0对数据进行统计分析。 结果 共有20篇文献检测了MDS患者p15INK4B 基因甲基化状态,并报道了患者骨髓原始细胞数;其中9篇文献包括sAML患者(共690名患者)。p15INK4B基因甲基化状态在骨髓原始细胞5%~19%组中高于原始细胞<5%组(RR=0.41,95%CI:0.33~0.50),sAML组高于MDS原始细胞5%~19% 组(RR=0.51,95%CI: 0.41~0.64)。4篇文献报道了MDS 患者疾病的进展(包括179名患者)。p15INK4B基因甲基化阳性组疾病进展率高于甲基化阴性组(RR=3.09,95%CI:2.04~4.68)。 结论 p15INK4B 基因甲基化与MDS患者疾病进展及白血病转化密切相关。

     

    Abstract: Objective To determine the relationship between p15INK4Bgene methylation and disease progress in myelodysplastic syndromes(MDS) patients. Methods Literatures from Cochrane Library, Medline, PubMed, Embase, OVID, Springlink, CBMdisc,VIP,Wangfang and CNKI databases (1979 to 2012) were collected, in which p15INK4B gene methylation in MDS and sAML(MDS transformed leukemia) patients were reported, RevMan 5.0was used for data statistical analysis. Results A total of 20 trials tested p15INK4Bgene methylation status, and reported the number of bone marrow original cells in MDS patients; in which nine literatures included SAML patients (690 patients). The p15INK4Bgene methylation status in the 5% to 19% original cells group of bone marrow was higher than that in <5% the original cells group (RR=0.41, 95%CI: 0.33 to 0.50). The gene methylation in SAML groups was higher than that in 5% to 19% original cells group (RR=0.51, 95%CI: 0.41 to 0.64) Data form 4 articles (including 179 patients) suggested that p15 INK4B gene methylation was related to the disease progression of MDS (RR=3.09,95%CI: 2.04to 4.68). Conclusion p15INK4B gene methylation was associated with disease progress and leukemia transformation.

     

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出版历程
  • 收稿日期:  2012-12-23
  • 修回日期:  2013-02-13
  • 刊出日期:  2013-06-24

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