染色体畸变和Bence-Jones蛋白是多发性骨髓瘤的重要生物标志物

S. Balkanov, S. Trajkova, Aleksandra Pivkova-Veljanovska, D. Spasovski, N. Ridova, G. Kalcev, I. Stavridis
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引用次数: 0

摘要

多发性骨髓瘤(MM)是一种与骨髓终末分化浆细胞增殖和积累有关的血液恶性肿瘤。在过去的十年中,随着新型药物的建立,MM患者的预后显著改善。尽管如此,该疾病在临床过程、表现和生存方面表现出相当大的异质性。对46例MM患者进行分子和染色体分析,MM患者的分子和染色体分层生存时间显示,其中20%为高风险[次二倍体(gain1q, loss1p) Del17p, Del13q, t(11;14) t(4;14)和多突变],生存时间为60个月,中位生存时间为20.8个月。在具有标准风险的MM患者中,观察期间未登记死亡结果。考虑到我们研究的所有MM患者中,35.8% ММ患者尿液中存在本·琼斯蛋白,而64.2%患者未观察到本·琼斯蛋白的存在。只有在临床试验中进行彻底的评估和验证,才能实现未来在临床背景中对这些关键生物标志物的利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chromosomal Aberrations and Bence-Jones Proteins as a Significant Biomarkers in Multiple Myeloma
Multiple Myeloma (MM) is a hematological malignity associated with the proliferation and accumulation of bone marrow terminally differentiated plasma cells. The outcomes of patients with MM have dramatically improved over the past decade with the establishment of novel agents. Nonetheless, the disease presents considerable heterogeneity in clinical course, presentation, and survival. Molecular and chromosomal analyses were performed on 46 patients with MM. The survival time of patients with MM concerning molecular and chromosome stratification showed that 20% of them were with high risk [hypodiploid (gain1q, loss1p) Del17p, Del13q, t(11;14) t(4;14) and multiple mutations] who survived 60 months and the median survival time in these patients was 20.8 months. In patients with MM who had a standard risk, death outcome was not registered during the observation period. Taking into account, all MM patients included in our study, Bence Jones proteins in the urine wеre present in 35.8% of ММ patients, while in 64.2%, their presence was not observed. The percentage difference is statistically significant The utilization of these crucial biomarkers in the clinical background for this disease in the future can only be achieved through thorough evaluation and validation in clinical trials.
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