hmgb1 nfκb与炎性复合体在急性白血病患者中的表达及意义-expression and significance of hmgb1 nf κ b and inflammatory complex in patients with acute leukemia.docx

hmgb1 nfκb与炎性复合体在急性白血病患者中的表达及意义-expression and significance of hmgb1 nf κ b and inflammatory complex in patients with acute leukemia.docx

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hmgb1 nfκb与炎性复合体在急性白血病患者中的表达及意义-expression and significance of hmgb1 nf κ b and inflammatory complex in patients with acute leukemia

ABSTRACTObjective:ToexploreHMGB1、NF-κBandInflammasomeNLRP3、ASCandAIM2expressionlevelsandtherelationshipwiththeoccurrence,developmentandprognosisinpatientswithacuteleukemia,itmaybeprovidelaboratoryevidencefordiagnosis、treatmentandrecurrencepredictionofacuteleukemia.Methods:Wecollectedthebloodandbonemarrowsamplesfrom18casesofALLand42casesofANLLatotalof60patientswithacuteleukemia(experimentalgroup)and20patientswithoutmalignancedisease(controlgroup)intheHematologyDepartmentoftheFirstAffiliatedHospitalofGannanMedicalCollegefromJuly2013toJuly2014.Theexperimentalgroupwasdividedintountreatedgroup、recrudescentgroupandcompleteremissiongroup,eachgroupwas20cases.ELISAdetectHMGB1、NLRP3、ASCandAIM2antigenlevelinplasma,RT-PCRdetectHMGB1andNF-κBgenelevelinbonemarrowmononuclearcells,WesternblotdetectHMGB1andNF-κBproteinlevelinbonemarrowmononuclearcells,IHCdetectHMGB1andNF-κBexpressionlevelinbonemarrow.Results:ELISAshowedthatHMGB1antigenlevelinuntreatedgroupandrecrudescentgroupweresignificantlyhigherthanincontrolgroup(P<0.05),NLRP3、ASC、AIM2antigenleveldoingtheopposite,therewasnostatisticallysignificantdifferencebetweencompleteremissiongroupandcontrolgroup(P>0.05);andtherewasnostatisticallysignificantdifferencebetweenALLandANLL(P>0.05).RT-PCRshowedthatHMGB1andNF-κBgeneexpressionweresignificantlyincreasedinuntreatedgroupandrecrudes-centgroupcomparedtocontrolgroup(P<0.05),butnotinthecompleteremissiongroup(P>0.05),therewasnostatisticallysignificantdifferencebetweenALLandANLL(P>0.05).WesternblotshowedthatHMGB1andNF-κBproteinexpressionlevelsweresignificantlyelevatedinuntreatedgroupandrecrudescentgroup(P<0.05),butnotincompleteremissiongroup(P>0.05),therewasnostatisticallysignificantdifferencebetweenALLandANLL(P>).IHCshowedthatHMGB1andNF-κBismainlyexpressedinuntreatedgroupandrecrudescentgroup.HMGB1waspositivelycorrelatedwithNF-κB,butnegativelycorrelatedwithNLRP3、ASCandAIM2.ThesurvivaltimeofHMGB1overexpressionpatientsislonglythanthatofnon-overexpressionpatients.Conclusions:TheInflammasomeNLRP3

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