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低剂量螺旋CT扫描联合血清p16基因甲基化检测在肺癌早期诊断中的应用 被引量:7
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作者 许林 杨民 +2 位作者 王峻 王友 孟丽娟 《生物医学工程与临床》 CAS 2008年第6期467-470,共4页
目的研究在无症状的肺癌高危人群中利用低剂量CT(LDCT)联合血清p16基因甲基化检测进行肺癌早期诊断的可行性。方法肺癌高危人群入组标准:男性,年龄55~75岁;吸烟指数≥400支/年,目前仍在吸烟或戒烟不超过10年。共893例受检者被... 目的研究在无症状的肺癌高危人群中利用低剂量CT(LDCT)联合血清p16基因甲基化检测进行肺癌早期诊断的可行性。方法肺癌高危人群入组标准:男性,年龄55~75岁;吸烟指数≥400支/年,目前仍在吸烟或戒烟不超过10年。共893例受检者被随机分为两组。一组为447例(LDCT—p16组),平均年龄66岁,进行LDCT联合血清p16基因甲基化检测;另一组为446例(CXR组),平均年龄67岁,接受后前位胸片检查。两组检查阳性病例将接受进一步组织病理学检查。并分别统计两组阳性结节检出率及肺癌检出率,并行X2检验。结果LDCT—p16组与CXR组分别有96.8%和92.8%的受检者完成了检查。LDCT—p16组中1113%病人可疑肺癌,明显高于CXR组的6.5%(P〈0.05)。其中LDCT—p16组中有7例,CXR组中有2例确诊为肺癌。LDCT—p16组肺癌检出率高于CXR组,但无统计学意义(P〉0.05)。结论低剂量CT联合血清p16基因甲基化检测是一种敏感、安全、可行的筛查早期肺癌的方法,能够取代胸片筛查早期肺癌。 展开更多
关键词 低剂量CT p16基因甲基化 肺癌 早期诊断
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p16基因甲基化的芯片定量检测 被引量:4
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作者 沈佳尧 侯鹏 +2 位作者 祭美菊 李松 何农跃 《高等学校化学学报》 SCIE EI CAS CSCD 北大核心 2005年第3期449-451,共3页
To quantitatively detect hypermethylation and to analyze methylation pattern, a methylation-specific oligonucleotide microarray for quantitative analysis was developed. The method used bisulfite-modified DNA as a temp... To quantitatively detect hypermethylation and to analyze methylation pattern, a methylation-specific oligonucleotide microarray for quantitative analysis was developed. The method used bisulfite-modified DNA as a template for PCR amplification, resulting in conversion of unmethylated cytosine, but not methylated cytosine, into thymine within CpG islands of interest. The amplified product, therefore, may contain a pool of DNA fragments with altered nucleotide sequences due to differential methylation status. A test sample was hybridized to a set of oligonucleotide arrays that discriminate methylated and unmethylated cytosine at specific nucleotide positions,and quantitative differences in hybridization were determined by fluorescence analysis. Four clinical samples of gastric cancer were quantitatively detected and methylation pattern of five methylated clones were analyzed with the methylation-specific oligonucleotide microarray. The results of microarray hybridization were in agreement with bisulfite genomic DNA sequencing. It showed that methylation-specific oligonucleotide microarray for quantitative analysis is a promising technique for mapping methylation changes in multiple CpG island loci and for generating epigenetic profiles in cancer. 展开更多
关键词 DNA甲基 荧光强度标准曲线 p16基因甲基化检测型基因芯片
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初诊和复发急性髓性白血病p15、p16基因甲基化研究
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作者 朱传升 徐文伟 +2 位作者 刘冬梅 王焱 毕可红 《山东医药》 CAS 北大核心 2005年第16期4-5,共2页
目的探讨急性髓性白血病(AL)p15、p16、p18、p19基因失活的发生率及与疾病发生、发展、预后的关系。方法用聚合酶链反应(PCR)方法扩增46例患者的p15、p16、p18、p19基因外显子1和外显子2,再用限制性内切酶-PCR方法检测基因甲基化。结果4... 目的探讨急性髓性白血病(AL)p15、p16、p18、p19基因失活的发生率及与疾病发生、发展、预后的关系。方法用聚合酶链反应(PCR)方法扩增46例患者的p15、p16、p18、p19基因外显子1和外显子2,再用限制性内切酶-PCR方法检测基因甲基化。结果46例患者中,急性淋巴细胞白血病(ALL)19例,11例p15基因失活,10例p16基因失活;急性非淋巴细胞白血病(ANLL)27例,9例p15基因失活,18例p16基因失活;均以甲基化失活为主。所有病例均无p18、p19基因失活。结论在AL发生、发展过程中,p15、p16基因失活主要是由于p15、p16基因甲基化所致。 展开更多
关键词 急性髓性白血病 p15 甲基研究 聚合酶链反应(pCR) 急性非淋巴细胞白血病 p16基因失活 急性淋巴细胞白血病 p16基因甲基化 p16基因失活 复发 初诊 基因外显子1 限制性内切酶 pCR方法 甲基失活 p18 p19 疾病发生 外显子2
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肺癌组织微卫星不稳定性及p16基因甲基化与肺癌发生、发展关系的研究
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作者 何苡 张舒林 +2 位作者 高三友 杨丽萍 杨志荣 《河南医学研究》 CAS 2004年第4期289-292,共4页
目的 :探讨微卫星标志物D3S12 5 5 ,C13 1169,IFNA ,D9S171改变及p16的异常甲基化与肺癌发生发展的关系 ,以及其在肺癌早期诊断和转移判断方面的价值。方法 :应用聚合酶链反应 (PCR)结合微卫星银染分析方法检测肺癌组织微卫星标志物的... 目的 :探讨微卫星标志物D3S12 5 5 ,C13 1169,IFNA ,D9S171改变及p16的异常甲基化与肺癌发生发展的关系 ,以及其在肺癌早期诊断和转移判断方面的价值。方法 :应用聚合酶链反应 (PCR)结合微卫星银染分析方法检测肺癌组织微卫星标志物的改变。结果 :5 6例肺癌组织标本中 3p上微卫星改变 2 6例 (4 6% ) ,9p上有微卫星改变的2 3例 (4 1% ) ,17p上有微卫星改变 15例 (2 6 8% )。 3p、9p和 17p上微卫星改变的总检出率 69.6% (3 9/ 5 6)。 44 .6%(2 5 / 5 6)的肺癌组织标本检出p16基因异常甲基化。 5 6例肺癌标本中 ,43 (76.8% )例至少检出一个以上的微卫星改变或p16基因异常甲基化。 2 3例肺部良性疾病的组织标本中 3p、9p和 17p上均没有发现微卫星标志物的改变及p16基因异常甲基化。结论 :3p ,9p和 17p上微卫星改变和p16基因异常甲基化是肺癌发生、发展过程中较早出现的遗传性改变之一 ,且与肺癌转移密切相关 ,有望应用于肺癌的早期诊断和转移判断。 展开更多
关键词 微卫星改变 肺癌组织 p16基因异常 癌发生 微卫星标志 p16基因甲基化 检出 发展关系 结论 判断
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METHYLATION OF p16 AND p15 GENES IN MULTIPLE MYELOMA
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作者 陈文明 吴垠 +3 位作者 朱嘉芷 刘敬忠 谭淑珍 夏成青 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第2期101-105,共5页
Objective.To investigate the frequency of p16a nd p15gene methylation in multiple myeloma (MM),and its relationship with bone marrow ce ll apoptosis and clinical outcome.Methods.Twenty-two patients with MM were stu di... Objective.To investigate the frequency of p16a nd p15gene methylation in multiple myeloma (MM),and its relationship with bone marrow ce ll apoptosis and clinical outcome.Methods.Twenty-two patients with MM were stu died to detect p16and p15gene methylation.Methyla-tion-specific polymerase chain rea ction(MSP)was used to detect gene methylation,and terminal trans-ferase-mediated dUTP nick end-labeling(TUNEL)was used to detect cell apoptosis.Results.p16and /or p15gene methylatoin was d etected in 10of 22patients(45.4%).There were 3pa-tients with p16gene methylation,9p atients with p15gene methylation,a nd 2patients with both genes methyla-tion.The incidence of methylation o f p15gene was higher than that of p16g ene(P<0.05).The patients with p16and /or p15gene methylation had a delayed cell apoptosis,poor respon se to chemotherapy,and a short over-all survival(OS).Conclusion.The methylation of p16and /or p15gen e plays a key role in MM apoptosis path ogenesis.The patients with both p16and p15gene me thylation had a poor prognosis. 展开更多
关键词 multiple myeloma p16gene p15gene METHYLATION
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INACTIVATION OF P16 GENE IN LEUKEMIA
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作者 陈文明 朱嘉芷 +2 位作者 谭淑珍 肖白 刘敬忠 《Chinese Medical Sciences Journal》 CAS CSCD 1999年第4期206-210,共5页
To determine the frequency of p16 gene inactivation in leukemia cells, and to evaluate their value in the prediction of their clinical outcome. Bone marrow or peripheral blood samples from... To determine the frequency of p16 gene inactivation in leukemia cells, and to evaluate their value in the prediction of their clinical outcome. Bone marrow or peripheral blood samples from 48 patients with leukemia were examined by multiplex polymerase chain reaction(MPCR) to detect p16 gene homozygous deletion, and restriction enzyme PCR to detect p16 gene methylation. p16 gene inactivation were detected in 10 of the 48 patients(20.4%). They were five patients with p16 homozygous deletion, and five patients with p16 methylation, respectively. p16 gene inactivation correlates with adverse prognosis features. The patients with p16 inactivation had poor response to chemotherapy, and had significantly shorter survival times than the patients in whom p16 gene was preserved(P<0.001). The inactivation of p16 gene play a key role in the pathogenesis and the progression of some leukemia. The detection of p16 gene is reliable prognostic factor that predict shortened survival times. 展开更多
关键词 LEUKEMIA p16 gene homozygous deletion METHYLATION
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