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[The clinical significance of lung resistance protein (LRP) gene expression in patients with acute leukemia].

AbstractOBJECTIVE:
To investigate the relationship between the expression of lung resistance protein (LRP) gene and drug resistance in patients with acute leukemias (AL).
METHODS:
Semi-quantitative reverse transcriptase-polymerase chain reaction (RT-PCR)was used to examine the expression of LRP gene in AL patients and 15 normal subjects. Beta(2) microglobulin (beta(2)MG) was used as internal reference. LRP/beta(2)MG ratio >or= 0.3 was defined as LRP positive.
RESULTS:
The positivity percentage of LRP gene expression in newly diagnosed group was 32.4%. The first complete remission rate was 84.0% and 33.0% in LRP negative and LRP positive patients, respectively. The difference was significant (P < 0.005). The expression level of LRP mRNA and the positivity percentage of LRP in relapsed/refractory group were significantly higher than that in newly diagnosed group (P < 0.01). The expression level of LRP gene in normal subjects and long-term survival groups was very low and correlated with FAB subtypes. The mdr-1 gene was examined simultaneously in 61 AL patients. No significant correlation was found between the expression of LRP and mdr-1 gene (P > 0.5). Coexpression of LRP and mdr-1 genes in the same AL patient might result in the worst prognosis.
CONCLUSION:
High expression of LRP gene leads to clinical drug resistance and is an unfavorable factor to AL patients of prognosis.
AuthorsJ Ren, Z Dong, X Guo, F Wang, X Du, X Zhang, F Lin, E Yao
JournalZhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi (Zhonghua Xue Ye Xue Za Zhi) Vol. 21 Issue 1 Pg. 10-3 (Jan 2000) ISSN: 0253-2727 [Print] China
PMID11876952 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Neoplasm Proteins
  • Vault Ribonucleoprotein Particles
  • major vault protein
Topics
  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Drug Resistance, Neoplasm
  • Female
  • Gene Expression
  • Genes, MDR
  • Humans
  • Leukemia (drug therapy, metabolism)
  • Male
  • Middle Aged
  • Neoplasm Proteins (genetics)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Vault Ribonucleoprotein Particles (genetics)

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