PMID- 35968588 OWN - NLM STAT- MEDLINE DCOM- 20220816 LR - 20221231 IS - 0253-2727 (Print) IS - 2707-9740 (Electronic) IS - 0253-2727 (Linking) VI - 43 IP - 6 DP - 2022 Jun 14 TI - [The correlation of CD49d expression pattern with molecular genetics and hotspot gene mutants in patients with chronic lymphocytic leukemia]. PG - 463-468 LID - 10.3760/cma.j.issn.0253-2727.2022.06.004 [doi] AB - Objective: To explore the correlation of CD49d expression patterns with molecular genetics and hotspot gene mutants in patients with chronic lymphocytic leukemia. Methods: The expression of CD49d was detected by flow cytometry and grouped into homogeneous, bimodal, negative and positive expression. Panel fluorescence in situ hybridization (FISH) was used for molecular genetics analysis and next-generation sequencing (NGS) was conducted for gene mutation detection. Results: There were 43 patients (23.89% ) with positive CD49d expression, 137 patients (76.11% ) with negative CD49d expression, 96 patients (53.33% ) with homogeneous CD49d expression and 84 patients (46.67% ) with bimodal CD49d expression. Compared with patients in the CD49d negative group, patients in the CD49d positive group had higher Rai stage (P=0.048) and higher proportion of spleen enlargement (P=0.030) . Compared with patients with homogeneous expression of CD49d, patients with bimodal expression of CD49d had a higher proportion of spleen enlargement (P=0.009) . The expression rate of 11q22- in bimodal CD49d(-) group was significantly higher than that in homogeneous CD49d(-) group (24.29% vs 10.45% , P=0.043) . The incidence of +12 in homogeneous CD49d group was higher than that in bimodal CD49d group (16.67% vs 5.95% , P=0.035) . The incidence of +12 in homogeneous CD49d(+) group was higher than that in bimodal CD49d(-) group (17.24% vs 4.29% , P=0.045) . The incidence of +12 in homogeneous CD49d(-) group was higher than that in bimodal CD49d(-) group (16.42% vs 4.29% , P=0.024) . BIRC3 mutation rate in CD49d positive group was higher than that in CD49d negative group (11.63% vs 2.92% , P=0.037) . Conclusion: There were significant correlations between CD49d and 11q22-, +12 and BIRC3 gene mutation. Patients with bimodal CD49d were more correlated with poor prognosis indexes. FAU - Zhu, J AU - Zhu J AD - Department of Clinical Laboratory, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital) , Institute of Basic Medicine and Cancer (IBMC) , Chinese Academy of Sciences, Hangzhou 310022, China. FAU - Liu, L AU - Liu L AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Chen, X AU - Chen X AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Liu, F AU - Liu F AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Zhao, S S AU - Zhao SS AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Jin, H M AU - Jin HM AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Qiu, H R AU - Qiu HR AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Qiao, C AU - Qiao C AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Li, J Y AU - Li JY AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Wu, Y J AU - Wu YJ AD - The First Affiliated Hospital of Nanjing Medical University, Department of Hematology, Jiangsu Province Hospital, Nanjing 210029, China. LA - chi GR - 81370656/National Natural Science Foundation of China/ PT - Journal Article PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - 0 (Biomarkers, Tumor) RN - 143198-26-9 (Integrin alpha4) RN - EC 2.3.2.27 (BIRC3 protein, human) RN - EC 2.3.2.27 (Baculoviral IAP Repeat-Containing 3 Protein) SB - IM MH - Baculoviral IAP Repeat-Containing 3 Protein/genetics/metabolism MH - Biomarkers, Tumor/metabolism MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Integrin alpha4/genetics/metabolism MH - *Leukemia, Lymphocytic, Chronic, B-Cell/genetics/metabolism MH - Molecular Biology MH - Prognosis PMC - PMC9800228 OTO - NOTNLM OT - CD49d OT - Flow cytometry OT - Gene mutation OT - Molecular genetics COIS- 利益冲突 所有作者声明无利益冲突 EDAT- 2022/08/16 06:00 MHDA- 2022/08/17 06:00 PMCR- 2022/06/01 CRDT- 2022/08/15 04:18 PHST- 2022/08/15 04:18 [entrez] PHST- 2022/08/16 06:00 [pubmed] PHST- 2022/08/17 06:00 [medline] PHST- 2022/06/01 00:00 [pmc-release] AID - cjh-43-06-463 [pii] AID - 10.3760/cma.j.issn.0253-2727.2022.06.004 [doi] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2022 Jun 14;43(6):463-468. doi: 10.3760/cma.j.issn.0253-2727.2022.06.004.