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    Flow cytometric analysis of BCL‐2 can distinguish small numbers of acute lymphoblastic leukaemia cells from B‐cell precursors
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    Abstract:
    Summary Flow cytometric identification of small numbers of precursor B‐cell acute lymphoblastic leukaemia (B‐ALL) cells in post‐treatment marrow specimens could benefit from the identification of additional, easily detectable markers that could be used in most cases. In this study, we evaluate whether bcl‐2 expression quantified by four‐colour flow cytometry can be effectively used to discriminate precursor B‐ALL blasts from normal B‐cell precursors (haematogones) and function as a leukaemia‐specific marker. Levels of bcl‐2 in the 22 precursor B‐ALL cases studied were found to be significantly higher (over sixfold higher on average) than those present in haematogone populations from 22 control marrow specimens. Higher relative levels of bcl‐2 expression in the B‐ALL cases were maintained with respect to both immature CD34 + and more mature CD34 − haematogone subsets, and appeared stable. Dilutional studies indicated that multiparameter flow cytometry analysis using bcl‐2 could identify precursor B‐ALL blasts representing as few as 1% of CD19 + cells or 0·01% of total leucocytes in bone marrow specimens containing substantial numbers of haematogones. This study suggests that bcl‐2 may be an important marker for flow cytometric detection and quantification of small numbers of residual precursor B‐ALL cells in bone marrow specimens.
    Keywords:
    Acute lymphocytic leukemia
    Flow cytometry를 이용하여 개 정자의 생존율 평가를 수행하고자 2-4세의 수캐 5두가 이용되었고, 분석을 위해 PI염색을 실시하였다. Flow cytometry를 이용한 개 신선 정액의 생존율 평가는 생존 정자와 죽은 정자의 비율을 1:0, 1:1, 1:3으로 조성하여 이를 flow cytometry로 평가하고 광학현미경검사, CFDA/PI 염색검사, HOS test에 의한 생존율과 비교하여 flow cytometry와의 상관관계를 알아보았다. 또한 개 정액을 동결하여 응해 후의 개 정자의 생존율 평가에도 동일한 방법으로 상관관계를 조사하였다. 신선 정액에서 생존 정자와 죽은 정자의 비율이 1:0, 1:1, 1:3 모든 경우에서 flow cytometry를 이용한 생존율은 HOS test에 의한 생존율과 높은 상관관계를 나타내었다 (p<0.01). 신선 정액에서 생존 정자와 죽은 정자의 비율이 1:0과 1:3일 때 광학현미경적 검사에 의한 생존율은 flow cytometry 분석에 의한 생존율과 유의 적인 상관관계를 나타내었으나 (p<0.05), 1:1 비율의 경우 상관관계를 보이지 않았다. 신선 정액에 생존 정자와 죽은 정자의 비율이 1:0과 1:1일 때 CFDA/PI 염색 검사에 의한 생존율은 flow cytometry분석에 의한 생존율과 높은 상관관계를 보였으며(p<0.01), 1:3 비율에서는 유의적인 상관관계를 보였다 (p<0.05). 동결 및 응해 후의 개 정자의 생존율 평가에서 HOS test 결과는 flow cytometry분석에 의한 생존율과 높은 상관관계를 보였으며 (p<0.01), 광학현미경적 검사를 통한 생존율은 유의적인 상관관계를 보였으나 (p<0.05), CFDA/PI 염색 검사결과는 상관관계를 보이지 않았다. 이상의 결과 flow cytometry는 신선정액 및 동결ㆍ융해 후 개 정자에 대한 생존율 검사에 정확한 평가 방법 인 것으로 판단되었다.
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