先天性角化不良症细胞遗传不稳定性研究

OBJECTIVE: To investigate the genetic instability in patients with Dyskeration congenita. METHODS: The spontaneous chromosome instability of lymphocytes from 4 DC patients, 29 FA patients and 24 healthy volunteers was assessed with comet assay. The percent of DNA in comet head (HeadDNA%), the percent of DNA in comet tail (TailDNA%), tail moment (TM), olive tail moment (OTM), the comet cell percentage (CCP) were compared between groups. And the results of MMC test, PNH clones and karotype were analysed additionally. The correlation between TM, OTM, CCP and the severity degree of bone marrow failure in DC group were evaluated. RESULT: ①PNH clones and karotype abnormalities were not found in 4 DC patients. ②TM(6.77±0.90), OTM(6.19±0.80) and CCP [(46.00±5.03)%] in DC were significantly higher than those in normal control group [0.61±0.49, 0.66±0.42, (5.91±3.19)%, P<0.05], however, not distinguished from FA patients [7.81±3.58, 6.65±2.21, (56.03±13.47)%,P≥0.05]. The aberrant cell percent at the MMC concentration of 80 µg/L in DC group was significantly lower than that in FA group [(21.00±3.16)% vs (31.97±6.33)%,P=0.003]. ③The correlation between TM, OTM, CCP and the severity of bone marrow failure in DC group were not found (P>0.05). CONCLUSION: DC patients were of significantly increased genetic instability and normal DNA repair, which was different from that in FA patients. And there was no correlation between the degree of genetic instability and the severity of bone marrow failure in DC patients presenting as aplastic anemia.