Kronik Myeloid Lösemide BCR-ABL Füzyon Transkriptinin Eş Zamanlı PCR ile Kantitasyonu İçin Referans Plazmid Oluşturulması

Kronik Myeloid Lösemi (KML), granülositlerin hızla artan proliferasyonuyla seyreden bir myeloprolifertifhastalıktır. KML, 9 ve 22 kromozomları arasındaki bir translokasyonla oluşan Philadelphia kromozomununvarlığı ile karakterizedir ve bu translokasyon sonucunda BCR (22. kr) ve ABL (9. kr)arasında bir füzyon gen meydana gelir. BCR ve ABL genlerindeki kırık bölgelerine bağlı olarak farklıBCR-ABL füzyon transkriptleri oluşmaktadır. En bilinenleri p190, p210 ve p230 füzyon transkriptleridir.BCR-ABL füzyon transkript miktarı tümör yükü ile doğrudan ilişkili olduğu için hasta örneklerinde BCRABLanlatımını sayısal miktar olarak belirlemek önemlidir. Daha önce p210 transkripti için bir referansplazmid oluşturulmuştur ve bu plazmidin seri dilüsyonları ile elde edilen standart eğrisi ile sayısalmiktar tayini yapılmaktadır. Ancak maalesef benzer bir plazmid p190 ve p230 kırıkları için mevcutdeğildir. Bu çalışmada hem p190 hem de p230 transkriptlerinin miktar tayinini yapabilecek birreferans plazmid oluşturmayı amaçladık. Ancak p190 plazmidi bütün uğraşlarımıza rağmen başarıyaulaşamadı, elde ettiğimiz kolonilerin hiç biri p190’ın 1000bç’lik fragmanını içermiyordu. Bunun aksinep230 referans plazmidi (pBL-230) 620bç’lik p230 fragmanı ile klonlanabildi. pBL-230’un seridilüsyonları ile iki farklı UPL prob kullanarak KML hastalarında p230 transkript miktarını tayinedebildik.
Anahtar Kelimeler:

Kronik Myeloid Lösemi (KML)

Construction of Reference Plasmids for The Quantification of Bcr-Abl Fusion Transcripts in Chronic Myeloid Leukemia By Quantitative Real-Time Pcr

Chronic myeloid leukemia (CML), is a myeloproliferative disorder characterized by rapid increasedproliferation of the granulocytes. The hallmark of CML is the presence of the Philadephia chromosome,which is a product of translocation between the chromosomes 9 and 22 and as a result, a fusion geneis formed between the BCR gene (chr. 22) and ABL (chr.9). Several variants of the BCR-ABL fusiontranscript exist which is based on the different breakpoint locations between the BCR and ABL genes.The most known variants are designated p190, p210 and p230 fusion transcript. Since the amount ofBCR-ABL fusion transcript is correlated with the tumor load, therefore is important to quantify theexpression of BCR-ABL in the patient samples. For p210 fusion transcript, a reference plasmid wascreated and the quantification was facilitated by having a standard curve made by serial dilution ofthe reference plasmid. Unfortunately, reference plasmid for p190 and p230 remain absent. Here in thisstudy, we designed and construct two reference plasmids for quantification of the p190 and p230 fusiontranscripts. Unfortunately, the construction of the reference plasmid for p190 was unsuccessful,after ligation, none of the colonies analyzed contained the 1000-bp insert of the p190. In contrast, thep230 reference plasmid, named pBL-230, was constructed in which contain a 620-bp fragment of thep230 fusion transcript. We showed that serial dilutions of pBL-230 could be accurately quantified bytwo different UPL probes and can be used for quantification of p230 fusion transcript in CML patients.

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