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Submitted: 29 Sep 2008

Accepted: 25 Feb 2013

ePublished: 25 Feb 2013

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. 1387؛20(2): 164-170.

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Abstract

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Â Ø²Ù…ÛŒÙ†Ù‡ Ùˆ Ù‡Ø¯Ù: Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³ØªØŒ Ú©ÛŒØ³Øª Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© ØªÚ©Ø§Ù…Ù„ÛŒ Ø¨Ø§ Ø±ÙØªØ§Ø± ØªÙ‡Ø§Ø¬Ù…ÛŒ Ùˆ ØªÙ…Ø§ÛŒÙ„ Ø¨Ù‡ Ø¹ÙˆØ¯ Ø¨Ø§Ù„Ø§Ø³Øª. Ø§Ù¾ÛŒ ØªÙ„ÛŒÙˆÙ… Ø§ÛŒÙ† Ú©ÛŒØ³Øª Ø¯Ø§Ø±Ø§ÛŒ ØªÙˆØ§Ù† Ø±Ø´Ø¯ÛŒ Ø¨ÛŒØ´ØªØ±ÛŒ Ù†Ø³Ø¨Øª Ø¨Ù‡ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ù…ÛŒâ€ŒØ¨Ø§Ø´Ø¯.BCL-2 Ù¾Ø±ÙˆØªØ¦ÛŒÙ† Ø¶Ø¯ Ø¢Ù¾ÙˆÙ¾ØªÙ€ÙˆØªÛŒÚ© Ø§Ø³Øª Ùˆ Ø¨Ø§Ø¹Ø« Ø§ÙÙ€Ø²Ø§ÛŒØ´ Ø·ÙˆÙ„ Ø¹Ù…Ø± Ø³Ù„ÙˆÙ„â€ŒÙ‡Ù€Ø§ÛŒ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ù…ÛŒâ€ŒÚ¯Ø±Ø¯Ø¯. Ù…Ø·Ø§Ù„Ø¹Ù‡ ØØ§Ø¶Ø± Ø¨Ø§ Ù‡Ø¯Ù Ø¨Ø±Ø±Ø³ÛŒ Ùˆ Ù…Ù‚Ø§ÛŒØ³Ù‡ ÙˆØ§Ú©Ù†Ø´ Ø§ÛŒÙ…Ù†ÛŒ Ø´Ø§Ø®Øµ Ø¶Ø¯ Ø¢Ù¾ÙˆÙ¾ØªÙˆØªÛŒÚ© BCL-2 Ø¯Ø± Ù„Ø§ÛŒÙ‡â€ŒÙ‡Ø§ÛŒ Ù…Ø®ØªÙ„Ù Ø§Ù¾ÛŒ ØªÙ„ÛŒÙˆÙ… Ùˆ Ú©Ù„ Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ùˆ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø§Ù†Ø¬Ø§Ù… Ø´Ø¯. Ø±ÙˆØ´ Ø¨Ø±Ø±Ø³ÛŒ: Ø¯Ø± Ø§ÛŒÙ† Ù…Ø·Ø§Ù„Ø¹Ù‡ Ú¯Ø°Ø´ØªÙ‡ Ù†Ú¯Ø± Ùˆ ØªÙˆØµÛŒÙÛŒ â€“ ØªØÙ„ÛŒÙ„ÛŒØŒ Ø¨Ø± Ø±ÙˆÛŒ Ø¨ÛŒØ³Øª Ø¨Ù„ÙˆÚ© Ù¾Ø§Ø±Ø§ÙÛŒÙ†Ù‡ Ù…Ø±ØªØ¨Ø· Ø¨Ø§ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ùˆ Ø¨ÛŒØ³Øª Ø¨Ù„ÙˆÚ© Ù¾Ø§Ø±Ø§ÙÛŒÙ†Ù‡ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø±ØŒ Ø±Ù†Ú¯â€ŒØ¢Ù…ÛŒØ²ÛŒ Ø§ÛŒÙ…ÙˆÙ†ÙˆÙ‡ÛŒØ³ØªÙˆØ´ÛŒÙ…ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2 Ø¨Ù‡ Ú©Ù…Ú© Ø¢Ù†ØªÛŒ Ø¨Ø§Ø¯ÛŒ Anti BCL-2 (Clone 124, 1 Sotype: IgG, Kappa, DAKO, Denmark) Ø§Ù†Ø¬Ø§Ù… Ø´Ø¯. ØªØ¹Ø¯Ø§Ø¯ Ø³ÛŒØªÙˆÙ¾Ù„Ø§Ø³Ù… Ø³Ù„ÙˆÙ„â€ŒÙ‡Ø§ÛŒ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ø±Ù†Ú¯ Ú¯Ø±ÙØªÙ‡ Ø´Ø¯Ù‡ Ø¯Ø± Ù†Ø§ØÛŒÙ‡ Ø¨Ø§Ø²Ø§Ù„ØŒ Ù…ÛŒØ§Ù†ÛŒ Ùˆ Ø³Ø·ØÛŒ Ø§Ù¾ÛŒ ØªÙ„ÛŒÙˆÙ… Ù¾ÙˆØ´Ø§Ù†Ù†Ø¯Ù‡ Ù‡Ø± Ø¯Ùˆ Ú©ÛŒØ³Øª Ùˆ Ú©Ù„ Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ø¢Ù†Ù‡Ø§ Ø¯Ø± Ù‡Ø²Ø§Ø± Ø³Ù„ÙˆÙ„ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ø´Ù…Ø§Ø±Ø´ Ø´Ø¯Ù‡ Ùˆ Ø¯Ø± Ù†Ù‡Ø§ÛŒØª Ù†ØªØ§ÛŒØ¬ Ø¨Ù‡ ØµÙˆØ±Øª (Ø§Ù†ØØ±Ø§Ù Ù…Ø¹ÛŒØ§Ø±Â± Ø¯Ø±ØµØ¯ Ù…ÛŒØ§Ù†Ú¯ÛŒÙ†) Ø¨ÛŒØ§Ù† Ú¯Ø±Ø¯ÛŒØ¯. Ø¯Ø§Ø¯Ù‡â€ŒÙ‡Ø§ÛŒ Ø¨Ù‡ Ø¯Ø³Øª Ø¢Ù…Ø¯Ù‡ ÙˆØ§Ø±Ø¯ SPSS Ø´Ø¯Ù‡ Ùˆ Ø¨Ø§ Ø§Ø³ØªÙØ§Ø¯Ù‡ Ø§Ø² Ø¢Ù†Ø§Ù„ÛŒØ² Roc curve Ùˆ Student- t-test ØªØÙ„ÛŒÙ„ Ø´Ø¯ Ùˆ Ø¨Ø§ ÛŒÚ©Ø¯ÛŒÚ¯Ø± Ù…Ù‚Ø§ÛŒØ³Ù‡ Ú¯Ø±Ø¯ÛŒØ¯. ÛŒØ§ÙØªÙ‡â€ŒÙ‡Ø§: Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2Ø¯Ø± Ù„Ø§ÛŒÙ‡ Ø¨Ø§Ø²Ø§Ù„ Ùˆ Ù…ÛŒØ§Ù†ÛŒ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø¨Ù‡ ØªØ±ØªÛŒØ¨ 4/1 Â± 5/98% Ùˆ 2/3 Â± 1/12% Ø¨ÙˆØ¯Ù‡ Ø§Ù…Ø§ Ø¯Ø± Ù„Ø§ÛŒÙ‡â€ŒÙ‡Ø§ÛŒ Ø³Ø·ØÛŒ Ø¹Ø¯Ù… Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ù…Ø´Ø§Ù‡Ø¯Ù‡ Ø´Ø¯. Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø±BCL-2 Ø¯Ø± Ù„Ø§ÛŒÙ‡ Ø¨Ø§Ø²Ø§Ù„ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± 9/1 Â± 1/2% Ø¨ÙˆØ¯ ÙˆÙ„ÛŒ Ø¯Ø± Ù„Ø§ÛŒÙ€Ù‡â€ŒÙ‡Ø§ÛŒ Ù…ÛŒØ§Ù†ÛŒ Ùˆ Ø³Ø·ØÛŒ Ø¹Ø¯Ù… Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ù…Ø´Ø§Ù‡Ø¯Ù‡ Ø´Ø¯. Ø§Ø®ØªÙ„Ø§Ù Ù…ÛŒÙ€Ø§Ù†Ú¯ÛŒÙ† Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2Ø¯Ø± Ù„Ø§ÛŒÙ€Ù‡â€ŒÙ‡Ø§ÛŒ Ù…Ø®ØªÙ„Ù Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø§Ø² Ù†Ø¸Ø± Ø¢Ù…Ø§Ø±ÛŒ Ù…Ø¹Ù†ÛŒâ€ŒØ¯Ø§Ø± Ø¨ÙˆØ¯(001/0p<). Ø§Ù…Ø§ Ø§Ø®ØªÙ„Ø§Ù Ù…ÛŒØ§Ù†Ú¯ÛŒÙ† Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø±BCL-2 Ø¯Ø± Ù„Ø§ÛŒÙ‡â€ŒÙ‡Ø§ÛŒ Ù…Ø®ØªÙ„Ù Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ø§Ø² Ù†Ø¸Ø± Ø¢Ù…Ø§Ø±ÛŒ Ù…Ø¹Ù†ÛŒâ€ŒØ¯Ø§Ø± Ù†Ø¨ÙˆØ¯(05/0P>). Ù…ÛŒØ§Ù†Ú¯ÛŒÙ† Ø±Ù†Ú¯ Ù¾Ø°ÛŒØ±ÛŒ Ø¯Ø± Ú©Ù„ Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± 63/0 Â± 7/0% Ùˆ Ø¯Ø± Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª 5/1 Â± 8/36% Ø¨ÙˆØ¯. Ø§Ø®ØªÙ„Ø§Ù Ù…ÛŒØ§Ù†Ú¯ÛŒÙ† Ø±Ù†Ú¯â€ŒÙ¾Ø°ÛŒØ±ÛŒ Ø¨Ø§ Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2Ø¯Ø± Ú©Ù„ Ù¾ÙˆØ´Ø´ Ø§Ù¾ÛŒ ØªÙ„ÛŒØ§Ù„ÛŒ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ùˆ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø§Ø² Ù†Ø¸Ø± Ø¢Ù…Ø§Ø±ÛŒ Ù…Ø¹Ù†ÛŒâ€ŒØ¯Ø§Ø± Ø¨ÙˆØ¯.(001/0p<) Ù†ØªÛŒØ¬Ù‡â€ŒÚ¯ÛŒØ±ÛŒ: Ù†ØªØ§ÛŒØ¬ Ù…Ø·Ø§Ù„Ø¹Ù‡ ØØ§Ø¶Ø± Ø¨ÛŒØ§Ù†Ú¯Ø± Ù†Ù‚Ø´ BCL-2 Ø¯Ø± Ù¾Ø§ØªÙˆÚ˜Ù†Ø² Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø¨ÙˆØ¯Ù‡ Ùˆ Ø§ÙØ²Ø§ÛŒØ´ Ø¨ÛŒØ§Ù† Ù†Ø´Ø§Ù†Ú¯Ø±BCL-2 Ø¯Ø± Ù„Ø§ÛŒÙ‡ Ø¨Ø§Ø²Ø§Ù„ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ù…Ø±ØªØ¨Ø· Ø¨Ø§ Ø¹ÙˆØ¯ Ùˆ Ø±ÙØªØ§Ø± ØªÙ‡Ø§Ø¬Ù…ÛŒ Ø¨ÛŒØ´ØªØ± Ø¢Ù† Ù†Ø³Ø¨Øª Ø¨Ù‡ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ø§Ø³Øª. Ù‡Ù…Ú†Ù†ÛŒÙ† Ù…ÛŒâ€ŒØªÙˆØ§Ù† Ø§Ø² Ø§ÙØ²Ø§ÛŒØ´ Ø¨ÛŒØ§Ù† Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2 Ø¯Ø± Ù„Ø§ÛŒÙ‡ Ø¨Ø§Ø²Ø§Ù„ Ø¨Ù‡ Ø¹Ù†ÙˆØ§Ù† Ø´Ø§Ø®Øµ Ú©Ù…Ú©ÛŒ Ø¬Ù‡Øª Ø§ÙØªØ±Ø§Ù‚ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ø§Ø² Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª Ø§Ø³ØªÙØ§Ø¯Ù‡ Ú©Ø±Ø¯. Ú©Ù„ÛŒØ¯ ÙˆØ§Ú˜Ù‡â€ŽÙ‡Ø§: Ù¾Ø±ÙˆØªØ¦ÛŒÙ† BCL-2 â€“ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª â€“ Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± â€“ Ø§ÛŒÙ…ÙˆÙ†ÙˆÙ‡ÛŒØ³ØªÙˆØ´ÛŒÙ…ÛŒ.

ÙˆØµÙˆÙ„ Ù…Ù‚Ø§Ù„Ù‡: 10/10/1386/383 Ø§ØµÙ„Ø§Ø Ù†Ù‡Ø§ÛŒÛŒ: 4/2/1387 Ù¾Ø°ÛŒØ±Ø´ Ù…Ù‚Ø§Ù„Ù‡: 31/4/1387/1385

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Ø¨Ø±Ø±Ø³ÛŒ Ø¨ÛŒØ§Ù† Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2 Ø¯Ø± Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ùˆ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª

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Ø¨Ø±Ø±Ø³ÛŒ Ø¨ÛŒØ§Ù† Ù†Ø´Ø§Ù†Ú¯Ø± BCL-2 Ø¯Ø± Ú©ÛŒØ³Øª ÙÙˆÙ„ÛŒÚ©ÙˆÙ„Ø§Ø± Ùˆ Ø§Ø¯Ù†ØªÙˆÚ˜Ù†ÛŒÚ© Ú©Ø±Ø§ØªÙˆØ³ÛŒØ³Øª