title: Automated array-based genomic profiling in chronic lymphocytic leukemia: development of a clinical tool and discovery of recurrent genomic alterations.
abstract: B cell chronic lymphocytic leukemia (B-CLL) is characterized by a highly variable clinical course. Recurrent chromosomal imbalances provide significant prognostic markers. Risk-adapted therapy based on genomic alterations has become an option that is currently being tested in clinical trials. To supply a robust tool for such large scale studies, we developed a comprehensive DNA microarray dedicated to the automated analysis of recurrent genomic imbalances in B-CLL by array-based comparative genomic hybridization (matrix-CGH). Validation of this chip in a series of 106 B-CLL cases revealed a high specificity and sensitivity that fulfils the criteria for application in clinical oncology. This chip is immediately applicable within clinical B-CLL treatment trials that evaluate whether B-CLL cases with distinct chromosomal abnormalities should be treated with chemotherapy of different intensities and/or stem cell transplantation. Through the control set of DNA fragments equally distributed over the genome, recurrent genomic imbalances were discovered: trisomy of chromosome 19 and gain of the MYCN oncogene correlating with an elevation of MYCN mRNA expression.
authors.affiliation: Abteilung Molekulare Genetik, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, D-69120 Heidelberg, Germany.
authors.forename: Carsten
authors.initials: C
authors.lastname: Schwaenen
authors.forename: Michelle
authors.initials: M
authors.lastname: Nessling
authors.forename: Swen
authors.initials: S
authors.lastname: Wessendorf
authors.forename: Tatjana
authors.initials: T
authors.lastname: Salvi
authors.forename: Gunnar
authors.initials: G
authors.lastname: Wrobel
authors.forename: Bernhard
authors.initials: B
authors.lastname: Radlwimmer
authors.forename: Hans A
authors.initials: HA
authors.lastname: Kestler
authors.forename: Christian
authors.initials: C
authors.lastname: Haslinger
authors.forename: Stephan
authors.initials: S
authors.lastname: Stilgenbauer
authors.forename: Hartmut
authors.initials: H
authors.lastname: Döhner
authors.forename: Martin
authors.initials: M
authors.lastname: Bentz
authors.forename: Peter
authors.initials: P
authors.lastname: Lichter
mesh_terms: D001331:Automation; D001483:Base Sequence; D017931:DNA Primers; D020869:Gene Expression Profiling; D023281:Genomics; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000235:genetics*; D000071447:N-Myc Proto-Oncogene Protein; D009687:Nuclear Proteins / Q000235:genetics; D015513:Oncogene Proteins / Q000235:genetics; D012333:RNA, Messenger / Q000235:genetics; D012680:Sensitivity and Specificity
chemical_list: D017931:DNA Primers; C459801:MYCN protein, human; D000071447:N-Myc Proto-Oncogene Protein; D009687:Nuclear Proteins; D015513:Oncogene Proteins; D012333:RNA, Messenger