Molecular cytogenetic analysis of B-CLL patients with aggressive disease.
We tested a set of commercially available probes to determine the feasibility and accuracy of FISH in the detection of abnormalities in 13 patients with Chronic Lymphocytic Leukemia (CLL) with a particular aggressive clinical disease. We utilized three different probes for the 13q12-14 region, one for the centromeric region of chromosome 12, one for the P53 gene at 17p13.1 and one for 3'-5' IGH at 14q32, covering the entire region of IGH, thus potentially allowing to detect more rearrangements. Conventional cytogenetic study showed a normal karyotype in 8/13 patients. FISH was able to detect chromosomal abnormalities in 10/13 pts (85%): +12 in 4 pts (38%); del 13q in 4 (38%); del 17p in 3 (35%); del of 5'-IGH in 1 (15%). In conclusion FISH confirmed its ability to improve the detection of cytogenetic abnormalities especially in patients with an aggressive disease.
Gozzetti
Alessandro
A
Department of Medicine and Immunological Sciences, Division of Hematology and Transplants, University of Siena, Siena, Italy. gozzetti.unisi.it
Crupi
Rosaria
R
Tozzuoli
Daniela
D
Raspadori
Donatella
D
Forconi
Francesco
F
Lauria
Francesco
F
D000208:Acute Disease; D002869:Chromosome Aberrations; D002877:Chromosomes, Human; D020732:Cytogenetic Analysis; D005260:Female; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000175:diagnosis; D008297:Male; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity