title: Validation of interphase fluorescence in situ hybridization (iFISH) for multiple myeloma using CD138 positive cells.
abstract: BACKGROUND
  Multiple myeloma is a plasma cell neoplasm with acquired genetic abnormalities of clinical and prognostic importance. Multiple myeloma differs from other hematologic malignancies due to a high fraction of low proliferating malignant plasma cells and the paucity of plasma cells in bone marrow aspiration samples, making cytogenetic analysis a challenge. An abnormal karyotype is found in only one-third of patients with multiple myeloma and interphase fluorescence in situ hybridization is the most useful test for studying the chromosomal abnormalities present in almost 90% of cases. However, it is necessary to study the genetic abnormalities in plasma cells after their identification or selection by morphology, immunophenotyping or sorting. Other challenges are the selection of the most informative FISH panel and determining cut-off levels for FISH probes. This study reports the validation of interphase fluorescence in situ hybridization using CD138 positive cells, according to proposed guidelines published by the European Myeloma Network (EMN) in 2012.
  
  
  METHODS
  Bone marrow samples from patients with multiple myeloma were used to standardize a panel of five probes [1q amplification, 13q14 deletion, 17p deletion, t(4;14), and t(14;16)] in CD138(+) cells purified by magnetic cell sorting.
  
  
  RESULTS
  This test was validated with a low turnaround time and good reproducibility. Five of six samples showed genetic abnormalities. Monosomy/deletion 13 plus t(4;14) were found in two cases.
  
  
  CONCLUSIONS
  This technique together with magnetic cell sorting is effective and can be used in the routine laboratory practice. In addition, magnetic cell sorting provides a pure plasma cell population that allows other molecular and genomic studies.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. Electronic address: renata.kishimoto@einstein.br.
authors.forename: Renata Kiyomi
authors.initials: RK
authors.lastname: Kishimoto
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Sarah Lee Vaughan Vulcani
authors.initials: SL
authors.lastname: de Freitas
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Cristina Alonso
authors.initials: CA
authors.lastname: Ratis
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Daniela
authors.initials: D
authors.lastname: Borri
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Roberta
authors.initials: R
authors.lastname: Sitnik
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Universidade de São Paulo (USP), São Paulo, SP, Brazil.
authors.forename: Elvira Deolinda Rodrigues Pereira
authors.initials: ED
authors.lastname: Velloso
keywords: CD138 cells; Cytogenetics; Fluorescence in situ hybridization; Multiple myeloma; Plasma cells