PMID- 10214863 OWN - NLM STAT- MEDLINE DCOM- 19990510 LR - 20190915 IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 13 IP - 4 DP - 1999 Apr TI - Quantitation of minimal residual disease in acute myelogenous leukemia and myelodysplastic syndromes in complete remission by molecular cytogenetics of progenitor cells. PG - 568-77 AB - Detection of karyotypic clonal abnormalities are prognostically useful in patients with acute myelogenous leukemia (AML) and myelodysplastic syndromes (MDS), but cytogenetic methods are not sensitive enough to detect low numbers of residual leukemic cells in patients who have achieved complete remission (CR). Fluorescence in situ hybridization (FISH) and fluorescence activated cell sorting (FACS) were used to investigate the frequency and presence of minimal residual disease (MRD) in AML and MDS patients (n = 28) with monosomy of chromosomes 7, 17 and 18 and trisomy of chromosomes 6, 8, 9 and 10 in CR. MRD was detected in all patients with monosomy 7 (n = 10) and followed by relapse in eight patients after 4.8 +/- 3.1 months. In contrast, persistent leukemic cells occurred in 11/12 patients with trisomy 8, but only three of them relapsed after 7.7 +/- 4.0 months. Cox regression analysis showed that cytogenetic class and levels of clonal cells at CR were related to time to relapse (P = 0.001). The level of MRD identified patients at high and low risk of relapse. High absolute levels of proliferating residual leukemic cells correlated with monosomy 7 and high risk of relapse. FAU - Engel, H AU - Engel H AD - Department of Hematology, The University of Texas MD Anderson Cancer Center, Houston, USA. FAU - Drach, J AU - Drach J FAU - Keyhani, A AU - Keyhani A FAU - Jiang, S AU - Jiang S FAU - Van, N T AU - Van NT FAU - Kimmel, M AU - Kimmel M FAU - Sanchez-Williams, G AU - Sanchez-Williams G FAU - Goodacre, A AU - Goodacre A FAU - Andreeff, M AU - Andreeff M LA - eng GR - CA16672/CA/NCI NIH HHS/United States GR - CA55164/CA/NCI NIH HHS/United States GR - CA57639/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Antigens, Differentiation) RN - 0 (Antigens, Neoplasm) SB - IM MH - Acute Disease MH - Adult MH - Aged MH - Aged, 80 and over MH - Anemia, Refractory, with Excess of Blasts/diagnosis/genetics/pathology MH - Antigens, Differentiation/analysis MH - Antigens, Neoplasm/analysis MH - Cell Division MH - *Chromosome Aberrations MH - Chromosomes, Human, Pair 7 MH - Clone Cells/chemistry/ultrastructure MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Flow Cytometry MH - Hematopoietic Stem Cells/chemistry/*ultrastructure MH - Humans MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Myeloid/classification/diagnosis/genetics/*pathology MH - Life Tables MH - Male MH - Middle Aged MH - Monosomy MH - Myelodysplastic Syndromes/classification/diagnosis/genetics/*pathology MH - Neoplasm, Residual MH - Neoplastic Stem Cells/chemistry/*ultrastructure MH - Proportional Hazards Models MH - Recurrence EDAT- 1999/04/24 00:00 MHDA- 1999/04/24 00:01 CRDT- 1999/04/24 00:00 PHST- 1999/04/24 00:00 [pubmed] PHST- 1999/04/24 00:01 [medline] PHST- 1999/04/24 00:00 [entrez] AID - 10.1038/sj.leu.2401359 [doi] PST - ppublish SO - Leukemia. 1999 Apr;13(4):568-77. doi: 10.1038/sj.leu.2401359.