PMID- 10530719 OWN - NLM STAT- MEDLINE DCOM- 19991119 LR - 20071115 IS - 0037-1963 (Print) IS - 0037-1963 (Linking) VI - 36 IP - 4 DP - 1999 Oct TI - Molecular approaches to the diagnosis and evaluation of lymphoid malignancies. PG - 373-89 AB - The processes of somatic immunoglobulin (Ig) and T-cell receptor (TCR) gene rearrangement that occur in lymphoid precursors provide insights into the pathogenesis and molecular analysis of lymphoid malignancies, in addition to the more universal molecular oncogenic mechanisms. Detection of lymphoid clonality can help distinguish polyclonal reactive disorders from clonal, predominantly, but not exclusively, malignant proliferations. Ig/TCR V-(D)-J polymerase chain reaction (PCR) amplification has largely replaced Southern blotting, and the techniques of PCR product analysis are evolving rapidly. V-(D)-J errors are often involved in genetic abnormalities leading to lymphoid malignancies, with consequent deregulated expression of the associated proto-oncogenes. Genetic abnormalities producing fusion transcripts and chimeric proteins are also frequent, particularly in acute lymphoblastic leukemia (ALL). A variety of molecular techniques, including reverse-transcriptase (RT)-PCR, Southern blotting, and fluorescence in situ hybridization (FISH) are finding an increasingly established place in the diagnosis, prognostic evaluation, therapeutic stratification, and follow-up of lymphoblastic leukemias, and it is likely that the same methods will be applied to non-Hodgkin's lymphoma (NHL) and to chronic leukemias. FAU - Macintyre, E A AU - Macintyre EA AD - Laboratoire d'Hematologie and CNRS UMR 8603, Hopital Necker-Enfants Malades, Universite Paris V 149, France. FAU - Delabesse, E AU - Delabesse E LA - eng PT - Journal Article PT - Review PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 SB - IM MH - *Cytogenetic Analysis MH - Gene Rearrangement/immunology MH - Humans MH - Leukemia, Lymphoid/diagnosis MH - Lymphoma/diagnosis MH - Lymphoproliferative Disorders/*diagnosis/genetics/immunology RF - 95 EDAT- 1999/10/26 00:00 MHDA- 1999/10/26 00:01 CRDT- 1999/10/26 00:00 PHST- 1999/10/26 00:00 [pubmed] PHST- 1999/10/26 00:01 [medline] PHST- 1999/10/26 00:00 [entrez] PST - ppublish SO - Semin Hematol. 1999 Oct;36(4):373-89.