PMID- 10848779 OWN - NLM STAT- MEDLINE DCOM- 20000712 LR - 20190705 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 109 IP - 1 DP - 2000 Apr TI - Amplification of cyclin D1 gene in multiple myeloma: clinical and prognostic relevance. PG - 30-8 AB - Approximately 30% of myeloma patients express cyclin D1 RNA and protein. The low incidence of translocation t(11; 14) detected by conventional cytogenetics suggests that the up-regulation of cyclin D1 protein might result from other mechanisms as well as from gene amplification. Therefore, the frequency and the clinical and prognostic implications of cyclin D1 amplification were examined. We highly purified myeloma cells from bone marrow by magnetic cell sorting and analysed 50 myelomas by fluorescence in situ hybridization (FISH) using probes specific for cyclin D1 and 20 samples by immunoblotting to detect cyclin D1 expression. The amplification of cyclin D1 gene was found in 19 of 50 analysed patients and was associated with expression of cyclin D1 protein. The amplification correlated significantly with the bone marrow infiltration, plasma cell morphology and labelling index as well as serum beta2-microglobulin, C-reactive protein (CRP) and creatinine levels. In univariate analysis, the amplification of the cyclin D1 gene was a significantly unfavourable parameter with regard to overall survival (P = 0.0064) and progression-free survival (P = 0. 0005). In multivariate analysis, cyclin D1 amplification and serum beta2-microglobulin were independent and well-suited parameters for predicting survival. The detection of cyclin D1 amplification seems to be of promising prognostic value in multiple myeloma. FAU - Hoechtlen-Vollmar, W AU - Hoechtlen-Vollmar W AD - Institute of Clinical Chemistry, Ludwig Maximilians Universitaet Muenchen, Grosshadern, Munich, Germany. Lomerz@med2.med.uni-muenchen.de FAU - Menzel, G AU - Menzel G FAU - Bartl, R AU - Bartl R FAU - Lamerz, R AU - Lamerz R FAU - Wick, M AU - Wick M FAU - Seidel, D AU - Seidel D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (Biomarkers) RN - 0 (beta 2-Microglobulin) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Biomarkers/blood MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Cyclin D1/analysis/*metabolism MH - Disease-Free Survival MH - Gene Amplification MH - *Genes, bcl-1 MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infant, Newborn MH - Middle Aged MH - Multiple Myeloma/*genetics MH - Prognosis MH - Proportional Hazards Models MH - beta 2-Microglobulin/metabolism EDAT- 2000/06/10 09:00 MHDA- 2000/07/15 11:00 CRDT- 2000/06/10 09:00 PHST- 2000/06/10 09:00 [pubmed] PHST- 2000/07/15 11:00 [medline] PHST- 2000/06/10 09:00 [entrez] AID - bjh2007 [pii] AID - 10.1046/j.1365-2141.2000.02007.x [doi] PST - ppublish SO - Br J Haematol. 2000 Apr;109(1):30-8. doi: 10.1046/j.1365-2141.2000.02007.x.