PMID- 11129444 OWN - NLM STAT- MEDLINE DCOM- 20010222 LR - 20191104 IS - 1052-9551 (Print) IS - 1052-9551 (Linking) VI - 9 IP - 4 DP - 2000 Dec TI - Comparison of a multiplex reverse transcriptase-polymerase chain reaction for BCR-ABL to fluorescence in situ hybridization, Southern blotting, and conventional cytogenetics in the monitoring of patients with Ph1-positive leukemias. PG - 203-9 AB - A multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) assay for both major forms of BCR-ABL was compared with fluorescence in situ hybridization (FISH), karyotyping, and Southern blotting for disease monitoring in 37 follow-up bone marrow samples from 32 patients with Ph1-positive leukemia. Of these 37 samples, 33 were from patients with chronic myeloid leukemia (CML) (26 post allogeneic bone marrow transplantation [AlloBMT] and seven during interferon-alpha therapy) and 4 from Ph1-positive acute lymphoblastic leukemia (ALL) patients (1 post AlloBMT and 3 post high dose chemotherapy). For the 27 samples studied after AlloBMT (26 CML and 1 Ph1-positive ALL) the time after transplantation ranged from 1 to 107 months (median 47.5 months). In 8 (22%) of the 37 samples there were discrepant results among methods. The discrepancy rates relative to other techniques were: karyotyping 17% (5 of 29), Southern blotting 18% (6 of 33), multiplex RT-PCR 8% (3 of 37), and FISH 8% (3 of 37). Therefore, the relative accuracy of each method for disease monitoring in Ph1-positive leukemia was: 83% (24 of 29) for karyotyping, 82% (27 of 33) for Southern blotting, 92% (34 of 37) for FISH, and 92% (34 of 37) for multiplex RT-PCR. This multiplex RT-PCR assay appears equivalent to FISH in terms of accuracy, simplicity, and turnaround time and both are superior to Southern blot and conventional cytogenetics in the laboratory monitoring of Ph1-positive leukemias. FAU - Colleoni, G W AU - Colleoni GW AD - Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. FAU - Jhanwar, S C AU - Jhanwar SC FAU - Ladanyi, M AU - Ladanyi M FAU - Chen, B AU - Chen B LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diagn Mol Pathol JT - Diagnostic molecular pathology : the American journal of surgical pathology, part B JID - 9204924 SB - IM MH - Adolescent MH - Adult MH - *Blotting, Southern MH - Child MH - *Cytogenetic Analysis MH - Female MH - Genes, abl/*genetics MH - Humans MH - *In Situ Hybridization, Fluorescence MH - K562 Cells MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics MH - Male MH - Middle Aged MH - *Reverse Transcriptase Polymerase Chain Reaction MH - Tumor Cells, Cultured EDAT- 2000/12/29 11:00 MHDA- 2001/03/03 10:01 CRDT- 2000/12/29 11:00 PHST- 2000/12/29 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2000/12/29 11:00 [entrez] AID - 10.1097/00019606-200012000-00005 [doi] PST - ppublish SO - Diagn Mol Pathol. 2000 Dec;9(4):203-9. doi: 10.1097/00019606-200012000-00005.