PMID- 11972529 OWN - NLM STAT- MEDLINE DCOM- 20020701 LR - 20190705 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 117 IP - 2 DP - 2002 May TI - Translocations of 14q32 and deletions of 13q14 are common chromosomal abnormalities in systemic amyloidosis. PG - 427-35 AB - Systemic monoclonal immunoglobulin light chain amyloidosis (AL) is associated with clonal plasma cell dyscrasias that are often subtle and non-proliferating. AL shares numerical chromosomal changes with multiple myeloma (MM) and monoclonal gammopathy of undetermined significance (MGUS). Illegitimate translocations involving the immunoglobulin heavy chain gene (IGH) at 14q32 and deletions of the long arm of chromosome 13, [del(13q)], commonly occur in MM, MGUS and plasma cell leukaemia. In AL IGH rearrangements have been identified but, to date, there are no reports of del(13q). In this study of 32 patients with AL, 24 with systemic and eight with localized disease, translocations involving IGH and del(13q) were found using dual-colour interphase fluorescence in situ hybridization (FISH). IGH translocations were observed in 11 patients (37% overall and in 46% with systemic disease), of which nine had the IGH/CCND1 fusion from t(11;14)(q13;q32). Two showed IGH translocations other than the t(11;14) or t(4;14)(p16;q32). In one of these patients a breakpoint within the constant region of IGH between Calpha1 and Calpha2 was indicated. In the second a deletion covering Calpha1 and Calpha2 accompanied the translocation. Ten patients (27% overall and 33% of those with systemic disease) showed del(13q). The gain or loss of IGH and CCND1 signals provided evidence of numerical chromosomal changes in three patients. FAU - Harrison, Christine J AU - Harrison CJ AD - Department of Haematology, Royal Free and University College Medical School, London, UK. harrison@soton.ac.uk FAU - Mazzullo, Helen AU - Mazzullo H FAU - Ross, Fiona M AU - Ross FM FAU - Cheung, Kan L AU - Cheung KL FAU - Gerrard, Gareth AU - Gerrard G FAU - Harewood, Louise AU - Harewood L FAU - Mehta, Atul AU - Mehta A FAU - Lachmann, Helen J AU - Lachmann HJ FAU - Hawkins, Philip N AU - Hawkins PN FAU - Orchard, Kim H AU - Orchard KH 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 SB - IM MH - Adult MH - Aged MH - Amyloidosis/*genetics MH - *Chromosomes, Human, Pair 13 MH - *Chromosomes, Human, Pair 14 MH - Female MH - *Gene Deletion MH - *Genes, Immunoglobulin MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - *Translocation, Genetic EDAT- 2002/04/26 10:00 MHDA- 2002/07/02 10:01 CRDT- 2002/04/26 10:00 PHST- 2002/04/26 10:00 [pubmed] PHST- 2002/07/02 10:01 [medline] PHST- 2002/04/26 10:00 [entrez] AID - 3438 [pii] AID - 10.1046/j.1365-2141.2002.03438.x [doi] PST - ppublish SO - Br J Haematol. 2002 May;117(2):427-35. doi: 10.1046/j.1365-2141.2002.03438.x.