PMID- 12169675 OWN - NLM STAT- MEDLINE DCOM- 20030122 LR - 20181113 IS - 1525-1578 (Print) IS - 1525-1578 (Linking) VI - 4 IP - 3 DP - 2002 Aug TI - Rapid detection of IgH/BCL2 rearrangement in follicular lymphoma by interphase fluorescence in situ hybridization with bacterial artificial chromosome probes. PG - 144-9 AB - Follicular lymphomas (FLs) can be difficult to diagnose on aspirated specimens since the architectural pattern is not present. FLs characteristically have rearrangements in the IgH and BCL2 genes resulting from the reciprocal t(14;18) (q32; q21) translocation. Because of the dispersed distribution of breakpoints, fluorescence in situ hybridization (FISH) using genomic probes that span or flank the breakpoints is ideal for detecting this rearrangement in fine-needle aspiration (FNA) biopsies. To develop a set of probes, a bacterial artificial chromosome library was screened and the clones were mapped by fiber FISH. The probes were produced by the direct incorporation of fluorochrome-labeled nucleotides. The colocalization base FISH assay was applied to Cytospin preparations from FNA biopsies of lymph nodes from 26 patients with FL and 10 patients without FL. In those with FL, the percentage of cells with at least one IgH/BCL2 fusion signal ranged from 22% to 100% (mean, 63%), which was statistically significantly higher than that in FL-negative samples (mean, 2.7%). The probes demonstrated a significantly lower cutoff value (7%) in normal controls and effectively reduced the false-positive rate in FL-negative cases. These results were confirmed with fiber FISH assays on the same specimens. This interphase FISH assay is rapid and reliable for detecting rearrangements in the IGH/BCL2 gene, thereby aiding in the diagnosis of FL on FNA biopsy specimens. FAU - Jiang, Feng AU - Jiang F AD - Department of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. FAU - Lin, Fan AU - Lin F FAU - Price, Roger AU - Price R FAU - Gu, Jun AU - Gu J FAU - Medeiros, L Jeffrey AU - Medeiros LJ FAU - Zhang, Hua Z AU - Zhang HZ FAU - Xie, Su-Su AU - Xie SS FAU - Caraway, Nancy P AU - Caraway NP FAU - Katz, Ruth L AU - Katz RL LA - eng GR - N01CN85083/CA/NCI NIH HHS/United States GR - P50 CA070907/CA/NCI NIH HHS/United States GR - N01 CN 85053 57/CN/NCI NIH HHS/United States GR - P50 CA70907/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Mol Diagn JT - The Journal of molecular diagnostics : JMD JID - 100893612 RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - *Chromosomes, Artificial, Bacterial MH - *Gene Rearrangement MH - Humans MH - Immunoglobulin Heavy Chains/*genetics MH - In Situ Hybridization, Fluorescence MH - Interphase MH - Lymphoma, Follicular/*genetics MH - Polymerase Chain Reaction MH - Proto-Oncogene Proteins c-bcl-2/*genetics PMC - PMC1906983 EDAT- 2002/08/10 10:00 MHDA- 2003/01/23 04:00 PMCR- 2003/08/01 CRDT- 2002/08/10 10:00 PHST- 2002/08/10 10:00 [pubmed] PHST- 2003/01/23 04:00 [medline] PHST- 2002/08/10 10:00 [entrez] PHST- 2003/08/01 00:00 [pmc-release] AID - S1525-1578(10)60695-2 [pii] AID - 0094 [pii] AID - 10.1016/S1525-1578(10)60695-2 [doi] PST - ppublish SO - J Mol Diagn. 2002 Aug;4(3):144-9. doi: 10.1016/S1525-1578(10)60695-2.