PMID- 12781444 OWN - NLM STAT- MEDLINE DCOM- 20030627 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 143 IP - 2 DP - 2003 Jun TI - The effect of chlorambucil treatment on cytogenetic parameters in chronic lymphocytic leukemia patients. PG - 113-9 AB - The most common treatment of chronic lymphocytic leukemia (CLL) is the alkylating agent chlorambucil (CLB), with or without prednisone. In the present study, our aim was to evaluate whether treatment with CLB for more than one year induced genetic changes manifested by comparative genomic hybridization (CGH) as new chromosomal aberrations. We also studied whether CLB affected the pattern of replication by using fluorescence in situ hybridization (FISH). We found a similar rate of asynchronous pattern of replication in both treated and untreated patients with CLL. Most of the aberrations found with CGH were previously reported in CLL. More prognostically unfavorable aberrations and more cases with genetic changes were found in the treated group. The changes found were not typical of the secondary genetic aberrations associated with alkylating agents. Thus, we conclude that treatment of CLL with CLB for at least a year does not affect the parameters analyzed in this study. Longer studies are needed to further explore the effects of alkylating agents on normal and malignant cells. FAU - Amiel, A AU - Amiel A AD - Genetic Institute, Meir Hospital, Kfar-Saba, Israel. AlizaAmiel@clalit.org.il FAU - Biton, I AU - Biton I FAU - Yukla, M AU - Yukla M FAU - Gaber, E AU - Gaber E FAU - Fejgin, M D AU - Fejgin MD FAU - Lishner, M AU - Lishner M LA - eng PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Antineoplastic Agents, Alkylating) RN - 18D0SL7309 (Chlorambucil) SB - IM MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Alkylating/*pharmacology/therapeutic use MH - Chlorambucil/*pharmacology/therapeutic use MH - Chromosome Aberrations/*drug effects MH - Chromosomes, Human, Pair 12/genetics MH - DNA Replication/drug effects MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy/*genetics MH - Male MH - Middle Aged MH - Nucleic Acid Hybridization MH - Time Factors MH - Trisomy/genetics EDAT- 2003/06/05 05:00 MHDA- 2003/06/28 05:00 CRDT- 2003/06/05 05:00 PHST- 2003/06/05 05:00 [pubmed] PHST- 2003/06/28 05:00 [medline] PHST- 2003/06/05 05:00 [entrez] AID - S016546080200852X [pii] AID - 10.1016/s0165-4608(02)00852-x [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2003 Jun;143(2):113-9. doi: 10.1016/s0165-4608(02)00852-x.