PMID- 15323147 OWN - NLM STAT- MEDLINE DCOM- 20040923 LR - 20190816 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 122 IP - 2 DP - 2004 Aug TI - Chromosomal aberration of the 11q23 locus in acute leukemia and frequency of MLL gene translocation: results in 378 adult patients. PG - 298-306 AB - Structural abnormality of the 11q23 band (11q23+) bearing the MLL gene translocation (MLL+) is a recurrent chromosome change observed in 3% to 7% of acute lymphoblastic leukemias and in 3% to 4% of acute myeloblastic leukemias. The resolution of conventional cytogenetics (CC) in detecting 11q23 rearrangement is limited when the translocative partner has a telomeric location; furthermore, CC can barely discriminate between true 11q23+/MLL+ and rearrangements clustering within the 11q22 to approximately 25 region without MLL involvement (MLL-). We characterized a series of 378 consecutive patients with adult acute leukemia by using CC, fluorescence in situ hybridization (FISH), and multiplex karyotyping (M-FISH) analysis. Our aim was to define the frequency of cryptic MLL+ cases and the frequency of MLL+ within 11q22 to approximately 25+ cases. As expected, FISH was more sensitive than CC in detecting MLL+ cases, but rather unexpectedly, 9 (45%) of 20 patients with 11q22 to approximately 25+ were MLL-. A better characterization of 11q22 to approximately 25+/MLL- leukemias is relevant for the identification of new, recurrent translocations. Moreover, these cases should be readily distinguishable from 11q23+/MLL+ cases. We recommend that karyotypic analysis always be complemented by molecular or FISH methods to unravel MLL rearrangements. FAU - Cox, M Christina AU - Cox MC AD - Department of Hematology, S'Eugenio Hospital, University of Tor Vergata, Rome, Italy. FAU - Panetta, Paola AU - Panetta P FAU - Lo-Coco, Francesco AU - Lo-Coco F FAU - Del Poeta, Giovanni AU - Del Poeta G FAU - Venditti, Adriano AU - Venditti A FAU - Maurillo, Luca AU - Maurillo L FAU - Del Principe, M Ilaria AU - Del Principe MI FAU - Mauriello, Alessandro AU - Mauriello A FAU - Anemona, Lucia AU - Anemona L FAU - Bruno, Antonio AU - Bruno A FAU - Mazzone, Carla AU - Mazzone C FAU - Palombo, Paolo AU - Palombo P FAU - Amadori, Sergio AU - Amadori S LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (DNA-Binding Proteins) RN - 0 (KMT2A protein, human) RN - 0 (Transcription Factors) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Chromosome Aberrations MH - Cytodiagnosis/methods MH - DNA-Binding Proteins/*genetics MH - Female MH - Histone-Lysine N-Methyltransferase MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia/*diagnosis/*genetics MH - Male MH - Middle Aged MH - Myeloid-Lymphoid Leukemia Protein MH - *Proto-Oncogenes MH - Sensitivity and Specificity MH - *Transcription Factors MH - *Translocation, Genetic EDAT- 2004/08/25 05:00 MHDA- 2004/09/24 05:00 CRDT- 2004/08/25 05:00 PHST- 2004/08/25 05:00 [pubmed] PHST- 2004/09/24 05:00 [medline] PHST- 2004/08/25 05:00 [entrez] AID - 10.1309/RX27-R8GJ-QM33-0C22 [doi] PST - ppublish SO - Am J Clin Pathol. 2004 Aug;122(2):298-306. doi: 10.1309/RX27-R8GJ-QM33-0C22.