PMID- 15814334 OWN - NLM STAT- MEDLINE DCOM- 20050616 LR - 20181113 IS - 0925-5710 (Print) IS - 0925-5710 (Linking) VI - 81 IP - 3 DP - 2005 Apr TI - Fluorescence in situ hybridization monitoring of BCR-ABL-positive neutrophils in chronic-phase chronic myeloid leukemia patients during the primary stage of imatinib mesylate therapy. PG - 235-41 AB - We describe a method for monitoring chronic myeloid leukemia (CML) patients treated with imatinib that uses fluorescence in situ hybridization (FISH) to detect BCR-ABL in peripheral blood (PB) granulocytes. First, we compared this method, termed Neutrophil-FISH, with interphase FISH (i-FISH) analysis of bone marrow (BM), i-FISH analysis of PB mononuclear cells, and conventional cytogenetic analysis (CCA) of BM in 30 consecutive CML patients. We found the percentage of BCR-ABL-positive neutrophils as determined by Neutrophil-FISH to correlate best with the percentage of Philadelphia chromosome-positive metaphases in the BM determined by CCA (y = 0.8818x + 5.7249; r(2) = 0.968). We then performed a serial Neutrophil-FISH study of 10 chronic-phase CML patients treated with imatinib and found that the technique could clearly separate imatinib responders from nonresponders within 12 weeks of drug administration. There was a significant difference in the percentages of BCR-ABL-positive neutrophils between responder (mean 3 SD, 18.2% 3 11.8%) and nonresponder (82.4% 3 5.1%) groups at 12 weeks (P < .0001, Student t test).Together with real-time quantitative polymerase chain reaction analysis, Neutrophil-FISH represents another useful method for monitoring CML patients during the primary myelosuppressive stage of imatinib therapy because it is a quick, simple, and reliable method for assessing cytogenetic response. FAU - Takahashi, Naoto AU - Takahashi N AD - University of Saskatchewan, College of Medicine, Pathology Department and Saskatchewan Cancer Centre, Saskatoon, Canada. FAU - Miura, Ikuo AU - Miura I FAU - Kobayashi, Yoshimi AU - Kobayashi Y FAU - Kume, Masaaki AU - Kume M FAU - Yoshioka, Tomoko AU - Yoshioka T FAU - Otane, Wataru AU - Otane W FAU - Ohtsubo, Kaori AU - Ohtsubo K FAU - Takahashi, Kaoru AU - Takahashi K FAU - Kitabayashi, Atsushi AU - Kitabayashi A FAU - Kawabata, Yoshinari AU - Kawabata Y FAU - Hirokawa, Makoto AU - Hirokawa M FAU - Nishijima, Hirokazu AU - Nishijima H FAU - Ichinohasama, Ryo AU - Ichinohasama R FAU - Decoteau, John AU - Decoteau J FAU - Miura, Akira B AU - Miura AB FAU - Sawada, Ken-Ichi AU - Sawada K LA - eng PT - Clinical Trial PT - Journal Article PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Antineoplastic Agents/*administration & dosage MH - Benzamides MH - Female MH - Fusion Proteins, bcr-abl/*biosynthesis MH - Humans MH - Imatinib Mesylate MH - *In Situ Hybridization/methods MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy/pathology/physiopathology MH - Leukemia, Myeloid, Chronic-Phase/drug therapy/pathology/*physiopathology MH - Male MH - Monitoring, Physiologic/methods MH - Neutrophils/*metabolism/pathology MH - Piperazines/*administration & dosage MH - Pyrimidines/*administration & dosage EDAT- 2005/04/09 09:00 MHDA- 2005/06/17 09:00 CRDT- 2005/04/09 09:00 PHST- 2005/04/09 09:00 [pubmed] PHST- 2005/06/17 09:00 [medline] PHST- 2005/04/09 09:00 [entrez] AID - JBG6VGJXWGN621L7 [pii] AID - 10.1532/IJH97.04095 [doi] PST - ppublish SO - Int J Hematol. 2005 Apr;81(3):235-41. doi: 10.1532/IJH97.04095.