PMID- 16875581 OWN - NLM STAT- MEDLINE DCOM- 20090126 LR - 20060731 IS - 0253-2727 (Print) IS - 0253-2727 (Linking) VI - 27 IP - 5 DP - 2006 May TI - [The value of multiplex fluorescence in situ hybridization in the detection of complex karyotypic abnormalities of acute myeloid leukemia]. PG - 318-22 AB - OBJECTIVE: To investigate the value of multiplex fluorescence in situ hybridization (FISH) in the detection of complex karyotypic abnormalities of acute myeloid leukemia (AML). METHODS: Multiplex FISH was used in combination with conventional cytogenetics (CC) and interphase FISH to study 14 cases of AML with complex karyotypic abnormalities. RESULTS: In the 14 cases of AML studied, conventional cytogenetics detected 23 numerical and 56 structural chromosome abnormalities. Among them 4 gained whole chromosome and 4 lost whole chromosome which were confirmed by multiplex FISH. Twelve chromosome losses detected by CC were revised as derivative chromosomes resulted from various structural aberrations, and 26 derivative and 19 marker chromosomes were characterized precisely by multiplex FISH. Most of them were resulted from unbalanced translocations, including 2 complex 8; 21 translocations, which have not been reported previously: t (8; 21), der (8) t (8; 21) (8pter --> 8q22::21q22 --> 21qter), der (21) t (8; 21; 8) (8qter --> 8q22:: 21p13 --> 21q22::8q22 --> 8qter) and t (21; 8; 18; 1), der (8) t (8; 21) (8pter --> 8q22:: 21q22 --> 21qter), der (21) t (21; 8; 18; 1) (21p13 --> 21q22?::8q22 --> 8q24 ?:: 18??::1q??q??). The complex karyotypic abnormalities involved nearly all chromosomes, of which the chromosomes 17, 7 and 5 were more involved than the rest. CONCLUSION: Multiplex FISH in combination with conventional cytogenetics may characterize the complex chromosomal abnormalities more precisely. Introduction of this technique to the study of AML with complex chromosomal abnormalities is warranted. FAU - Ma, Li AU - Ma L AD - Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Li, Jian-yong AU - Li JY FAU - Pan, Jin-lan AU - Pan JL FAU - Xiao, Bing AU - Xiao B FAU - Qian, Si-xuan AU - Qian SX FAU - Chen, Li-juan AU - Chen LJ FAU - Qiu, Hai-rong AU - Qiu HR FAU - Wen, Bing-zhao AU - Wen BZ FAU - Xue, Yong-quan AU - Xue YQ LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Female MH - Humans MH - Leukemia, Myeloid/*genetics/pathology MH - Male MH - Middle Aged MH - Spectral Karyotyping/*methods MH - Translocation, Genetic MH - Young Adult EDAT- 2006/08/01 09:00 MHDA- 2009/01/27 09:00 CRDT- 2006/08/01 09:00 PHST- 2006/08/01 09:00 [pubmed] PHST- 2009/01/27 09:00 [medline] PHST- 2006/08/01 09:00 [entrez] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2006 May;27(5):318-22.