PMID- 17243167 OWN - NLM STAT- MEDLINE DCOM- 20070418 LR - 20070212 IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 46 IP - 4 DP - 2007 Apr TI - Intrachromosomal amplification of chromosome 21 (iAMP21) may arise from a breakage-fusion-bridge cycle. PG - 318-26 AB - Intrachromosomal amplification of chromosome 21 (iAMP21), involving amplification of the RUNX1 gene and duplication of chromosome 21, dup(21q), defines a new cytogenetic subgroup in B-lineage acute lymphoblastic leukemia (ALL) with a poor prognosis. Characterization of this abnormality has become vital to ensure that the most accurate detection method is used. We have previously defined common regions of amplification and deletion of chromosome 21 in these patients, although the level and extent of amplification within the amplicon was highly variable. This study, using interphase fluorescence in situ hybridization (FISH) with chromosome 21 locus specific probes, substantiated these findings in a large series of patients and confirmed that the amplicon always included RUNX1. Thus, FISH with probes directed to the RUNX1 gene remains the most reliable detection method. Metaphase FISH, supported by G- and multiple color chromosomal banding (mBAND) revealed the patient specific morphology and genetic profile of the dup(21q) chromosomes, as well as the complexity of the intrachromosomal changes giving rise to them. These findings suggested that iAMP21 had arisen from a breakage-fusion-bridge cycle: a mechanism previously described in tumors, which we report for the first time in ALL. CI - (c) 2007 Wiley-Liss, Inc. FAU - Robinson, Hazel M AU - Robinson HM AD - Leukaemia Research Cytogenetics Group, Cancer Sciences Division, University of Southampton, Southampton, UK. FAU - Harrison, Christine J AU - Harrison CJ FAU - Moorman, Anthony V AU - Moorman AV FAU - Chudoba, Ilse AU - Chudoba I FAU - Strefford, Jonathan C AU - Strefford JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 SB - IM MH - *Chromosome Breakage MH - Chromosomes, Human, Pair 21/*genetics MH - Humans MH - Translocation, Genetic/*physiology EDAT- 2007/01/24 09:00 MHDA- 2007/04/19 09:00 CRDT- 2007/01/24 09:00 PHST- 2007/01/24 09:00 [pubmed] PHST- 2007/04/19 09:00 [medline] PHST- 2007/01/24 09:00 [entrez] AID - 10.1002/gcc.20412 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2007 Apr;46(4):318-26. doi: 10.1002/gcc.20412.