PMID- 18795626 OWN - NLM STAT- MEDLINE DCOM- 20100603 LR - 20080917 IS - 1000-503X (Print) IS - 1000-503X (Linking) VI - 30 IP - 4 DP - 2008 Aug TI - [Detection of deletion of the long arm of chromosome 13 and translocation of immunoglobulin heavy chain gene by interphase fluorescence in situ hybridization in patients with multiple myeloma]. PG - 485-90 AB - OBJECTIVE: To investigate the clinical significance of the deletion of the long arm of chromosome 13 [del (13 q) ] and translocation of immunoglobulin heavy chain gene [t (14 q) I in multiple myeloma (MM) patients. METHODS: Myeloma cells were isolated from hone marrow by direct immunomagnetic cell sorting and interphase fluorescence in situ hybridization (FISH) was performed in 24 MM patients to detect del (l3q) and t (l4q). RESULTS: The positive rates of del (l3q) and t (l4q) were 45.83% and 37.50% respectively. Five patients (20.83%) had both two abnormalities and 15 patients (62.50%) had at least one abnormality. Univariate analysis showed that the positive rates of del (l3q) were 35.71% and 66.67% in responders and non-responders (P = 0.214) and the positive rates of t (l4q) were 21.43% and 66. 67% in responders and non-responders (P = 0.077). Multivariate analysis showed that del (13q) (OR = 5.761, 95% CI 0.500-66.391, P = 0.160), t (14q) (OR = 6.576, 95% CI 0.580-74.614, P = 0.129), and corrected serum calcium level (OR = 8.080, 95% CI 0.738-88.427, P = 0.087) were relatively independent negative factors for response to therapy, with the corrected serum calcium level being the strongest reversely-correlated factor. CONCLUSIONS: Interphase FISH is a sensitive method to investigate the cytogenetics of MM. Del (13q), t (14q), and corrected serum calcium level can be used to predict treatment response and prognosis. FAU - Sun, Wan-ling AU - Sun WL AD - Department of Hematology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China. FAU - Wu, Yong-ji AU - Wu YJ FAU - Li, Hui AU - Li H FAU - Wang, Xuan AU - Wang X FAU - Zhuang, Jun-ling AU - Zhuang JL LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Yi Xue Ke Xue Yuan Xue Bao JT - Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae JID - 8006230 RN - 0 (Immunoglobulin Heavy Chains) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 13/*genetics MH - Chromosomes, Human, Pair 14/genetics MH - Female MH - Humans MH - Immunoglobulin Heavy Chains/*genetics MH - In Situ Hybridization, Fluorescence MH - *Interphase MH - Male MH - Middle Aged MH - Multiple Myeloma/*genetics MH - *Translocation, Genetic EDAT- 2008/09/18 09:00 MHDA- 2010/06/04 06:00 CRDT- 2008/09/18 09:00 PHST- 2008/09/18 09:00 [pubmed] PHST- 2010/06/04 06:00 [medline] PHST- 2008/09/18 09:00 [entrez] PST - ppublish SO - Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2008 Aug;30(4):485-90.