PMID- 19080644 OWN - NLM STAT- MEDLINE DCOM- 20090528 LR - 20221207 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 88 IP - 36 DP - 2008 Sep 23 TI - [Fluorescent in situ hybridization with a panel of probes detects molecular cytogenetic abnormalities in patients with chronic lymphocytic leukemia]. PG - 2537-40 AB - OBJECTIVE: To explore the characteristics and prognostic significance of molecular cytogenetic aberrations in Chinese patients with chronic lymphocytic leukemia (CLL) and the significance thereof in diagnosis of CLL. METHODS: A panel of probes (LSI D13S319, LSI p53, LSI ATM, CEP 12, LSI MYB, and LSI IGHC/IGHV) and interphase fluorescence in situ hybridization (FISH) were used to prospectively detect the cytogenetic abnormalities in 106 CLL patients, 82 males and 24 females, aged 62 (34 - 86). RESULTS: Molecular cytogenetic aberrations were found in 79 of the 106 CLL patients (74.5%) and 35 patients (33.0%) showed more than two kinds of abnormalities. The most frequent abnormality detected was del (13q14) in 48 cases (45.3%), followed by trisomy of chromosome 12 in 27 patients (25.5%), IgH translocation in 25 patients (23.6%), del (17p13) in 17 patients (16.0%), del (11q22) in 11 patients (10.5%) and del (6q23) in 5 patients (4.7%). The Del (13q14) rate of the group younger than 60 was 56.5%, significantly higher than that of the group aged > or = 60 (36.7%, P = 0.033). There was no significant relationship between molecular cytogenetic aberrations and sex and Binet stages (both P > 0.05). Kaplan-Meier survival analysis showed that the survival time was shorter in the patients with p53 or ATM gene deletion. Patients with sole Del (13q14) had longer survival time than those with other abnormalities. CONCLUSION: The frequencies of the chromosomal abnormalities in Chinese CLL patients are similar to those in Western countries. Panel FISH has greatly increased the sensitivity of cytogenetic analyses. Del (13q14) is the most frequent abnormality in CLL. Molecular cytogenetic aberrations detected with FISH have important prognostic significance in CLL. FAU - Xu, Wei AU - Xu W AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China. FAU - Li, Jian-yong AU - Li JY FAU - Li, Li AU - Li L FAU - Yu, Hui AU - Yu H FAU - Shen, Qiu-dan AU - Shen QD FAU - Fan, Lei AU - Fan L FAU - Qiao, Chun AU - Qiao C FAU - Hong, Ming AU - Hong M FAU - Qian, Si-xuan AU - Qian SX FAU - Qiu, Hong-xia AU - Qiu HX LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Nucleic Acid Probes) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People MH - *Chromosome Aberrations MH - Cytogenetic Analysis MH - Female MH - Follow-Up Studies MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Leukemia, Lymphocytic, Chronic, B-Cell/ethnology/*genetics/mortality MH - Male MH - Middle Aged MH - Nucleic Acid Probes MH - Survival Rate EDAT- 2008/12/17 09:00 MHDA- 2009/05/29 09:00 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/05/29 09:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2008 Sep 23;88(36):2537-40.