PMID- 19350518 OWN - NLM STAT- MEDLINE DCOM- 20090728 LR - 20151119 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 26 IP - 2 DP - 2009 Apr TI - [The application of fluorescence in situ hybridization in detecting chronic myeloid leukemia]. PG - 207-10 LID - 10.3760/cma.j.issn.1003-9406.2009.02.020 [doi] AB - OBJECTIVE: To evaluate the clinical significance of the application of fluorescence in situ hybridization (FISH) in detecting chronic myeloid leukemia (CML). METHODS: Chromosome preparation was made by using 24-hour culture. FISH technique using dual color dual fusion (DC-DF) BCR/ABL probe was performed in all 158 cases and R-banding was also employed for karyotyping in some patients. RESULTS: Among the 158 cases, 98 cases were Ph positive, of which 69 cases (70.4%) were typical FISH pattern (1R1G2F), the other 29 cases (29.6%) showed 12 different types of atypical FISH pattern. The most frequent atypical patterns found were 1R1G1F in 7 cases (7.1%), 2R1G1F in 5 cases (5.1%), 1R1G2F and 1R1G3F in 4 cases (4.1%), 2R2G1F in 3 cases (3.1%). Karyotype analysis on 18 CML cases with atypical FISH patterns demonstrated that the atypical FISH patterns were due to variant translocation in 3 cases; the additional third signal was because of a supernumerary Ph chromosome. The karyotyping results did not conform to FISH results in four cases suggesting the conceivable mistakes in karyotyping. The 1R1G1F signal pattern seen in 3 cases with classical t(9;22) resulted from the deletion of derivative chromosome 9. The 1R1G2F signal pattern detected in 40% to 64% of interphase cells of 3 cases without Ph chromosome by conventional cytogenetic analysis suggested a submicroscopic translocation. Three cases treated with Glivec or bone marrow transplantation showed normal karyotypes with a small amount of BCR/ABL positive cells by FISH detection. CONCLUSION: FISH technique is of great value for the diagnosis of CML and confirmation of variant translocation, occult Ph translocation, derivative chromosome 9 deletion, therapeutic effect of interferon and Glivec as well as detection of minimal residual disease after bone marrow transplantation. FAU - Qiu, Hai-rong AU - Qiu HR AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China. FAU - Miao, Kou-rong AU - Miao KR FAU - Wang, Rong AU - Wang R FAU - Qiao, Chun AU - Qiao C FAU - Zhang, Jian-fu AU - Zhang JF FAU - Zhang, Su-jiang AU - Zhang SJ FAU - Qian, Si-xuan AU - Qian SX FAU - Xu, Wei AU - Xu W FAU - Li, Jian-yong AU - Li JY LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/analysis MH - Chromosome Banding MH - Chromosome Deletion MH - Chromosomes, Human, Pair 22 MH - Chromosomes, Human, Pair 9 MH - Female MH - Fusion Proteins, bcr-abl MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - *Karyotyping MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*diagnosis/*genetics MH - Male MH - Middle Aged MH - Translocation, Genetic MH - Young Adult EDAT- 2009/04/08 09:00 MHDA- 2009/07/29 09:00 CRDT- 2009/04/08 09:00 PHST- 2009/04/08 09:00 [entrez] PHST- 2009/04/08 09:00 [pubmed] PHST- 2009/07/29 09:00 [medline] AID - 940626045 [pii] AID - 10.3760/cma.j.issn.1003-9406.2009.02.020 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2009 Apr;26(2):207-10. doi: 10.3760/cma.j.issn.1003-9406.2009.02.020.