PMID- 21882283 OWN - NLM STAT- MEDLINE DCOM- 20120413 LR - 20111011 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 50 IP - 12 DP - 2011 Dec TI - Microarray-based genomic profiling as a diagnostic tool in acute lymphoblastic leukemia. PG - 969-81 LID - 10.1002/gcc.20919 [doi] AB - In acute lymphoblastic leukemia (ALL) specific genomic abnormalities provide important clinical information. In most routine clinical diagnostic laboratories conventional karyotyping, in conjunction with targeted screens using e.g., fluorescence in situ hybridization (FISH), is currently considered as the gold standard to detect such aberrations. Conventional karyotyping, however, is limited in its resolution and yield, thus hampering the genetic diagnosis of ALL. We explored whether microarray-based genomic profiling would be feasible as an alternative strategy in a routine clinical diagnostic setting. To this end, we compared conventional karyotypes with microarray-deduced copy number aberration (CNA) karyotypes in 60 ALL cases. Microarray-based genomic profiling resulted in a CNA detection rate of 90%, whereas for conventional karyotyping this was 61%. In addition, many small (< 5 Mb) genetic lesions were encountered, frequently harboring clinically relevant ALL-related genes such as CDKN2A/B, ETV6, PAX5, and IKZF1. From our data we conclude that microarray-based genomic profiling serves as a robust tool in the genetic diagnosis of ALL, outreaching conventional karyotyping in CNA detection both in terms of sensitivity and specificity. We also propose a practical workflow for a comprehensive and objective interpretation of CNAs obtained through microarray-based genomic profiling, thereby facilitating its application in a routine clinical diagnostic setting. CI - Copyright (c) 2011 Wiley Periodicals, Inc. FAU - Simons, Annet AU - Simons A AD - Department of Human Genetics, Radboud University Nijmegen Medical Centre, Radboud University Centre for Oncology, Nijmegen, The Netherlands. a.simons@antrg.umcn.nl FAU - Stevens-Kroef, Marian AU - Stevens-Kroef M FAU - El Idrissi-Zaynoun, Najat AU - El Idrissi-Zaynoun N FAU - van Gessel, Sabine AU - van Gessel S FAU - Weghuis, Daniel Olde AU - Weghuis DO FAU - van den Berg, Eva AU - van den Berg E FAU - Waanders, Esme AU - Waanders E FAU - Hoogerbrugge, Peter AU - Hoogerbrugge P FAU - Kuiper, Roland AU - Kuiper R FAU - van Kessel, Ad Geurts AU - van Kessel AG LA - eng PT - Journal Article DEP - 20110831 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 SB - IM MH - Child MH - Chromosome Aberrations MH - DNA Fingerprinting/methods MH - Female MH - Gene Dosage MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Karyotyping/methods MH - Male MH - Oligonucleotide Array Sequence Analysis/*methods MH - Polymorphism, Single Nucleotide MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis/*genetics MH - Sensitivity and Specificity EDAT- 2011/09/02 06:00 MHDA- 2012/04/14 06:00 CRDT- 2011/09/02 06:00 PHST- 2011/04/05 00:00 [received] PHST- 2011/07/14 00:00 [accepted] PHST- 2011/09/02 06:00 [entrez] PHST- 2011/09/02 06:00 [pubmed] PHST- 2012/04/14 06:00 [medline] AID - 10.1002/gcc.20919 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2011 Dec;50(12):969-81. doi: 10.1002/gcc.20919. Epub 2011 Aug 31.