PMID- 22246039 OWN - NLM STAT- MEDLINE DCOM- 20120521 LR - 20210202 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 119 IP - 10 DP - 2012 Mar 8 TI - Chromosome aberrations detected by conventional karyotyping using novel mitogens in chronic lymphocytic leukemia with "normal" FISH: correlations with clinicobiologic parameters. PG - 2310-3 LID - 10.1182/blood-2011-11-395269 [doi] AB - It is unclear whether karyotype aberrations that occur in regions uncovered by the standard fluorescence in situ hybridization (FISH) panel have prognostic relevance in chronic lymphocytic leukemia (CLL). We evaluated the significance of karyotypic aberrations in a learning cohort (LC; n = 64) and a validation cohort (VC; n = 84) of patients with chronic lymphocytic leukemia with "normal" FISH. An abnormal karyotype was found in 21.5% and 35.7% of cases in the LC and VC, respectively, and was associated with a lower immunophenotypic score (P = .030 in the LC, P = .035 in the VC), advanced stage (P = .040 in the VC), and need for treatment (P = .002 in the LC, P = < .0001 in the VC). The abnormal karyotype correlated with shorter time to first treatment and shorter survival in both the LC and the VC, representing the strongest prognostic parameter. In patients with chronic lymphocytic leukemia with normal FISH, karyotypic aberrations by conventional cytogenetics with novel mitogens identify a subset of cases with adverse prognostic features. FAU - Rigolin, Gian Matteo AU - Rigolin GM AD - Section of Hematology, Azienda Ospedaliero-Universitaria, Arcispedale S. Anna, University of Ferrara, Italy. rglgmt@unife.it FAU - Cibien, Francesca AU - Cibien F FAU - Martinelli, Sara AU - Martinelli S FAU - Formigaro, Luca AU - Formigaro L FAU - Rizzotto, Lara AU - Rizzotto L FAU - Tammiso, Elisa AU - Tammiso E FAU - Saccenti, Elena AU - Saccenti E FAU - Bardi, Antonella AU - Bardi A FAU - Cavazzini, Francesco AU - Cavazzini F FAU - Ciccone, Maria AU - Ciccone M FAU - Nichele, Ilaria AU - Nichele I FAU - Pizzolo, Giovanni AU - Pizzolo G FAU - Zaja, Francesco AU - Zaja F FAU - Fanin, Renato AU - Fanin R FAU - Galieni, Piero AU - Galieni P FAU - Dalsass, Alessia AU - Dalsass A FAU - Mestichelli, Francesca AU - Mestichelli F FAU - Testa, Nicoletta AU - Testa N FAU - Negrini, Massimo AU - Negrini M FAU - Cuneo, Antonio AU - Cuneo A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120113 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (CpG-ODN DSP30) RN - 0 (Interleukin-2) RN - 0 (Mitogens) RN - 0 (Oligonucleotides) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Chromosome Aberrations MH - Cohort Studies MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Interleukin-2/pharmacology MH - Karyotype MH - Karyotyping/*methods MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics/pathology MH - Male MH - Metaphase/drug effects/genetics MH - Middle Aged MH - Mitogens/pharmacology MH - Oligonucleotides/pharmacology MH - Prognosis MH - Survival Analysis EDAT- 2012/01/17 06:00 MHDA- 2012/05/23 06:00 CRDT- 2012/01/17 06:00 PHST- 2012/01/17 06:00 [entrez] PHST- 2012/01/17 06:00 [pubmed] PHST- 2012/05/23 06:00 [medline] AID - S0006-4971(20)45978-6 [pii] AID - 10.1182/blood-2011-11-395269 [doi] PST - ppublish SO - Blood. 2012 Mar 8;119(10):2310-3. doi: 10.1182/blood-2011-11-395269. Epub 2012 Jan 13.