PMID- 23911237 OWN - NLM STAT- MEDLINE DCOM- 20131028 LR - 20220331 IS - 2210-7762 (Print) VI - 206 IP - 6 DP - 2013 Jun TI - Chromothripsis under the microscope: a cytogenetic perspective of two cases of AML with catastrophic chromosome rearrangement. PG - 238-51 LID - S2210-7762(13)00083-5 [pii] LID - 10.1016/j.cancergen.2013.05.021 [doi] AB - Chromothripsis is a recently described phenomenon identified in cancer cells that produces catastrophic chromosome reorganization of one or a small number of chromosomes. It has been proposed that the multiple breakage events occur at a single point in time. Here we introduce the term anachromosome to describe an abnormal chromosome produced by chromothripsis. We report two cases of acute myeloid leukemia matching the description of chromothripsis that illustrate different aspects of this phenomenon from a cytogenetic perspective. Fluorescence in situ hybridization (FISH) analyses, including multicolor FISH and FISH for repeat elements that are not present on microarrays and that are resistant to sequencing, helped interpret the rearrangements but did not reveal their level of complexity. The anachromosomes conformed to the normal constraints of chromosome structure by including segments that provide two telomeres and a centromere. In patient samples, there are mixtures of cells with and without deletions. The deletion B allele frequencies for heterozygous loci in a mixture of cells with and without the deletions create a distinctive array pattern that is consistent with all the deletions in the anachromosomes having occurred concurrently. This evidence supporting the single-event hypothesis for chromothripsis has not previously been highlighted, to our knowledge. In the context of exploring mechanisms for chromosome shattering, we discuss a possible connection between chromosome pulverization and fragile sites. Understanding chromothripsis in the context of chromosome biology will help us identify its causes and consequences. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Mackinnon, Ruth N AU - Mackinnon RN AD - Victorian Cancer Cytogenetics Service, St Vincent's Hospital Melbourne, Fitzroy, Australia. prukashtal@gmail.com FAU - Campbell, Lynda J AU - Campbell LJ LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130802 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 SB - IM MH - Adult MH - Aged, 80 and over MH - *Chromosome Aberrations MH - Cytogenetic Analysis MH - Female MH - Gene Deletion MH - *Gene Rearrangement MH - Humans MH - Leukemia, Myeloid, Acute/*genetics MH - Male MH - Polymorphism, Single Nucleotide OTO - NOTNLM OT - Chromothripsis OT - acute myeloid leukemia OT - anachromosome OT - centromere capture OT - fragile sites EDAT- 2013/08/06 06:00 MHDA- 2013/10/29 06:00 CRDT- 2013/08/06 06:00 PHST- 2013/02/07 00:00 [received] PHST- 2013/05/16 00:00 [revised] PHST- 2013/05/28 00:00 [accepted] PHST- 2013/08/06 06:00 [entrez] PHST- 2013/08/06 06:00 [pubmed] PHST- 2013/10/29 06:00 [medline] AID - S2210-7762(13)00083-5 [pii] AID - 10.1016/j.cancergen.2013.05.021 [doi] PST - ppublish SO - Cancer Genet. 2013 Jun;206(6):238-51. doi: 10.1016/j.cancergen.2013.05.021. Epub 2013 Aug 2.