PMID- 24047479 OWN - NLM STAT- MEDLINE DCOM- 20150129 LR - 20211021 IS - 1029-2403 (Electronic) IS - 1042-8194 (Print) IS - 1026-8022 (Linking) VI - 55 IP - 4 DP - 2014 Apr TI - Genomic imbalance defines three prognostic groups for risk stratification of patients with chronic lymphocytic leukemia. PG - 920-8 LID - 10.3109/10428194.2013.845882 [doi] AB - Array comparative genomic hybridization (aCGH) has yet to be fully leveraged in a prognostic setting in chronic lymphocytic leukemia (CLL). Genomic imbalance was assessed in 288 CLL specimens using a targeted array. Based on 20 aberrations in a hierarchical manner, all 228 treatment-naive specimens were classified into a group with poor outcome (20.6%) exhibiting at least one aberration that was univariately associated with adverse outcome (gain: 2p, 3q, 8q, 17q, loss: 7q, 8p, 11q, 17p, 18p), good outcome (32.5%) showing 13q14 loss without any of the other 10 aberrations (gain: 1p, 7p, 12, 18p, 18q, 19, loss: 4p, 5p, 6q, 7p) or intermediate outcome (remainder). The three groups were significantly separated with respect to time to first treatment and overall survival (p < 0.001), and validation of the stratification scheme was performed in two independent datasets. Gain of 3q and 8q, and 17p loss were determined to be independent unfavorable prognostic biomarkers. TP53, NOTCH1 and SF3B1 mutations correlated with the presence of one poor outcome aCGH marker, at a considerably higher frequency than when only considering poor risk aberrations routinely detected by fluorescence in situ hybridization (FISH). These data support genomic imbalance evaluation in CLL by aCGH to assist in risk stratification. FAU - Houldsworth, Jane AU - Houldsworth J AD - Cancer Genetics, Inc. , Rutherford, NJ , USA. FAU - Guttapalli, Asha AU - Guttapalli A FAU - Thodima, Venkata AU - Thodima V FAU - Yan, Xiao Jie AU - Yan XJ FAU - Mendiratta, Geetu AU - Mendiratta G FAU - Zielonka, Tania AU - Zielonka T FAU - Nanjangud, Gouri AU - Nanjangud G FAU - Chen, Weiyi AU - Chen W FAU - Patil, Sujata AU - Patil S FAU - Mato, Anthony AU - Mato A FAU - Brown, Jennifer R AU - Brown JR FAU - Rai, Kanti AU - Rai K FAU - Chiorazzi, Nicholas AU - Chiorazzi N FAU - Chaganti, R S K AU - Chaganti RS LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20131112 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Biomarkers, Tumor) RN - 0 (Immunoglobulin Heavy Chains) SB - IM MH - Biomarkers, Tumor/genetics MH - *Chromosome Aberrations MH - Chromosome Deletion MH - Chromosomes, Human, Pair 13 MH - Comparative Genomic Hybridization MH - Datasets as Topic MH - Female MH - *Genomics MH - Humans MH - Immunoglobulin Heavy Chains/genetics MH - In Situ Hybridization, Fluorescence MH - Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis/*genetics/mortality MH - Male MH - Mutation MH - Neoplasm Staging MH - Patient Outcome Assessment MH - Prognosis PMC - PMC6905429 MID - NIHMS925123 COIS- Potential conflict of interest: Disclosure forms provided by the authors are available with the full text of this article at www.informahealthcare.com/lal. EDAT- 2013/09/21 06:00 MHDA- 2015/01/30 06:00 PMCR- 2019/12/11 CRDT- 2013/09/20 06:00 PHST- 2013/09/20 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2015/01/30 06:00 [medline] PHST- 2019/12/11 00:00 [pmc-release] AID - 10.3109/10428194.2013.845882 [doi] PST - ppublish SO - Leuk Lymphoma. 2014 Apr;55(4):920-8. doi: 10.3109/10428194.2013.845882. Epub 2013 Nov 12.