PMID- 24967369 OWN - NLM STAT- MEDLINE DCOM- 20150212 LR - 20211021 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2014 DP - 2014 TI - Genetic abnormalities in chronic lymphocytic leukemia: where we are and where we go. PG - 435983 LID - 10.1155/2014/435983 [doi] LID - 435983 AB - Chromosomal abnormalities in chronic lymphocytic leukemia (CLL) are detected in up to 80% of patients. Among them, deletions of 11q, 13q, 17p, and trisomy 12 have a known prognostic value and play an important role in CLL pathogenesis and evolution, determining patients outcome and therapeutic strategies. Standard methods used to identify these genomic aberrations include both conventional G-banding cytogenetics (CGC) and fluorescence in situ hybridization (FISH). Although FISH analyses have been implemented as the gold standard, CGC allows the identification of chromosomal translocations and complex karyotypes, the latest associated with poor outcome. Genomic arrays have a higher resolution that allows the detection of cryptic abnormalities, although these have not been fully implemented in routine laboratories. In the last years, next generation sequencing (NGS) methods have identified a wide range of gene mutations (e.g., TP53, NOTCH1, SF3B1, and BIRC3) which have improved our knowledge about CLL development, allowing us to refine both the prognostic subgroups and better therapeutic strategies. Clonal evolution has also recently arisen as a key point in CLL, integrating cytogenetic alterations and mutations in a dynamic model that improve our understanding about its clinical course and relapse. FAU - Puiggros, Anna AU - Puiggros A AUID- ORCID: 0000-0001-9627-4978 AD - Laboratori de Citogenetica Molecular, Servei de Patologia, Hospital del Mar, Passeig Maritim 25-29, 08003 Barcelona, Spain ; GRETNHE, Programa de Recerca en Cancer, Institut Hospital del Mar d'Investigacions Mediques, Doctor Aiguader 88, 08003 Barcelona, Spain. FAU - Blanco, Gonzalo AU - Blanco G AUID- ORCID: 0000-0001-6557-3764 AD - Laboratori de Citogenetica Molecular, Servei de Patologia, Hospital del Mar, Passeig Maritim 25-29, 08003 Barcelona, Spain ; GRETNHE, Programa de Recerca en Cancer, Institut Hospital del Mar d'Investigacions Mediques, Doctor Aiguader 88, 08003 Barcelona, Spain ; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003 Barcelona, Spain. FAU - Espinet, Blanca AU - Espinet B AUID- ORCID: 0000-0002-4294-8145 AD - Laboratori de Citogenetica Molecular, Servei de Patologia, Hospital del Mar, Passeig Maritim 25-29, 08003 Barcelona, Spain ; GRETNHE, Programa de Recerca en Cancer, Institut Hospital del Mar d'Investigacions Mediques, Doctor Aiguader 88, 08003 Barcelona, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140522 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Neoplasm Proteins) RN - Chromosome 12, 12p trisomy SB - IM MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 12/genetics MH - High-Throughput Nucleotide Sequencing/methods MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics MH - Neoplasm Proteins/*genetics MH - Oligonucleotide Array Sequence Analysis/methods MH - Trisomy/*genetics PMC - PMC4054680 EDAT- 2014/06/27 06:00 MHDA- 2015/02/13 06:00 PMCR- 2014/05/22 CRDT- 2014/06/27 06:00 PHST- 2014/03/13 00:00 [received] PHST- 2014/04/22 00:00 [accepted] PHST- 2014/06/27 06:00 [entrez] PHST- 2014/06/27 06:00 [pubmed] PHST- 2015/02/13 06:00 [medline] PHST- 2014/05/22 00:00 [pmc-release] AID - 10.1155/2014/435983 [doi] PST - ppublish SO - Biomed Res Int. 2014;2014:435983. doi: 10.1155/2014/435983. Epub 2014 May 22.