PMID- 26956786 OWN - NLM STAT- MEDLINE DCOM- 20170109 LR - 20170110 IS - 1708-8267 (Electronic) IS - 1081-5589 (Linking) VI - 64 IP - 4 DP - 2016 Apr TI - Detection of chromosomal changes in chronic lymphocytic leukemia using classical cytogenetic methods and FISH: application of rich mitogen mixtures for lymphocyte cultures. PG - 894-8 LID - 10.1136/jim-2015-000050 [doi] AB - One of the research methods of prognostic value in chronic lymphocytic leukemia (CLL) is cytogenetic analysis. This method requires the presence of appropriate B-cell mitogens in cultures in order to obtain a high mitotic index. The aim of our research was to determine the most effective methods of in vitro B-cell stimulation to maximize the number of metaphases from peripheral blood cells of patients with CLL for classical cytogenetic examination, and then to correlate the results with those obtained using fluorescence in situ hybridization (FISH). The study group involved 50 consecutive patients with CLL. Cell cultures were maintained with the basic composition of culture medium and addition of respective stimulators. We used the following stimulators: Pokeweed Mitogen (PWM), 12-O-tetradecanoylphorbol 13-acetate (TPA), ionophore, lipopolysaccharide (LPS), and CpG-oligonucleotide DSP30. We received the highest mitotic index when using the mixture of PWM+TPA+I+DSP30. With classical cytogenetic tests using banding techniques, numerical and structural aberrations of chromosomes were detected in 46 patients, and no change was found in only four patients. Test results clearly confirmed the legitimacy of using cell cultures enriched with the mixture of cell stimulators and combining classical cytogenetic techniques with the FISH technique in later patient diagnosing. CI - Copyright (c) 2016 American Federation for Medical Research. FAU - Koczkodaj, Dorota AU - Koczkodaj D AD - Department of Cancer Genetics, Medical University of Lublin, Lublin, Poland. FAU - Popek, Sylwia AU - Popek S AD - Department of Cancer Genetics, Medical University of Lublin, Lublin, Poland. FAU - Zmorzynski, Szymon AU - Zmorzynski S AD - Department of Cancer Genetics, Medical University of Lublin, Lublin, Poland. FAU - Wasik-Szczepanek, Ewa AU - Wasik-Szczepanek E AD - Department of Hematooncology and Bone Marrow Transplantation, Medical University of Lublin, Lublin, Poland. FAU - Filip, Agata A AU - Filip AA AD - Department of Cancer Genetics, Medical University of Lublin, Lublin, Poland. LA - eng PT - Journal Article DEP - 20160308 PL - England TA - J Investig Med JT - Journal of investigative medicine : the official publication of the American Federation for Clinical Research JID - 9501229 RN - 0 (Mitogens) SB - IM MH - Aged MH - Aged, 80 and over MH - Cells, Cultured MH - *Chromosome Aberrations MH - Cytogenetic Analysis/*methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics MH - Lymphocytes/drug effects/*metabolism MH - Male MH - Metaphase/drug effects MH - Middle Aged MH - Mitogens/*pharmacology MH - Mitotic Index OTO - NOTNLM OT - Cell Proliferation OT - Hematologic Diseases OT - Leukemia EDAT- 2016/03/10 06:00 MHDA- 2017/01/10 06:00 CRDT- 2016/03/10 06:00 PHST- 2016/02/13 00:00 [accepted] PHST- 2016/03/10 06:00 [entrez] PHST- 2016/03/10 06:00 [pubmed] PHST- 2017/01/10 06:00 [medline] AID - jim-2015-000050 [pii] AID - 10.1136/jim-2015-000050 [doi] PST - ppublish SO - J Investig Med. 2016 Apr;64(4):894-8. doi: 10.1136/jim-2015-000050. Epub 2016 Mar 8.