PMID- 27150991 OWN - NLM STAT- MEDLINE DCOM- 20160915 LR - 20181202 IS - 1009-2137 (Print) IS - 1009-2137 (Linking) VI - 24 IP - 2 DP - 2016 Apr TI - [Application of Combined Detection of Fusion Gene and BIOMED-2 Standardized Ig Gene Rearrangement System in Childhood B-cell Acute Lymphoblastic Leukemia]. PG - 352-7 LID - 10.7534/j.issn.1009-2137.2016.02.009 [doi] AB - OBJECTIVE: To explore the application of combined detection of fusion gene and BIOMED-2 standardized immunoglobulin (Ig) gene rearrangement system in diagnosis and treatment of children with acute lymphoblastic leukemia (ALL). METHODS: Multiplex-PCR amplifications and RQ-PCR of RNA/DNA were performed using ALL fusion gene detection kit and BIOMED-2 primer. The Ig gene rearrangements were analyzed by using PCR fragment analysis system. RESULTS: Out of 251 children with B-ALL, 77 cases were TEL-AML1(+) , 28 cases were E2A-PBX1(+) , 10 cases were MLL-AF4(+) , 11 cases were BCR-ABL(+) , the total positive rate was 50.2%, 82.5% showed IgH VH-JH rearrangement, 53.4% showed IgK rearrangement. The positive rate of combined detection of fusion gene and gene rearrangement was 99%. E2A-PBX1(+) and MLL-AF4(+) with IgK(+) gene rearrangement group was compared with negative control group, the difference was statistically significant (P < 0.001 or P = 0.005); 105 ALL fusion gene positive cases had been detected by fluorescence in situ hybridization (FISH) simultaneously, the accordance rate of fusion gene and FISH was more than 94%. CONCLUSION: The combined detection of ALL fusion gene and BIOMED-2 standardized clonality analysis system can improve the positive detected rate of B-ALL dramatically, and make the grouping of disease prognosis more accurately; this combined detection is a more faster and sensitive method than FISH. FAU - Ai, Xiao-Fei AU - Ai XF AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. FAU - Zhang, Yan AU - Zhang Y AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. FAU - Shi, Xin-Rong AU - Shi XR AD - Department of Laboratorial Examination, Tianjin Third Central Hospital, Tianjin 300170, China. FAU - Zheng, Ying-Chun AU - Zheng YC AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. FAU - Zhang, Li AU - Zhang L AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. FAU - Wang, Xiao-Jing AU - Wang XJ AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. FAU - Li, Qing-Hua AU - Li QH AD - Center of Pathology, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China. E-mail: qhli@ihcams.ac.cn. LA - chi PT - Journal Article PL - China TA - Zhongguo Shi Yan Xue Ye Xue Za Zhi JT - Zhongguo shi yan xue ye xue za zhi JID - 101084424 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (DNA Primers) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (TEL-AML1 fusion protein) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Child MH - Core Binding Factor Alpha 2 Subunit/*genetics MH - DNA Primers MH - Fusion Proteins, bcr-abl/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Multiplex Polymerase Chain Reaction MH - Oncogene Proteins, Fusion/*genetics MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis/*genetics MH - *V(D)J Recombination EDAT- 2016/05/07 06:00 MHDA- 2016/09/16 06:00 CRDT- 2016/05/07 06:00 PHST- 2016/05/07 06:00 [entrez] PHST- 2016/05/07 06:00 [pubmed] PHST- 2016/09/16 06:00 [medline] AID - 1009-2137(2016)02-0352-06 [pii] AID - 10.7534/j.issn.1009-2137.2016.02.009 [doi] PST - ppublish SO - Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2016 Apr;24(2):352-7. doi: 10.7534/j.issn.1009-2137.2016.02.009.