PMID- 28186602 OWN - NLM STAT- MEDLINE DCOM- 20170629 LR - 20170629 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 34 IP - 1 DP - 2017 Feb 10 TI - [Analysis of isodicentric Ph chromosomes in chronic myeloid leukemia blast crisis]. PG - 85-88 LID - 10.3760/cma.j.issn.1003-9406.2017.01.020 [doi] AB - OBJECTIVE: To explore the genetic and clinical characteristics of isodicentric Ph chromosomes [idic(Ph)] in lymphoid blast crisis of chronic myeloid leukemia (CML-BLC). METHODS: Bone marrow aspirates of 2 patients with CML-BLC were analyzed by R banding after 24 hours of culturing. Genomic copy number variations (CNV) were analyzed by single nucleotide polymorphism array (SNP array) in case 1. The results were confirmed with fluorescence in situ hybridization (FISH). Variations of acute lymphoblastic leukemia-related genes including CDKN2A/AB and PAX5 were detected by multiplex ligation-dependent probe amplication (MLPA). RESULTS: Deletions and duplications on derivative chromosome 9 detected by FISH were confirmed by SNP array analysis. The distances between the BCR/ABL fusion signals on the idic(Ph) chromosomes in the two patients have differed greatly. The idic(Ph) in the second patient was supposed to be formed by two Ph chromosomes joined at their q terminals, where as the idic(Ph) in the first patient have been shown to be fused at the satellite regions of their p arms. CONCLUSION: The idic(Ph) chromosomes presented in CML-BLC may predict resistance to Imatinib and response to Dasatinib. FAU - Li, Qian AU - Li Q AD - Hematological Laboratory, Department of Laboratory Medicine, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325006, China. wzchenhui@126.com. FAU - Lin, Xiaoji AU - Lin X FAU - Lin, Ying AU - Lin Y FAU - Yao, Rongxin AU - Yao R FAU - Huang, Wu AU - Huang W FAU - Mei, Handong AU - Mei H FAU - Gong, Jian AU - Gong J FAU - Chen, Hui AU - Chen H FAU - Teng, Ningyan AU - Teng N LA - chi PT - Case Reports PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 SB - IM MH - Blast Crisis/diagnosis/*genetics/therapy MH - *Chromosome Aberrations MH - Chromosome Banding MH - Chromosome Deletion MH - Chromosome Duplication MH - Chromosomes, Human, Pair 9/genetics MH - DNA Copy Number Variations MH - Fatal Outcome MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/diagnosis/*genetics/therapy MH - Male MH - Middle Aged MH - *Philadelphia Chromosome EDAT- 2017/02/12 06:00 MHDA- 2017/07/01 06:00 CRDT- 2017/02/11 06:00 PHST- 2017/02/11 06:00 [entrez] PHST- 2017/02/12 06:00 [pubmed] PHST- 2017/07/01 06:00 [medline] AID - 940634020 [pii] AID - 10.3760/cma.j.issn.1003-9406.2017.01.020 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Feb 10;34(1):85-88. doi: 10.3760/cma.j.issn.1003-9406.2017.01.020.