PMID- 29153092 OWN - NLM STAT- MEDLINE DCOM- 20171128 LR - 20171128 IS - 2210-7762 (Print) VI - 218-219 DP - 2017 Dec TI - Is intrachromosomal amplification of chromosome 21 (iAMP21) always intrachromosomal? PG - 10-14 LID - S2210-7762(17)30293-4 [pii] LID - 10.1016/j.cancergen.2017.08.005 [doi] AB - Recurrent chromosomal abnormalities in childhood B-cell acute lymphoblastic leukemia (B-ALL) provide prognostic information that is useful in determining treatment stratification. iAMP21 is a more recently recognized cytogenetic entity of B-ALL that was originally described as multiple copies of the RUNX1 gene on a structurally abnormal chromosome 21. Subsequent studies elucidated a common region of highest-level amplification that includes RUNX1. Fluorescence in situ hybridization (FISH) is the most common method used to identify iAMP21, which is defined as the presence of five or more total copies of RUNX1, with three or more extra RUNX1 signals on a single abnormal chromosome 21. More recently, chromosomal microarray (CMA) and next generation sequencing have uncovered a characteristic chromosome 21 copy number profile in cases of iAMP21. We present a case of iAMP21 that does not fit the formal FISH definition. However, CMA uncovered the characteristic chromosome 21 copy number profile that is seen in iAMP21, demonstrating that CMA is helpful for the detection of this entity when FISH results are ambiguous. Furthermore, CMA showed that the highest level of amplification in this case did not include the RUNX1 gene, consistent with current evidence that RUNX1 is not the primary target of amplification. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Tsuchiya, Karen D AU - Tsuchiya KD AD - Department of Laboratories, Seattle Children's Hospital, 4800 Sand Point Way NE, OC.8.720, Seattle, WA 98105; Department of Laboratory Medicine, University of Washington Medical Center, 1959 Pacific Street, Seattle, WA 98195. Electronic address: karen.tsuchiya@seattlechildrens.org. FAU - Davis, Billy AU - Davis B AD - Department of Laboratories, Seattle Children's Hospital, 4800 Sand Point Way NE, OC.8.720, Seattle, WA 98105. FAU - Gardner, Rebecca A AU - Gardner RA AD - Cancer and Blood Disorders Center, Seattle Children's Hospital, 4800 Sand Point Way NE, MB.8.501, Seattle, WA 98105. LA - eng PT - Case Reports PT - Journal Article DEP - 20170831 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 SB - IM MH - Child MH - *Chromosome Aberrations MH - Chromosomes, Human, Pair 21/*genetics MH - Female MH - *Gene Amplification MH - High-Throughput Nucleotide Sequencing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/*genetics/pathology MH - Prognosis MH - Translocation, Genetic OTO - NOTNLM OT - FISH OT - RUNX1 OT - acute lymphoblastic leukemia OT - chromosomal microarray OT - iAMP21 EDAT- 2017/11/21 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/11/21 06:00 PHST- 2017/07/02 00:00 [received] PHST- 2017/08/20 00:00 [revised] PHST- 2017/08/27 00:00 [accepted] PHST- 2017/11/21 06:00 [entrez] PHST- 2017/11/21 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] AID - S2210-7762(17)30293-4 [pii] AID - 10.1016/j.cancergen.2017.08.005 [doi] PST - ppublish SO - Cancer Genet. 2017 Dec;218-219:10-14. doi: 10.1016/j.cancergen.2017.08.005. Epub 2017 Aug 31.