PMID- 29541390 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 9 IP - 13 DP - 2018 Feb 16 TI - Genomic BCR-ABL1 breakpoint characterization by a multi-strategy approach for "personalized monitoring" of residual disease in chronic myeloid leukemia patients. PG - 10978-10986 LID - 10.18632/oncotarget.23971 [doi] AB - For monitoring minimal residual disease (MRD) in chronic myeloid leukemia (CML) the most recommended method is quantitative RT-PCR (RT-qPCR) for measuring BCR-ABL1 transcripts. Several studies reported that a DNA-based assay enhances the sensitivity of detection of the BCR-ABL1 genomic rearrangement, even if its characterization results difficult. We developed a DNA-based method for detecting and quantifying residual BCR-ABL1 positive leukemic stem cells in CML patients. We propose two alternative approaches: the first one is a fluorescence in situ hybridization (FISH)-based step followed by Sanger sequencing; the second one employs MinION, a single molecule sequencer based on nanopore technology. Finally, after defining the BCR-ABL1 genomic junction, we performed the target CML patient-specific quantification, using droplet digital PCR (ddPCR). FISH and MinION steps, respectively, together with ddPCR analysis, greatly reduce the complexity that has impeded the use of "personalized monitoring" of CML in clinical practice. Our report suggests a feasible pipeline, in terms of costs and reproducibility, aimed at characterizing and quantifying the genomic BCR-ABL1 rearrangement during MRD monitoring in CML patients. FAU - Cumbo, Cosimo AU - Cumbo C AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Impera, Luciana AU - Impera L AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Minervini, Crescenzio Francesco AU - Minervini CF AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Orsini, Paola AU - Orsini P AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Anelli, Luisa AU - Anelli L AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Zagaria, Antonella AU - Zagaria A AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Coccaro, Nicoletta AU - Coccaro N AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Tota, Giuseppina AU - Tota G AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Minervini, Angela AU - Minervini A AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Casieri, Paola AU - Casieri P AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Brunetti, Claudia AU - Brunetti C AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Rossi, Antonella Russo AU - Rossi AR AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Parciante, Elisa AU - Parciante E AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Specchia, Giorgina AU - Specchia G AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. FAU - Albano, Francesco AU - Albano F AD - Department of Emergency and Organ Transplantation, Hematology Section, University of Bari, 70124 Bari, Italy. LA - eng PT - Journal Article DEP - 20180105 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5834283 OTO - NOTNLM OT - FISH OT - MinION sequencing OT - chronic myeloid leukemia OT - droplet digital PCR OT - genomic BCR-ABL1 breakpoint COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2018/03/16 06:00 MHDA- 2018/03/16 06:01 PMCR- 2018/02/16 CRDT- 2018/03/16 06:00 PHST- 2017/11/13 00:00 [received] PHST- 2018/01/02 00:00 [accepted] PHST- 2018/03/16 06:00 [entrez] PHST- 2018/03/16 06:00 [pubmed] PHST- 2018/03/16 06:01 [medline] PHST- 2018/02/16 00:00 [pmc-release] AID - 23971 [pii] AID - 10.18632/oncotarget.23971 [doi] PST - epublish SO - Oncotarget. 2018 Jan 5;9(13):10978-10986. doi: 10.18632/oncotarget.23971. eCollection 2018 Feb 16.