PMID- 33113607 OWN - NLM STAT- MEDLINE DCOM- 20210112 LR - 20210112 IS - 0253-2727 (Print) IS - 2707-9740 (Electronic) IS - 0253-2727 (Linking) VI - 41 IP - 9 DP - 2020 Sep 14 TI - [Diagnosis of adult Philadelphia chromosome-like acute lymphoblastic leukemia by fluorescence in situ hybridization]. PG - 749-755 LID - 10.3760/cma.j.issn.0253-2727.2020.09.008 [doi] AB - Objective: To establish a screening system of adult Philadelphia chromosome-like acute lymphoblastic leukemia (Ph-like ALL) by fluorescence in situ hybridization (FISH) . Method: Based on the genetic characteristics of Ph-like ALL, FISH probes were designed for ABL1, ABL2, JAK2, EPOR, CRLF2, CSF1R, PDGFRB, and P2RY8 gene breakpoints, which were used to screen Ph-like ALL in B-ALL patients without BCR-ABL1, ETV6-RUNX1, MLL, and E2A gene arrangement. Furthermore, it was analyzed in combination with flow immunophenotype, next-generation sequencing for targeted gene mutations, and RNA sequencing (RNA-seq) . Results: A total of 189 adult B-ALL patients diagnosed in Nanfang Hospital from January 2016 to April 2019 were enrolled in this study. Using FISH and/or PCR, BCR-ABL1, ETV6-RUNX1, MLL, or E2A arrangement was detected in 83 of them, and Ph-like ALL was detected by FISH in the other 106, resulting in the presence of typical gene arrangements of Ph-like ALL in 12 patients (11.3% , 12/106) . Validated by RNA-seq, the sensitivity and specificity of FISH for Ph-like ALL were 71.4% and 95.8% , respectively. After further analysis with immunophenotype, targeted gene mutations, and RNA-seq, 14 (13.2% , 14/106) were diagnosed with Ph-like ALL. Conclusion: This data shows high specificity of FISH for identification of Ph-like ALL and combining immunophenotype and sequencing technology can improve the diagnostic system. FAU - Lin, D N AU - Lin DN AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Li, Q L AU - Li QL AD - Department of Hematology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530000, China. FAU - He, X J AU - He XJ AD - Department of Hematology, General Hospital of Southern Theatre Command of PLA, Guangzhou, 510010, China. FAU - Li, H AU - Li H AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Liao, L B AU - Liao LB AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - He, H AU - He H AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Zhou, L L AU - Zhou LL AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Li, Z AU - Li Z AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Liu, X L AU - Liu XL AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Liu, Q F AU - Liu QF AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Zhou, H S AU - Zhou HS AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. FAU - Cao, R AU - Cao R AD - Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. LA - chi GR - A2017307/Foundation for Program of Medical Science and Technology of Guangdong Province/ PT - Journal Article PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Acute Disease MH - Adult MH - Fusion Proteins, bcr-abl/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Philadelphia Chromosome MH - *Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis PMC - PMC7595857 OTO - NOTNLM OT - Fluorescence in situ hybridization OT - Leukemia, lymphoblastic, acute OT - Philadelphia chromosome-like EDAT- 2020/10/29 06:00 MHDA- 2021/01/13 06:00 PMCR- 2020/09/01 CRDT- 2020/10/28 23:15 PHST- 2020/10/28 23:15 [entrez] PHST- 2020/10/29 06:00 [pubmed] PHST- 2021/01/13 06:00 [medline] PHST- 2020/09/01 00:00 [pmc-release] AID - cjh-41-09-749 [pii] AID - 10.3760/cma.j.issn.0253-2727.2020.09.008 [doi] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2020 Sep 14;41(9):749-755. doi: 10.3760/cma.j.issn.0253-2727.2020.09.008.