PMID- 36831635 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230228 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 4 DP - 2023 Feb 17 TI - Optical Genome Mapping as an Alternative to FISH-Based Cytogenetic Assessment in Chronic Lymphocytic Leukemia. LID - 10.3390/cancers15041294 [doi] LID - 1294 AB - The fluorescence in situ hybridization (FISH) technique plays an important role in the risk stratification and clinical management of patients with chronic lymphocytic leukemia (CLL). For genome-wide analysis, FISH needs to be complemented with other cytogenetic methods, including karyotyping and/or chromosomal microarrays. However, this is often not feasible in a diagnostic setup. Optical genome mapping (OGM) is a novel technique for high-resolution genome-wide detection of structural variants (SVs), and previous studies have indicated that OGM could serve as a generic cytogenetic tool for hematological malignancies. Herein, we report the results from our study evaluating the concordance of OGM and standard-of-care FISH in 18 CLL samples. The results were fully concordant between these two techniques in the blinded comparison. Using in silico dilution series, the lowest limit of detection with OGM was determined to range between 3 and 9% variant allele fractions. Genome-wide analysis by OGM revealed additional (>1 Mb) aberrations in 78% of the samples, including both unbalanced and balanced SVs. Importantly, OGM also enabled the detection of clinically relevant complex karyotypes, undetectable by FISH, in three samples. Overall, this study demonstrates the potential of OGM as a first-tier cytogenetic test for CLL and as a powerful tool for genome-wide SV analysis. FAU - Valkama, Andriana AU - Valkama A AD - Laboratory of Cancer Genetics and Tumor Biology, Translational Medicine Research Unit and Biocenter Oulu, University of Oulu, 90220 Oulu, Finland. FAU - Vorimo, Sandra AU - Vorimo S AD - Laboratory of Cancer Genetics and Tumor Biology, Translational Medicine Research Unit and Biocenter Oulu, University of Oulu, 90220 Oulu, Finland. FAU - Kumpula, Timo A AU - Kumpula TA AUID- ORCID: 0000-0002-6124-8929 AD - Laboratory of Cancer Genetics and Tumor Biology, Translational Medicine Research Unit and Biocenter Oulu, University of Oulu, 90220 Oulu, Finland. FAU - Rasanen, Hannele AU - Rasanen H AD - Northern Finland Laboratory Centre Nordlab, 90220 Oulu, Finland. FAU - Savolainen, Eeva-Riitta AU - Savolainen ER AD - Northern Finland Laboratory Centre Nordlab, 90220 Oulu, Finland. FAU - Pylkas, Katri AU - Pylkas K AUID- ORCID: 0000-0002-2449-0521 AD - Laboratory of Cancer Genetics and Tumor Biology, Translational Medicine Research Unit and Biocenter Oulu, University of Oulu, 90220 Oulu, Finland. AD - Northern Finland Laboratory Centre Nordlab, 90220 Oulu, Finland. FAU - Mantere, Tuomo AU - Mantere T AUID- ORCID: 0000-0003-3284-4403 AD - Laboratory of Cancer Genetics and Tumor Biology, Translational Medicine Research Unit and Biocenter Oulu, University of Oulu, 90220 Oulu, Finland. LA - eng GR - 338374/Academy of Finland/ GR - 220111/Sigrid Juselius Foundation/ PT - Journal Article DEP - 20230217 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9953986 OTO - NOTNLM OT - chromosomal aberration OT - chronic lymphocytic leukemia OT - cytogenetics OT - fluorescence in situ hybridization OT - optical genome mapping COIS- The authors declare no conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/02/26 06:01 PMCR- 2023/02/17 CRDT- 2023/02/25 01:41 PHST- 2023/01/15 00:00 [received] PHST- 2023/02/08 00:00 [revised] PHST- 2023/02/16 00:00 [accepted] PHST- 2023/02/25 01:41 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/02/26 06:01 [medline] PHST- 2023/02/17 00:00 [pmc-release] AID - cancers15041294 [pii] AID - cancers-15-01294 [pii] AID - 10.3390/cancers15041294 [doi] PST - epublish SO - Cancers (Basel). 2023 Feb 17;15(4):1294. doi: 10.3390/cancers15041294.