PMID- 37282609 OWN - NLM STAT- MEDLINE DCOM- 20230727 LR - 20230810 IS - 1097-0142 (Electronic) IS - 0008-543X (Linking) VI - 129 IP - 16 DP - 2023 Aug 15 TI - Concomitant deletion of the short arm (del(1p13.3)) and amplification or gain (1q21) of chromosome 1 by fluorescence in situ hybridization are associated with a poor clinical outcome in multiple myeloma. PG - 2491-2498 LID - 10.1002/cncr.34895 [doi] AB - BACKGROUND: Chromosome 1 abnormalities in multiple myeloma (MM) are increasingly recognized as high risk-defining features. The authors report the prognostic value of del(1p13.3) by fluorescence in situ hybridization (FISH) at enrollment in subjects treated on total therapy clinical trials 2-6. METHODS: FISH probes were generated from specific BAC DNA clones for the AHCYL1 gene locus (1p13.3) and the CKS1B locus (1q21). RESULTS: A total of 1133 patients were included in this analysis. Although del(1p13.3) was detected in 220 (19.4%) patients, 1q21gain or 1q21amp were observed in 300 (26.5%) and 150 (13.2%) patients, respectively. Concomitant del(1p13.3) with 1q21 gain or amp was observed in 65 (5.7%) and 29 (2.5%) patients, respectively. There was enrichment of high-risk features such as International Staging System (ISS) stage 3 disease and gene expression profiling (GEP)70 high risk (HR) in the group with del(1p13.3). Presence of del(1p13.3) confers inferior progression-free survival (PFS) and overall survival (OS). On multivariate analysis, the presence of ISS stage 3 disease, GEP70 HR, 1q21gain, and 1q21amp were independent predictors of PFS or OS. CONCLUSIONS: The PFS and OS of patients with combined abnormalities of del (1p13.3)/1q21gain or amp was significantly worse compared to del(1p13.3) alone and 1q21gain or 1q21 amp alone, which identifies a subset of patients with poor clinical outcomes. CI - (c) 2023 American Cancer Society. FAU - Mohan, Meera AU - Mohan M AUID- ORCID: 0000-0002-6913-6526 AD - Clinical Cancer Center, Division of Hematology Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. FAU - Gong, Zimu AU - Gong Z AD - Baylor Scott & White Charles A. Sammons Cancer Center, Houston, Texas, USA. FAU - Ashby, Timothy Cody AU - Ashby TC AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Al Hadidi, Samer AU - Al Hadidi S AUID- ORCID: 0000-0003-4297-8042 AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Thanendrarajan, Sharmilan AU - Thanendrarajan S AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Schinke, Carolina AU - Schinke C AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Alapat, Daisy AU - Alapat D AD - Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Shaughnessy, John D Jr AU - Shaughnessy JD Jr AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Zhan, Fenghuang AU - Zhan F AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - van Rhee, Frits AU - van Rhee F AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Sawyer, Jeffery R AU - Sawyer JR AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Tian, Erming AU - Tian E AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. FAU - Zangari, Maurizio AU - Zangari M AD - Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230606 PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - IM CIN - Cancer. 2023 Aug 15;129(16):2450-2452. PMID: 37282718 MH - Humans MH - *Multiple Myeloma/therapy MH - In Situ Hybridization, Fluorescence MH - Chromosomes, Human, Pair 1/genetics MH - Chromosome Aberrations MH - Prognosis MH - Chromosome Deletion OTO - NOTNLM OT - 1q21 gain and 1q21 amplification OT - Del(1p13.3) OT - chromosome 1 abnormalities OT - multiple myeloma EDAT- 2023/06/07 06:42 MHDA- 2023/07/27 06:42 CRDT- 2023/06/07 03:46 PHST- 2023/01/18 00:00 [revised] PHST- 2022/11/22 00:00 [received] PHST- 2023/02/09 00:00 [accepted] PHST- 2023/07/27 06:42 [medline] PHST- 2023/06/07 06:42 [pubmed] PHST- 2023/06/07 03:46 [entrez] AID - 10.1002/cncr.34895 [doi] PST - ppublish SO - Cancer. 2023 Aug 15;129(16):2491-2498. doi: 10.1002/cncr.34895. Epub 2023 Jun 6.