PMID- 38379463 OWN - NLM STAT- MEDLINE DCOM- 20240423 LR - 20240423 IS - 1751-553X (Electronic) IS - 1751-5521 (Linking) VI - 46 IP - 3 DP - 2024 Jun TI - Imaging flow cytometric detection of del(17p) in bone marrow and circulating plasma cells in multiple myeloma. PG - 495-502 LID - 10.1111/ijlh.14248 [doi] AB - BACKGROUND: Detection of del(17p) in myeloma is generally performed by fluorescence in situ hybridization (FISH) on a slide with analysis of up to 200 nuclei. The small cell sample analyzed makes this a low precision test. We report the utility of an automated FISH method, called "immuno-flowFISH", to detect plasma cells with adverse prognostic risk del(17p) in bone marrow and blood samples of patients with myeloma. METHODS: Bone marrow (n = 31) and blood (n = 19) samples from 35 patients with myeloma were analyzed using immuno-flowFISH. Plasma cells were identified by CD38/CD138-immunophenotypic gating and assessed for the 17p locus and centromere of chromosome 17. Cells were acquired on an AMNIS ImageStreamX MkII imaging flow cytometer using INSPIRE software. RESULTS: Chromosome 17 abnormalities were identified in CD38/CD138-positive cells in bone marrow (6/31) and blood (4/19) samples when the percent plasma cell burden ranged from 0.03% to 100% of cells. Abnormalities could be identified in 14.5%-100% of plasma cells. CONCLUSIONS: The "immuno-flowFISH" imaging flow cytometric method could detect del(17p) in plasma cells in both bone marrow and blood samples of myeloma patients. This method was also able to detect gains and losses of chromosome 17, which are also of prognostic significance. The lowest levels of 0.009% (bone marrow) and 0.001% (blood) for chromosome 17 abnormalities was below the detection limit of current FISH method. This method offers potential as a new means of identifying these prognostically important chromosomal defects, even when only rare cells are present and for serial disease monitoring. CI - (c) 2024 The Authors. International Journal of Laboratory Hematology published by John Wiley & Sons Ltd. FAU - Mincherton, Thomas I AU - Mincherton TI AUID- ORCID: 0000-0002-8347-4302 AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. FAU - Lam, Stephanie J AU - Lam SJ AD - PathWest Laboratory Medicine, Nedlands, Western Australia, Australia. AD - Haematology Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia. FAU - Clarke, Sarah E AU - Clarke SE AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. AD - PathWest Laboratory Medicine, Nedlands, Western Australia, Australia. AD - Haematology Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia. FAU - Hui, Henry Y L AU - Hui HYL AUID- ORCID: 0000-0002-0442-6987 AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. FAU - Malherbe, Jacques A J AU - Malherbe JAJ AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. AD - Haematology Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia. FAU - Chuah, Hun S AU - Chuah HS AD - PathWest Laboratory Medicine, Nedlands, Western Australia, Australia. AD - Haematology Department, Royal Perth Hospital, Perth, Western Australia, Australia. FAU - Sidiqi, M Hasib AU - Sidiqi MH AUID- ORCID: 0000-0003-1089-3853 AD - PathWest Laboratory Medicine, Nedlands, Western Australia, Australia. AD - Haematology Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia. FAU - Fuller, Kathy A AU - Fuller KA AUID- ORCID: 0000-0002-3462-7501 AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. FAU - Erber, Wendy N AU - Erber WN AUID- ORCID: 0000-0002-1028-9376 AD - School of Biomedical Sciences, The University of Western Australia, Crawley, Western Australia, Australia. AD - PathWest Laboratory Medicine, Nedlands, Western Australia, Australia. LA - eng GR - Australian Government Department of Education; Research Training Program (RTP) Scholarship/ GR - Government of Western Australian; Future Health Research and Innovation Fund/ GR - Royal Perth Hospital Medical Research Foundation/ GR - National Health and Medical Research Council/ PT - Journal Article DEP - 20240221 PL - England TA - Int J Lab Hematol JT - International journal of laboratory hematology JID - 101300213 SB - IM MH - Humans MH - *Multiple Myeloma/diagnosis/genetics/blood/pathology MH - *Plasma Cells/pathology MH - *Flow Cytometry/methods MH - *In Situ Hybridization, Fluorescence MH - *Chromosomes, Human, Pair 17/genetics MH - Male MH - Female MH - Aged MH - Middle Aged MH - Bone Marrow/pathology MH - Chromosome Deletion MH - Aged, 80 and over MH - Immunophenotyping MH - Adult OTO - NOTNLM OT - circulating plasma cells OT - del(17p) OT - fluorescence in situ hybridization OT - imaging flow cytometry OT - multiple myeloma EDAT- 2024/02/21 11:15 MHDA- 2024/04/23 15:50 CRDT- 2024/02/21 03:33 PHST- 2023/11/27 00:00 [received] PHST- 2024/02/04 00:00 [accepted] PHST- 2024/04/23 15:50 [medline] PHST- 2024/02/21 11:15 [pubmed] PHST- 2024/02/21 03:33 [entrez] AID - 10.1111/ijlh.14248 [doi] PST - ppublish SO - Int J Lab Hematol. 2024 Jun;46(3):495-502. doi: 10.1111/ijlh.14248. Epub 2024 Feb 21.