PMID- 9078288 OWN - NLM STAT- MEDLINE DCOM- 19970410 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 94 IP - 1 DP - 1997 Mar TI - Genetic abnormalities in chronic lymphocytic leukemia and their clinical and prognostic implications. PG - 27-35 AB - Clonal chromosome abnormalities can be detected in approximately 50% of patients with chronic lymphocytic leukemia (CLL). The most common changes are trisomy 12, followed by structural abnormalities of 13q, 11q, 6q, and 14q. By fluorescence in situ hybridization (FISH), these aberrations can be demonstrated even in cases with insufficient mitotic yield or a normal karyotype. The biologic consequences of trisomy 12 are unknown, but a gene dosage effect is suspected and studies on partial trisomy 12 indicate that the region 12q13 to 12q22 might be of particular pathogenetic importance. Trisomy 12 is strongly associated with atypical lymphocyte morphology and seems to be a secondary event in leukemogenesis, as shown by combined immunophenotyping and interphase FISH. Structural abnormalities of 13q frequently involve hetero- and homozygous deletions of a region in 13q14, distal to the retinoblastoma gene, which may be the site of a tumor suppressor gene. In contrast to a normal karyotype or structural changes of 13q, complex karyotypic abnormalities, high percentage of abnormal metaphases, trisomy 12 and structural changes involving the P53 tumor suppressor gene on 17p13 are adverse prognostic indicators. Cytogenetic and molecular findings provide important diagnostic, clinical, and prognostic information which can contribute to treatment decisions and follow-up of CLL patients. FAU - Dierlamm, J AU - Dierlamm J AD - Center for Human Genetics, University of Leuven, Belgium. FAU - Michaux, L AU - Michaux L FAU - Criel, A AU - Criel A FAU - Wlodarska, I AU - Wlodarska I FAU - Van den Berghe, H AU - Van den Berghe H FAU - Hossfeld, D K AU - Hossfeld DK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 11/*genetics MH - Chromosomes, Human, Pair 12/*genetics MH - Chromosomes, Human, Pair 13/*genetics MH - Chromosomes, Human, Pair 14/genetics MH - Chromosomes, Human, Pair 17/genetics MH - Chromosomes, Human, Pair 6/genetics MH - Genes, p53/genetics MH - Humans MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics MH - Prognosis MH - Trisomy/*genetics RF - 84 EDAT- 1997/03/01 00:00 MHDA- 1997/03/01 00:01 CRDT- 1997/03/01 00:00 PHST- 1997/03/01 00:00 [pubmed] PHST- 1997/03/01 00:01 [medline] PHST- 1997/03/01 00:00 [entrez] AID - S0165460896002464 [pii] AID - 10.1016/s0165-4608(96)00246-4 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 1997 Mar;94(1):27-35. doi: 10.1016/s0165-4608(96)00246-4.