PMID- 9460493 OWN - NLM STAT- MEDLINE DCOM- 19980304 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 101 IP - 1 DP - 1998 Feb TI - A novel three-color, clone-specific fluorescence in situ hybridization procedure for monoclonal gammopathies. PG - 7-11 AB - We have developed a three-color cytoplasmic immunoglobulin (cIg) and fluorescence in situ hybridization (FISH) technique to detect plasma cell chromosomal aneuploidy in patients with multiple myeloma (MM), monoclonal gammopathy of undetermined significance (MGUS), smoldering multiple myeloma (SMM), and amyloidosis (AL). Immunofluorescent-labeled antibodies to detect light chain expression and six directly labeled alpha-satellite chromosome specific enumeration probes (CEP) were used simultaneously to detect aneuploidy of the plasma cells. The six probes were specific for chromosomes 7, 9, 11, 15, 18, and X. The technique was tested in 12 consecutive patient samples (5 MM, 2 MGUS, 3 SMM, and 2 AL). Based on the alpha-satellite signals, we found trisomic clones for CEP 7 (4 of 12), CEP 11 (4 of 12), CEP X (1 of 12), CEP 9 (8 of 12), CEP 15 (7 of 12), and CEP 18 (5 of 12). Trisomic clones of at least one of the six chromosomes were present in 9 of 12 patients. We believe that this technique efficiently identifies monotypic plasma cells and permits simultaneous analysis of numeric chromosome anomalies by FISH in emerging neoplastic cells. We are in the process of applying this technique to a series of about 100 newly diagnosed monoclonal gammopathy patients. FAU - Ahmann, G J AU - Ahmann GJ AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Jalal, S M AU - Jalal SM FAU - Juneau, A L AU - Juneau AL FAU - Christensen, E R AU - Christensen ER FAU - Hanson, C A AU - Hanson CA FAU - Dewald, G W AU - Dewald GW FAU - Greipp, P R AU - Greipp PR LA - eng GR - CA62242/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Immunoglobulin G) SB - IM MH - Adult MH - Aged MH - Amyloidosis/*diagnosis MH - Aneuploidy MH - Bone Marrow Cells/pathology MH - Clone Cells MH - Female MH - Humans MH - Immunoglobulin G/*metabolism MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Multiple Myeloma/*diagnosis MH - Paraproteinemias/*diagnosis MH - Trisomy/diagnosis EDAT- 1998/02/14 00:00 MHDA- 1998/02/14 00:01 CRDT- 1998/02/14 00:00 PHST- 1998/02/14 00:00 [pubmed] PHST- 1998/02/14 00:01 [medline] PHST- 1998/02/14 00:00 [entrez] AID - S0165460897000587 [pii] AID - 10.1016/s0165-4608(97)00058-7 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 1998 Feb;101(1):7-11. doi: 10.1016/s0165-4608(97)00058-7.