PMID- 9633901 OWN - NLM STAT- MEDLINE DCOM- 19980731 LR - 20190705 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 101 IP - 3 DP - 1998 Jun TI - Interphase cytogenetics and competitive RT-PCR for residual disease monitoring in patients with chronic myeloid leukaemia during interferon-alpha therapy. PG - 552-7 AB - There is a need for fast and sensitive methods to evaluate the response of patients with chronic myeloid leukaemia (CML) to interferon-alpha (IFN-alpha) therapy to complement cytogenetic analysis of Philadelphia (Ph) chromosome-positive metaphases. We have used interphase FISH (fluorescence in situ hybridization) and competitive RT-PCR (reverse transcriptase-polymerase chain reaction) techniques for detection of BCR-ABL-positive cells to measure suppression of leukaemic clone in a series of 51 follow-up samples from 24 CML patients undergoing IFN-alpha treatment. Interphase FISH analysis of the malignant clone in bone marrow using BCR and ABL probes was found to be highly correlated to conventional G-banding metaphase examination (r = 0.98). RT-PCR quantification of BCR-ABL mRNA transcripts in blood also showed a high degree of concordance with the proportion of Ph-positive metaphases (r = 0.93). In addition, the degree of cytogenetic response did not influence the equivalence between karyotype analysis and molecular methods. We concluded that interphase FISH and competitive RT-PCR provide reliable information on residual tumour burden and response to IFN-alpha in CML patients. These molecular methods may significantly improve the efficiency of residual disease monitoring during IFN-alpha therapy of CML. FAU - Tchirkov, A AU - Tchirkov A AD - Laboratoire de Cytogenetique Medicale, Faculte de Medecine, Clermont-Ferrand, France. FAU - Giollant, M AU - Giollant M FAU - Tavernier, F AU - Tavernier F FAU - Briancon, G AU - Briancon G FAU - Tournilhac, O AU - Tournilhac O FAU - Kwiatkowski, F AU - Kwiatkowski F FAU - Philippe, P AU - Philippe P FAU - Choufi, B AU - Choufi B FAU - Demeocq, F AU - Demeocq F FAU - Travade, P AU - Travade P FAU - Malet, P AU - Malet P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (Antineoplastic Agents) RN - 0 (Interferon-alpha) RN - 0 (RNA, Messenger) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Female MH - Fusion Proteins, bcr-abl MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Interferon-alpha/*therapeutic use MH - Interphase MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/pathology/*therapy MH - Leukemia, Myeloid, Accelerated Phase/pathology/therapy MH - Leukemia, Myeloid, Chronic-Phase/pathology/therapy MH - Male MH - Middle Aged MH - Neoplasm, Residual MH - Polymerase Chain Reaction/*methods MH - Prospective Studies MH - RNA, Messenger/analysis MH - Sensitivity and Specificity EDAT- 1998/06/20 00:00 MHDA- 1998/06/20 00:01 CRDT- 1998/06/20 00:00 PHST- 1998/06/20 00:00 [pubmed] PHST- 1998/06/20 00:01 [medline] PHST- 1998/06/20 00:00 [entrez] AID - 10.1046/j.1365-2141.1998.00717.x [doi] PST - ppublish SO - Br J Haematol. 1998 Jun;101(3):552-7. doi: 10.1046/j.1365-2141.1998.00717.x.