PMID- 9973917 OWN - NLM STAT- MEDLINE DCOM- 19990225 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 108 IP - 1 DP - 1999 Jan 1 TI - Chromosomal aberrations during progression of chronic myeloid leukemia identified by cytogenetic and molecular cytogenetic tools: implication of 1q12-21. PG - 6-12 AB - To study the genomic abnormality underlying the acute transformation of chronic myeloid leukemia (CML), 15 CML patients in blast crisis (BC), 3 in accelerated phase (AP), and 20 in chronic phase (CP) were analyzed by conventional cytogenetics, comparative genomic hybridization (CGH), and dual-color chromosomal painting. Philadelphia (Ph) chromosome was identified in every case studied. Only 5 among 20 CP patients had additional abnormalities while 13 of 18 patients with disease progression (BC + AP) showed extra numerical and/or structural chromosomal aberrations. Cytogenetically, the most common chromosome gains during BC and AP were double or triple Ph chromosomes (5 of 14 cases) and trisomy 8 (5 of 14 cases). Trisomies 7 and 17 (1 of 14 cases each) were also observed. CGH analysis detected genetic imbalances in eight cases. Gains of chromosome 20 (3 cases) and 17q (2 cases) were observed, respectively. The recurrent chromosome loss was the deletion of the short arm of chromosome 17, seen in one case with i(17)(q10) and one case with an unbalanced translocation (1;17). In one case, a very complex chromosomal rearrangement, del(3),del(6),der(6)t(17;3;6),der(17)t(6;17), was seen. A novel finding of this work is the involvement of chromosome 1(q12-21qter) in CML disease progression. Overrepresentation of 1(q12-21qter) region was detected by CGH in one case which had a derivative chromosome 17. This abnormal chromosome was later confirmed by fluorescence in situ hybridization (FISH) painting to be a fusion between chromosome 1 and 17 to form the der(17)t(1;17) (q12-21;p11). Two other cases showed the same region being involved in translocations, t(1;10)(q12-21;q26) and t(1;11)(q12-21;p15). It is possible that one or more genes residing on chromosome 1q12-21 may be important in the acute transformation of CML. In conclusion, we find that the combined use of CGH, chromosome painting, and classic cytogenetic analysis allows a better evaluation of the genomic aberration involved in CML blastic transformation, and offers new directions for its further molecular investigations. FAU - Su, X Y AU - Su XY AD - Shanghai Institute of Hematology, Rui-Jin Hospital, Shanghai Second Medical University, China. FAU - Wong, N AU - Wong N FAU - Cao, Q AU - Cao Q FAU - Yu, L Z AU - Yu LZ FAU - Niu, C AU - Niu C FAU - Wickham, N AU - Wickham N FAU - Johnson, P J AU - Johnson PJ FAU - Chen, Z AU - Chen Z FAU - Chen, S J AU - Chen SJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Adult MH - Blast Crisis MH - Bone Marrow/pathology MH - Child MH - *Chromosome Aberrations MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 1 MH - Disease Progression MH - Female MH - Gene Amplification MH - Humans MH - Karyotyping MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics/pathology/physiopathology MH - Loss of Heterozygosity MH - Male MH - Middle Aged MH - *Philadelphia Chromosome EDAT- 1999/02/12 00:00 MHDA- 1999/02/12 00:01 CRDT- 1999/02/12 00:00 PHST- 1999/02/12 00:00 [pubmed] PHST- 1999/02/12 00:01 [medline] PHST- 1999/02/12 00:00 [entrez] AID - S0165460898001204 [pii] AID - 10.1016/s0165-4608(98)00120-4 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 1999 Jan 1;108(1):6-12. doi: 10.1016/s0165-4608(98)00120-4.