Determination of chromosome 13 status in bone marrow cells of patients with multiple myeloma using combined morphologic and fluorescence in situ hybridization analysis.

Abstract:

:Deletion of chromosome 13q is believed to be an adverse prognostic marker in patients with multiple myeloma (MM). Interphase fluorescence in situ hybridization (I-FISH) is the method of choice for detection of chromosome 13q deletion (del13q). However, I-FISH has high false-positive rates attributed to a low percentage of plasma cells (PC), which are responsible for MM, in bone marrow (BM) samples from MM patients. In an attempt to overcome this problem, combined morphologic and I-FISH analyses were performed by a unique system that allows rapid automatic scanning of a large number of cells with simultaneous determination of the lineage of specific cells carrying del13q. The percentage of PC with del13q in BM samples from 40 MM patients was calculated. In addition, we established a useful prognostic ratio defined as the number of PC with del13q divided by the number of non-PC with del13q (PDP/PDNP), which may help to precisely define the putative role of del13q in prediction response of MM patients to new therapeutic compounds. We suggest this technique as a novel sensitive and specific method for detection of del13q in a minor PC population of MM patients.

journal_name

Exp Hematol

journal_title

Experimental hematology

authors

Hardan I,Rothman R,Gelibter A,Cohen N,Shimoni A,Sokolovsky M,Reichart M,Ishoev G,Amariglio N,Rechavi G,Nagler A,Trakhtenbrot L

doi

10.1016/j.exphem.2003.12.001

keywords:

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

254-60

issue

3

eissn

0301-472X

issn

1873-2399

pii

S0301472X03004132

journal_volume

32

pub_type

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