Ann Lab Med.  2014 May;34(3):198-202. 10.3343/alm.2014.34.3.198.

Diagnostic Utility of Multiprobe Fluorescence in situ Hybridization Assay for Detecting Cytogenetic Aberrations in Acute Leukemia

Affiliations
  • 1Department of Laboratory Medicine, Dong-A University College of Medicine, Busan, Korea. jyhan@dau.ac.kr
  • 2Division of Hematology-Oncology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.

Abstract

BACKGROUND
Specific cytogenetic aberrations detected by conventional karyotyping or FISH play a major role in the diagnosis, prognosis, and treatment of patients with acute leukemia. The FISH technique enhances the capacity of conventional karyotyping to detect subtle chromosomal aberrations. Multiprobe FISH assay (Cytocell, UK) can hybridize multiple probes to a single slide, thereby increasing the detection rate of cytogenetic aberrations. This study aimed to evaluate multiprobe FISH in detecting cytogenetic abnormalities in acute leukemia.
METHODS
Thirty newly diagnosed acute leukemia patients who attended the hematology clinic at Dong-A University Hospital from October 2008 to October 2012 were enrolled in the study. The multiprobe FISH results were compared with those of G-banding.
RESULTS
Multiprobe FISH detected the chromosomal aberrations identified by G-banding, as well as additional aberrations in 6 of 30 (20.0%) cases, which included ETV6/RUNX1 translocation, p16 deletion, TP53 deletion, and IGH break-apart.
CONCLUSIONS
The multiprobe FISH assay was a more sensitive and reliable technique compared with G-banding. It was also more cost-effective and yielded faster results.

Keyword

Multiprobe FISH; Acute leukemia; Cytogenetic aberration

MeSH Terms

Acute Disease
Adolescent
Adult
Aged
Child
Child, Preschool
*Chromosome Banding
Core Binding Factor Alpha 2 Subunit/genetics
Gene Deletion
Humans
*In Situ Hybridization, Fluorescence
Karyotyping
Leukemia/*diagnosis
Leukemia, Myeloid, Acute/diagnosis
Male
Middle Aged
Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis
Proto-Oncogene Proteins c-ets/genetics
Repressor Proteins/genetics
Translocation, Genetic
Tumor Suppressor Protein p53/genetics
Young Adult
Core Binding Factor Alpha 2 Subunit
Proto-Oncogene Proteins c-ets
Repressor Proteins
Tumor Suppressor Protein p53

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