Gewählte Publikation:
Bentz, M; Cabot, G; Moos, M; Speicher, MR; Ganser, A; Lichter, P; Döhner, H.
Detection of chimeric BCR-ABL genes on bone marrow samples and blood smears in chronic myeloid and acute lymphoblastic leukemia by in situ hybridization.
Blood. 1994; 83(7):1922-1928
Doi: 10.1182/blood.V83.7.1922.bloodjournal8371922
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- Co-Autor*innen der Med Uni Graz
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Speicher Michael
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- Abstract:
- The presence of BCR-ABL fusion genes has important diagnostic and prognostic implications in chronic myeloid leukemia (CML) and acute lymphoblastic leukemia (ALL). The CML-specific chimeric BCR-ABL gene with a break involving the major breakpoint cluster region (M-bcr) of the BCR-gene has been detected by means of fluorescence in situ hybridization (FISH). In this study, we present a FISH protocol that allows the detection of breaks in both the major and the minor breakpoint cluster region (m-bcr). Three hybridization signals of D107F9, a yeast artificial chromosome (YAC)-derived probe spanning the breakpoint regions of the BCR gene, were indicative of the translocation events. To increase the specificity further, this probe was combined with cos-abl 8, a cosmid probe flanking the breakpoint within the ABL gene for dual-color hybridization. Samples of 21 patients with CML, the ALL-derived cell line SUP-B15, and of seven patients with Philadelphia chromosome (Ph1)-positive ALL (three of them with breakpoints within m-bcr) were examined. BCR-ABL fusion was detected in all cases with high specificity (false-positive nuclei: mean, 0.1%). On cytogenetic preparations, the percentages of BCR-ABL-positive interphase cells ranged from 53% to 91%. Comparable efficiencies were achieved on blood smears. In conclusion, hybridization with D107F9 and cos-abl 8 allows unambiguous diagnosis of BCR-ABL genes and is likely to become an important tool for the monitoring of therapies in patients with CML and ALL.
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Adult -
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Aged -
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Base Sequence -
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Bone Marrow - metabolism
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Cloning, Molecular - metabolism
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Female - metabolism
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Fusion Proteins, bcr-abl - genetics
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Humans - genetics
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In Situ Hybridization, Fluorescence - genetics
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Leukemia, Lymphocytic, Acute - genetics
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Leukemia, Lymphocytic, Chronic - genetics
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Male - genetics
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Middle Aged - genetics
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Molecular Sequence Data - genetics
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Proto-Oncogenes - genetics