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RARE RECURRENT CHROMOSOMAL ABNORMALITIES IN CLL DETECTED BY CONVENTIONAL CYTOGENETICS AFTER STIMULATION WITH CPG-ODN & IL-2 AND FISH
Author(s): ,
Martina Stoklasova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Hana Kucharova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Alena Burdova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Bronislava Drevojankova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Tamara Sablaturova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Aneta Strnkova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Lucie Truhlikova
Affiliations:
Laboratory of Medical Genetics,Agel laboratories,Novy Jicin,Czech Republic
,
Brychtova Yvona
Affiliations:
Department of Internal Medicine – Hematology and Oncology,University Hospital and Faculty of Medicine, Masaryk University,Brno,Czech Republic
,
Anna Panovska
Affiliations:
Department of Internal Medicine – Hematology and Oncology,University Hospital and Faculty of Medicine, Masaryk University,Brno,Czech Republic
,
Karla Plevova
Affiliations:
Department of Internal Medicine – Hematology and Oncology,University Hospital and Faculty of Medicine, Masaryk University,Brno,Czech Republic;Central European Institute of Technology, Masaryk University,Brno,Czech Republic
,
Alexandra Oltova
Affiliations:
Department of Internal Medicine – Hematology and Oncology,University Hospital and Faculty of Medicine, Masaryk University,Brno,Czech Republic
,
Natalija Rytikova
Affiliations:
Department of Hematology,Hospital Krnov,Krnov,Czech Republic
,
Nadezda Petricova
Affiliations:
Department of Hematology,Hospital Bruntal,Bruntal,Czech Republic
,
Dagmar Adamova
Affiliations:
Department of Hematology,Silesian Hospital in Opava,Opava,Czech Republic
,
Vladimira Heinzova
Affiliations:
Department of Hematology,Silesian Hospital in Opava,Opava,Czech Republic
,
Irena Zygulova
Affiliations:
Department of Hematology,Silesian Hospital in Opava,Opava,Czech Republic
,
Jana Laska
Affiliations:
Department of Hematology,Hospital Cesky Tesin,Cesky Tesin,Czech Republic;Department of Hematology,Hospital Ostrava,Ostrava,Czech Republic
,
Jana Zuchnicka
Affiliations:
Institute of Clinical Hematology, University Hospital Ostrava,Ostrava,Czech Republic
,
Cecilia Bodzasova
Affiliations:
Institute of Clinical Hematology, University Hospital Ostrava,Ostrava,Czech Republic
,
Juraj Duras
Affiliations:
Institute of Clinical Hematology, University Hospital Ostrava,Ostrava,Czech Republic
,
Marie Urbankova
Affiliations:
Department of Hematology,Hospital Sumperk,Sumperk,Czech Republic
,
Zuzana Jehlikova
Affiliations:
Department of Hematology,Hospital Sumperk,Sumperk,Czech Republic
,
Premysl Slezak
Affiliations:
Department of Hematology,Hospital Sumperk,Sumperk,Czech Republic
,
Jolanta Macurova
Affiliations:
Department of Hematology,Hospital Karvina-Raj,Karvina,Czech Republic
,
Daniel Janek
Affiliations:
Department of Hematology,Hospital Karvina-Raj,Karvina,Czech Republic
,
Elen Bogoczova
Affiliations:
Department of Hematology,Hospital Vitkovice,Ostrava,Czech Republic
,
Marek Wrobel
Affiliations:
Department of Hematology,Hospital Novy Jicin,Novy Jicin,Czech Republic
,
Drahomira Klodova
Affiliations:
Department of Hematology,Hospital Novy Jicin,Novy Jicin,Czech Republic
,
Zuzana Zetkova
Affiliations:
Department of Hematology,Hospital Novy Jicin,Novy Jicin,Czech Republic
Martin Brejcha
Affiliations:
Department of Hematology,Hospital Novy Jicin,Novy Jicin,Czech Republic
(Abstract release date: 05/19/16) EHA Library. Stoklasova M. 06/09/16; 134669; PB1769
Martina Stoklasova
Martina Stoklasova
Contributions
Abstract
Abstract: PB1769

Type: Publication Only

Background
Characteristic chromosomal abberations (i.e. 11q, 13q, 17p, and +12) play crucial role  in chronic lymphocytic leukaemia (CLL) as important idenpendent prognostic factors. Combination of FISH and conventional chromosome banding (CBA) after stimulation with CpG oligonucleotides (CpG-ODN) and interleukin-2 (IL-2) allowed to capture increased number of chromosomal anormalities. We focused on rare recurrent  chromosomal aberrations (RCA) that can provide new prognostic information in CLL.

Aims
Metaphase cytogenetic and molecular-cytogenetic analyses were performed in 766 CLL-patients from 2008 to 2015 (293 female, 473 male, median age at the time of analysis: 67 years) to evaluate the incidence of RCA.

Methods
CBA was performed on peripheral blood or bone marrow samples cultured in medium with stimulants. FISH was performed on unstimulated cells for detection of  trisomy 12, del(11q), del(13q), del(17p). RCA  were confirmed by interphase FISH (I-FISH), multicolor FISH or multicolor banding.

Results
A total of 714/766 (93,2 %) cases were succesfully stimulated for metaphase analysis. Chromosomal aberrations were detected in 600/714 (84,0%) of patients by combining both methods. RCA were detected in 144 cases ( 144/714,  20,2 %) and they were as follows: 3,5 % rearrangement of IGH (translocations partners 2, 4, 8, 9, 11, 12, 13, 16 and 19), 3,4 % gain of 2p, 3,4 % del(6q), 2,5 % del(14q), 1,7 % gain of 8q (MYC gene), 1,3 % del(8p), 1,3 % +18, 1,1 % +19, 0,6 % del(5q), 0,6 % t(18;22), 0,4 % gain of 12q, 0,4 % +21 and 0,1 % t(2;18). 

Conclusion
Cytogenetic results are highly relevant in defining the prognosis of CLL patients. I-FISH as gold standard for detection of important chromosomal aberrations and CBA after stimulation with cocktail of CpG-ODN and IL-2 are efficient tools (methods) in routine diagnostic (analysis) of chromosomal aberrations. The importance of RCA in CLL will be discussed in the poster.

Session topic: E-poster

Keyword(s): Chromosomal abnormality
Abstract: PB1769

Type: Publication Only

Background
Characteristic chromosomal abberations (i.e. 11q, 13q, 17p, and +12) play crucial role  in chronic lymphocytic leukaemia (CLL) as important idenpendent prognostic factors. Combination of FISH and conventional chromosome banding (CBA) after stimulation with CpG oligonucleotides (CpG-ODN) and interleukin-2 (IL-2) allowed to capture increased number of chromosomal anormalities. We focused on rare recurrent  chromosomal aberrations (RCA) that can provide new prognostic information in CLL.

Aims
Metaphase cytogenetic and molecular-cytogenetic analyses were performed in 766 CLL-patients from 2008 to 2015 (293 female, 473 male, median age at the time of analysis: 67 years) to evaluate the incidence of RCA.

Methods
CBA was performed on peripheral blood or bone marrow samples cultured in medium with stimulants. FISH was performed on unstimulated cells for detection of  trisomy 12, del(11q), del(13q), del(17p). RCA  were confirmed by interphase FISH (I-FISH), multicolor FISH or multicolor banding.

Results
A total of 714/766 (93,2 %) cases were succesfully stimulated for metaphase analysis. Chromosomal aberrations were detected in 600/714 (84,0%) of patients by combining both methods. RCA were detected in 144 cases ( 144/714,  20,2 %) and they were as follows: 3,5 % rearrangement of IGH (translocations partners 2, 4, 8, 9, 11, 12, 13, 16 and 19), 3,4 % gain of 2p, 3,4 % del(6q), 2,5 % del(14q), 1,7 % gain of 8q (MYC gene), 1,3 % del(8p), 1,3 % +18, 1,1 % +19, 0,6 % del(5q), 0,6 % t(18;22), 0,4 % gain of 12q, 0,4 % +21 and 0,1 % t(2;18). 

Conclusion
Cytogenetic results are highly relevant in defining the prognosis of CLL patients. I-FISH as gold standard for detection of important chromosomal aberrations and CBA after stimulation with cocktail of CpG-ODN and IL-2 are efficient tools (methods) in routine diagnostic (analysis) of chromosomal aberrations. The importance of RCA in CLL will be discussed in the poster.

Session topic: E-poster

Keyword(s): Chromosomal abnormality

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