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Chromosomal translocations and karyotype complexity in chronic lymphocytic leukemia: a systematic reappraisal of classic cytogenetic data
P Baliakas, M Iskas, A Gardiner, Z Davis, K Plevova, F Nguyen-Khac, J Malcikova, A Anagnostopoulos, S Glide, S Mould, K Stepanovska, M Brejcha, C Belessi, F Davi, S Pospisilova, A Athanasiadou, K Stamatopoulos, D Oscier
Jazyk angličtina Země Spojené státy americké
Grantová podpora
NT13493
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Článek
Zdroj
NLK
Free Medical Journals
od 1998 do Před 1 rokem
Wiley Free Content
od 1996 do Před 1 rokem
PubMed
24166834
DOI
10.1002/ajh.23618
Knihovny.cz E-zdroje
- MeSH
- body zlomu chromozomu MeSH
- buněčné kultury metody MeSH
- chromozomální aberace MeSH
- chromozomální delece MeSH
- chronická lymfatická leukemie * genetika patologie MeSH
- hybridizace in situ fluorescenční MeSH
- interfáze MeSH
- Kaplanův-Meierův odhad MeSH
- karyotypizace metody MeSH
- lidé MeSH
- lidské chromozomy genetika ultrastruktura MeSH
- nádorové buňky kultivované MeSH
- přestavba genů pro těžké řetězce B-lymfocytů MeSH
- proporcionální rizikové modely MeSH
- translokace genetická * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
The significance of chromosomal translocations (CTRAs) and karyotype complexity (KC) in chronic lymphocytic leukemia (CLL) remains uncertain. To gain insight into these issues, we evaluated a series of 1001 CLL cases with reliable classic cytogenetic data obtained within 6 months from diagnosis before any treatment. Overall, 320 cases were found to carry >= 1 CTRAs. The most frequent chromosome breakpoints were 13q, followed by 14q, 18q, 17q, and 17p; notably, CTRAs involving chromosome 13q showed a wide spectrum of translocation partners. KC (>= 3 aberrations) was detected in 157 cases and significantly (P < 0.005) associated with unmutated IGHV genes and aberrations of chromosome 17p. Furthermore, it was identified as an independent prognostic factor for shorter time-to-first-treatment. CTRAs were assigned to two categories (i) CTRAs present in the context of KC, often with involvement of chromosome 17p aberrations, occurring mostly in CLL with unmutated IGHV genes; in such cases, we found that KC rather than the presence of CTRAs per se negatively impacts on survival; (ii) CTRAs in cases without KC, having limited if any impact on survival. On this evidence, we propose that all CTRAs in CLL are not equivalent but rather develop by different processes and are associated with distinct clonal behavior.
Baliakas Panagiotis Hematology Department and HCT Unit G Papanicolaou Hospital Thessaloniki Greece
Department of Immunology Genetics and Pathology Uppsala University Uppsala Sweden
Citace poskytuje Crossref.org
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- $a The significance of chromosomal translocations (CTRAs) and karyotype complexity (KC) in chronic lymphocytic leukemia (CLL) remains uncertain. To gain insight into these issues, we evaluated a series of 1001 CLL cases with reliable classic cytogenetic data obtained within 6 months from diagnosis before any treatment. Overall, 320 cases were found to carry >= 1 CTRAs. The most frequent chromosome breakpoints were 13q, followed by 14q, 18q, 17q, and 17p; notably, CTRAs involving chromosome 13q showed a wide spectrum of translocation partners. KC (>= 3 aberrations) was detected in 157 cases and significantly (P < 0.005) associated with unmutated IGHV genes and aberrations of chromosome 17p. Furthermore, it was identified as an independent prognostic factor for shorter time-to-first-treatment. CTRAs were assigned to two categories (i) CTRAs present in the context of KC, often with involvement of chromosome 17p aberrations, occurring mostly in CLL with unmutated IGHV genes; in such cases, we found that KC rather than the presence of CTRAs per se negatively impacts on survival; (ii) CTRAs in cases without KC, having limited if any impact on survival. On this evidence, we propose that all CTRAs in CLL are not equivalent but rather develop by different processes and are associated with distinct clonal behavior.<ovid:br/><ovid:br/> Copyright © 2013 Wiley Periodicals, Inc.
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