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FISH Analysis for del6q21 and del17p13 in B-cell Chronic Lymphocytic Leukemia in Iranians

AUTHORS

Hossein Teimori 1 , * , Saeede Ashoori 1 , Mohamad Taghi Akbari 2 , Marjan Mojtabavi Naeini 1 , Morteza Hashemzade Chaleshtori 1

1 Cellular and Molecular Research Center, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IR Iran

2 Department of Medical Genetics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran

How to Cite: Teimori H, Ashoori S, Akbari M T, Mojtabavi Naeini M, Hashemzade Chaleshtori M. FISH Analysis for del6q21 and del17p13 in B-cell Chronic Lymphocytic Leukemia in Iranians, Iran Red Crescent Med J. Online ahead of Print ; 15(2):107-112. doi: 10.5812/ircmj.4990.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 15 (2); 107-112
Published Online: February 4, 2013
Article Type: Research Article
Received: March 26, 2012
Accepted: January 7, 2013
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Abstract

Background: B-cell chronic lymphocytic leukemia (B-CLL) is the most common leukemia in the Western world. Major progress has been made in assessing typical chromosomal abnormalities and recognition of the correlation of these chromosomal abnormalities with laboratory features and clinical course of the disease. The most frequent genomic changes are deletions at 13q14, 11q22-23 and 17p13 and trisomy of chromosome 12.

Objectives: The aim of this study was to investigate the frequency of chromosomal aberrations in B-CLL patients peripheral blood and/or bone marrow using a molecular cytogenetic method, interphase fluorescence in situ hybridization (I-FISH) and to evaluate the correlation between these genomic changes and clinical findings.

Patients and Methods: I-FISH analyses were performed on bone marrow and blood samples of 66 B-CLL patients.

Results: Deletion of 17p13 was found in 11 (16.6%) and deletion 6q21 was present in 5 (7.5%). Statistical analyses were performed to investigate the correlation of these molecular-cytogenetic findings with family history, Rai staging and CD38 marker. No clear differences in distribution was noted for del17p13 and del6q21 among patients with and without family history, and no direct correlation was noted between these genomic changes and CD38 marker, but the correlation of del17p13 and Rai stage was significant. There was a high frequency of Rai stage II within del17p13 patients.

Conclusions: It was demonstrated that the presence of del6q21 in B-CLL patients indicates poor prognosis and on the contrary, presence of del17p13 points at the good prognostic value of the disease.

Keywords

Leukemia, Lymphocytic, Chronic, B-Cell Cytogenetic Aberrations Biological Markers

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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