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The utility of spectral karyotyping in the cytogenetic analysis of newly diagnosed pediatric acute lymphoblastic leukemia

Leukemia volume 16, pages 2222–2227 (2002)Cite this article

Abstract

We applied multicolor spectral karyotyping (SKY) to a panel of 29 newly diagnosed pediatric pre B-cell ALLs with normal and abnormal G-banded karyotypes to identify cryptic translocations and define complex chromosomal rearrangements. By this method, it was possible to define all add chromosomes in six cases, a cryptic t(12;21)(p13;q11) translocation in six cases, marker chromosomes in two cases and refine the misidentified aberrations by G-banding in two cases. In addition, we identified five novel non-recurrent translocations – t(2;9)(p11.2;p13), t(2;22) (p11.2;q11.2), t(6;8)(p12;p11), t(12;14)(p13;q32) and t(X;8)(p22.3;q?). Of these translocations, t(2;9), t(2;22) and t(12;14) were identified by G-banding analysis and confirmed by SKY. We characterized a t(12;14)(p13;q32) translocation by FISH, and identified a fusion of TEL with IGH for the first time in ALL. We identified a rearrangement of PAX5 locus in a case with t(2;9)(p11.2;p13) by FISH and defined the breakpoint telomeric to PAX5 in der(9)t(3;9)(?;p13). These studies demonstrate the utility of using SKY in combination with G-banding and FISH to augment the precision with which chromosomal aberrations may be identified in tumor cells.

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Acknowledgements

This study was partially supported by a research grant from the Fleming-Davenport Foundation.

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  1. L Cooley

    Present address: Children's Mercy Hospital, Section of Medical Genetics and Molecular Medicine, Kansas City, MO, USA

Authors and Affiliations

  1. Division of Hematology-Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA

    XY Lu, CP Harris, J Margolin, PC Steuber, M Sheldon, PH Rao & CC Lau

  2. University of Texas Medical School, Houston, TX, USA

    L Cooley

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Lu, X., Harris, C., Cooley, L. et al. The utility of spectral karyotyping in the cytogenetic analysis of newly diagnosed pediatric acute lymphoblastic leukemia. Leukemia 16, 2222–2227 (2002). https://doi.org/10.1038/sj.leu.2402662

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