Leukemia

TABLE 2

FROM:

Cryptic insertion and translocation or nondividing leukemic cells disclosed by FISH analysis in infant acute leukemia with discrepant molecular and cytogenetic findings

N Watanabe, H Kobayashi, O Ichiji, M A Yoshida, A Kikuta, Y Komada, I Sekine, Y Ishida, Y Horiukoshi, Y Tsunematsu, M Yano, H Nakadate and Y Kaneko

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Table 2. Clinical findings, karyotypes and the MLL status in 13 acute leukemia infants with discrepancy between cytogenetic and Southern blot findings

     Methods used to detect 11q23/MLL rearrangements
     Southern blot FISH a   
Patient No. Age/sex FAB Karyotype   Interphase Metaphase RT–PCR Interpretation after FISH analysis
Group B: MLL-R/11q23 translocation
2968m/ML146,XYRR (68%)N (0/4)Not detectedLeukemic cells were not dividing
9423d/ML146,XYRR (77%)N (0/5)Not detectedLeukemic cells were not dividing
18567m/ML146,XYRR (90%)N (0/10)Not detectedLeukemic cells were not dividing
21518m/FM5b46,XXRR (12%)N (0/20)Not detectedLeukemic cells were not dividing
21559m/FL146,XXRR (77%)N (0/10)Not detectedLeukemic cells were not dividing
14775m/FM5b46,XXRR (96%)R (7/10)Not detected46,XX,inv ins(10;11)(p12;q23q23)
20542m/FL146,XXRR (86%)R (8/10) MLL–AF4 46,XX,ins(4;11)(q21;q23q23)
14942m/FM546,XX,t(6;19)(q21;p13)RR (49%)R (8/10)Not detected46,XY,t(6;19)(q21;p13),t(11;19)(q23;p13)
21348m/MM446,XY,-1,der(11)t(1;11)(q21;q13),+marRR (74%)R (10/10) MLL–AF1q 46,XY,der(11)t(1;11)(11pterright arrow11q13::11q23right arrow11q23::1q21right arrow
        1qter),der(1)t(1;11)(1p12right arrow1q21::11q23right arrow11q25::1p12right arrow
        1p32::11q13right arrow11q23::1p32right arrow1pter)
         
M2019m/MM446,XY,-1,der(11)t(1;11)(q21;q13),+marRNDND MLL–AF1q 46,XY,der(11)t(1;11)(11pterright arrow11q13::11q23right arrow11q23::1q21right arrow
        1qter), der(1)t(1;11)(1p12right arrow1q21::11q23right arrow11q25::1p12right arrow
        1p32::11q13right arrow11q23::1p32right arrow1pter)
         
19821m/FL147,XX,+6,add(17)(q21)RN (0.5%)NMNot detectedPartial tandem duplication of MLL?
         
Group C: MLL-G/11q23 translocation
20609m/MM5a48,XY,+8,t(11;19)(q23;q13),+marGN (0%)N (0/20)NDBreakpoint is distal to the MLL locus
3316m/ML146,XY,t(4;11)(q21;q23)GR (43%)N (0/10)Not detectedBreakpoint may be located inside the MLL locus, but outside of its bcr

 m, months; d, days; R, rearranged; G, germline; N, not rearranged; ND, not done; NM, no metaphase cells; bcr, breakpoint cluster region.

a In all, 200 cells were counted for interphase FISH analysis, and 4–20 cells were counted for metaphase FISH analysis.

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