Document Detail


DNA Index in childhood acute lymphoblastic leukaemia: a karyotypic method to validate the flow cytometric measurement.
MedLine Citation:
PMID:  19793113     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The DNA index (DI) is a prognostic factor in childhood acute lymphoblastic leukemia (ALL). The accuracy of DI measurement is important for treatment stratification: hyperdiploidy with DI > or = 1.16 is predictive of favorable prognosis whereas hypodiploidy is associated with poor prognosis. The aim of this study was to validate the accuracy of the DI measured by flow cytometry (FCM) by comparison with the karyotype. From samples of 112 childhood ALL, we created a formula to calculate a theoretical DNA index (tDI) based on the blast cell karyotype, taking into account the additional or missing chromosome material of the major clone. FCM DI correlated with tDI calculated from karyotype (R = 0.987) and with modal chromosome number (DI = 0.0202 x Modal NB + 0.0675 and R = 0.984). In three cases a hypodiploid blast cell population was detected by FCM, while only the duplicated clone was identified by the karyotype. The strong correlation between tDI and DI validates the accuracy of FCM quantification, which is technically fast on fresh or frozen samples. If the karyotype is essential to analyze chromosomal abnormalities, FCM provides complementary information in aneuploid ALLs, either by confirming the cytogenetic data or by detecting additional clones not identified when only using cytogenetic data.
Authors:
P Rachieru-Sourisseau; L Baranger; N Dastugue; A Robert; F Geneviève; E Kuhlein; A Chassevent
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Publication Detail:
Type:  Journal Article; Validation Studies     Date:  2009-09-28
Journal Detail:
Title:  International journal of laboratory hematology     Volume:  32     ISSN:  1751-553X     ISO Abbreviation:  Int J Lab Hematol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-11     Completed Date:  2010-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101300213     Medline TA:  Int J Lab Hematol     Country:  England    
Other Details:
Languages:  eng     Pagination:  288-98     Citation Subset:  IM    
Affiliation:
Unité d'Hématologie-Immunologie-Oncologie, Pole Enfant, CHU Angers, France. PeRachieru@chu-angers.fr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
B-Lymphocytes / immunology
Cell Lineage
Child
Child, Preschool
DNA / analysis*
Female
Flow Cytometry / methods*
Humans
Infant
Karyotyping / methods*
Male
Ploidies
Precursor Cell Lymphoblastic Leukemia-Lymphoma / diagnosis*,  genetics
Prognosis
T-Lymphocytes / immunology
Chemical
Reg. No./Substance:
9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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