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Myeloid Leukemia

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Deletion of Derivative Chromosome 9 in CML 113<br />

7. As the added 9q34 probe is labeled with an aqua fluorescent signal, it may be<br />

difficult to visualize against the pale blue 4�,6�-diamidino-2-phenylindole (DAPI)<br />

counterstain if the DAPI stain is strong. Further dilution of DAPI with extra<br />

antifade solution is advised.<br />

References<br />

1. Goldman, J. M. and Melo, J. V. (2003) Chronic myeloid leukemia—advances in<br />

biology and new approaches to treatment. N. Engl. J. Med. 349, 1451–1464.<br />

2. Chase, A., Grand, F., Zhang, J. G., Blackett, N., Goldman, J., and Gordon, M.<br />

(1997) Factors influencing the false positive and negative rates of BCR-ABL fluorescence<br />

in situ hybridization. Genes Chrom Cancer 18, 246–253.<br />

3. Dewald, G. W., Wyatt, W. A., Juneau, A. L., et al. (1998) Highly sensitive fluorescence<br />

in situ hybridization method to detect double BCR/ABL fusion and monitor<br />

response to therapy in chronic myeloid leukemia. Blood 91, 3357–3365.<br />

4. Sinclair, P. B., Nacheva, E. P., Leversha, M., et al. (2000) Large deletions at the<br />

t(9;22) breakpoint are common and may identify a poor-prognosis subgroup of<br />

patients with chronic myeloid leukemia. Blood 95, 738–744.<br />

5. Herens, C., Tassin, F., Lemaire, V., et al. (2000) Deletion of the 5�-ABL region: a<br />

recurrent anomaly detected by fluorescence in situ hybridization in about 10% of<br />

Philadelphia-positive chronic myeloid leukemia patients. Br. J. Haematol. 110,<br />

214–216.<br />

6. Huntly, B. J. P., Reid, A. G., Bench, A. J., et al. (2001) Deletions of the derivative<br />

chromosome 9 occur at the time of the Philadelphia translocation and provide a<br />

powerful and independent prognostic indicator in chronic myeloid leukemia.<br />

Blood 98, 1732–1738.<br />

7. Kolomietz, E., Al-Maghrabi, J., Brennan, S., et al. (2001) Primary chromosomal<br />

rearrangements of leukemia are frequently accompanied by extensive submicroscopic<br />

deletions and may lead to altered prognosis. Blood 97, 3581–3588.<br />

8. de la Fuente, J., Merx, K., Steer, E. J., et al. (2001) ABL-BCR expression does not<br />

correlate with deletions on the derivative chromosome 9 or survival in chronic<br />

myeloid leukemia. Blood 98, 2879–2880.<br />

9. Huntly, B. J. P., Bench, A. J., Delabesse, E., et al. (2002) Derivative chromosome<br />

9 deletions in chronic myeloid leukemia: poor prognosis is not associated with<br />

loss of ABL-BCR expression, elevated BCR-ABL levels, or karyotypic instability.<br />

Blood 99, 4547–53.<br />

10. Anelli, L., Albano, F., Zagaria, A., et al. (2004) A chronic myelocytic leukemia<br />

case bearing deletions on the three chromosomes involved in a variant t(9;22;11).<br />

Cancer Genet. Cytogenet. 148, 137–140.<br />

11. Huntly, B. J. P., Guilhot, F., Reid, A. G., et al. (2003) Imatinib improves but may<br />

not fully reverse the poor prognosis of patients with CML with derivative chromosome<br />

9 deletions. Blood 102, 2205–2212.<br />

12. Smoley, S. A., Brockman, S. R., Paternoster, S. F., Meyer, R. G., and Dewald, G.<br />

W. (2004) A novel tricolor dual-fusion fluorescence in situ hybridisation method<br />

to detect BCR/ABL fusion in cells with t(9;22)(q34;q11.2) associated with dele-

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