RESEARCH ARTICLES
Improved Detection of Chromosomal Abnormalities
in Chronic Lymphocytic Leukemia by Conventional
Cytogenetics Using CpG Oligonucleotide
and Interleukin-2 Stimulation:
A Belgian Multicentric Study
Pete Vt at Sees Conese gk plana
‘ua aol Yor aa Ane Hagen Pr tna
{te Bejn Cyopnte Guyer Horm Oneangy BEGG)
‘mn Peace ne om
etre rina cence
Sime Tiga Ul Sr aa Cri de ov ak Bas
‘aed shmates 17 cnmone ted era che pete (0) oredr ra
‘oj loer aoe tee Saga 3) ar cara nee stn 045) Pl ah of iperHoed
iensctow mew top nh cto ot i cmon esl nog fa Orson
ete (cr 2 ominaon of C6 egaucccce (46) tl rho OM ems weep
i nc Go rate el} ce Be rs ea
ITs CHGHLS care cnr TP ate 0 ce Ce heron re
aed enone ein Cp? or Ph n 3915) nd (5) ea tarry ogee
Ini hyegps war ted nh HEAL? ns DOL wi OA P< 000) pein f= 0)
“hed te en areas wot by comes gets exes St) (9 7,
in ei 6 ati ha f= oman rn sn oC
[eprom ante oad RS Howe arctan for Feed al eran
‘crag compan orc a sas 69 Why
Innopuerion reveling sora aryuype in 40-50% of ee
Numesus sles base shown that dhe pres atsn eta 190). The ate of dete es
ca Nantes ind ype af trance see, be laren to BS hy interne FSH her
Sow’ repesch an iadpsnent pote! & 200). However, the ater tense
Prognosis to Brel choi hpi leukemia tesony pail infertion conned to the he
(CEL) Goose Ye Dc xan, msl ens examined. Po this enon, thee
Daye oy 20K, Van Ben Nee ety 207)
Thaler etopsnci lye i rowley
psc ia tha dene exity, Homerer CLL end 0)
Dhue aeaate “C1PA}, “ipopalyexchare
{EBL pkcwend igen WAI sn pene Rend yp ie
Sar vin hove boon eed te ees co Souitaigezat
improve the ick of aberanemeapince, winch eyoSete onvons “Ser _mapnertnes _CoGA2 AGG
Foieior ao GL Sit 2 foe NO 'S
femench ” Sege Mt Tea
Sample cel wis dtmined ing a
Sino cqvilene oie FISH CT 1). aut coe facet “Comer, Mi
Unt vn yan fp compel te ul Nam, el. Deas en ee sok
Chelacd ys now cette) wah Nt Relea, Dello ee ong
TPA (Saki cea, 200) “Theres we pet ell om psigho tno (0 = 37) a
famed amen yas the impett of fone mar 13), wee naw PT
tiesedfeen ctor pceies onthe detection [949 mum wit) HEPES adage
Sf dont soma eave soning THe (Laon Region stele as
Setotiie pesca acniy rc canton peice Wek Tagen oneal wit
‘ims + gabon Tor conventional {9h mi pens ea tarpompca (koe,
“gence none nC Tnvieagen Capac, Neste, Belg) No
(Got sfamon paces out eplid Dale
ATERIALS AND METHODS Seer we rap wich the olin oir
{TPA GirAldich. Steinheim Cevtasy) or
Pet an Spee G6 (Tip htt, tin; Gemma) sad 12
hs wiraretorpecve(rhce center and peck, onto, UR) The towing Bal
pspetve (rw exten} mulcete dy concent vt (0) TPA. Heo
Fevonel in ve Bean gence comer car. (vo center US pn (ne eee), Ol a
Fondy ig CpOM2 foe snutin af CLL wo center) and (2) Cpr ty and U2 100
CllenerBerwees Oater 207 snd Nore” Ul al semen). Asding tal pati pol
ter Bak, 217 comer antec ones, hen difeem coceteinn TPA wore we
‘Sled fr tine amis of CLL cies Seah the mandy ws rewopetve fr tne. centr
‘ens (= 172) o dng falwop (r= 45) Smpes wee incubated for 72 at 3P°C an
‘eve cane ncn sata wre () digo: $460. nly huni seep, Cae
"of CLL and (2) asssment by" punllel mid (Gen, Invivogen Coroeion, Neelbske,seams it ati Sr man yn pone inn
ocr wie
sremiey NL oN pD
se 9 9)
wns NN a
os ew Nf inet
ee
Sg nD Fa ERT NE EN THOT PELE lS RRND BAT NN, BALpu A = @ x 2 = ow
osha not 2 8 ob bh Bm
sei
er) eo Rw Mw ows
aoa 3 8 4 te
elt 7 oe 4 88
‘in omg
‘aaa e 2 2
fae f bp 4G &
pe an ah ne (ed 9 no eo
ect neta Yu canes rans eo OR
Heevinesafedn coon ranwe(aame) WS
eX eB
‘Onst a
“lb mmatrae nC 8 ot 8
Song mae tie 8 8 4
mi a ooo
rere oo? ooo
Ek FE dn ron erase ee
‘Nowa cea Td cytes z 2 s
‘ser eeanasine a4
‘teeta ecAn pe) noo ‘
econ i *
eA dean an ego?) a *
Coes Cok ot ont) & %
FEST perme re
heater tome tren) rr
peak Sabena feng hot oa 4‘al Ts + oe 4 8 8
Saha Gea or
Seat a 3 fg 8
Teyahea moF fe 8
aut rxi cr ee
nd Sectea a ob gy Foe
‘ion To y 8 Ube
Sin eects) 8b Gf
ae bof § 6
site eyes re
iat tren rs
Bison tay re
“Econ p26 BS of fo
todo ran ese: es) . ee
‘owica isto TH 5 5
oe rate wee 8 oe
cn aun AG 85 bt
cr as C72 Boi ft
“avait 18 mal mee aa dn erly pe geenne Teale a,
Riotacaarwscwncsten ere heneisce we ounces
eum a le fr 1040 in tere ve Some) a in sgn poprtion of iespase
Tae enti cobbisie aka SigmeAldich, sul by ierpase FISH. Fare was dtned
Torn Hg) mas el ingead af Cleemid’ sls than 10 normal mete inthe ire
Chomosome papain, ining pd meuphase under cosetaion, where sccess yas defined
Suse bth clr were peste war sr 1D ome a eta ee peeoce
igen mentrd pools Gh dana sinermaity he the ane f he
Toe cones paral cnt clues wer set fests were In pt especie, ata of oy
pith ppc Hed om fe hes volun 15-20 metaphases was amb in wo ene
‘omg cove uso 8 the (Center 2 and 5) ot ening te asia of
vier eta To'metaphotes pr cle
Chota abertons en
Pliemton capac wk exited eg
mana conn of etaphnos yrs he enter
Aree lsd notice pops 18 mito
Sid, 1-20 mioseasde apd >20 its
Karyorypes vere desi asain 20 1SCN
0s (Sater an Terme, 200) Niele
fe aarti were deed a those stint
fri egy dei Hate
fate Sl end treaton Ado!
Sheri wks ined in
(he pomp a mincing aber
to Soaed wa trmicatinClnay woe MA of bai
{nined ay the pesene esr nas "The cases were casi in dice groupe
rpm ofan ene chonmmame i tft evo goad feed, ae gor, asarding tothe
Miciphaes arf oan cure chenese i at Sly of banding th ept the number of
Iu te wesennes When pa sera: chenoanol ane per Ingo katy,
‘ln ws nce i ely one meu, H's S30 tad, 200-0 bay and 00 ba
Smid ss onl wher conned in at lat expect Tbe name f bas ws estimated
Soe menplase nthe pul elie (ee two With Mlagams of nding pate (Sater and
Imcposer nce f fw af thle chrome. "Tommie, 25Incrpee HM Annee
Forno sd pat fess, FISH was
Cotes Only in Cane ex an cen
yi other ecotes weed teas
Shed The flowing ‘commercaytatble
fics Cll fom Vy, Downe rove,
Ti} vere wed to hepato lod commeniy
faved in CLL: 2h (LST IYBL. 1g (St
[NDA ecnmere 12 (CH 12), 15g S13
RI conned with LSU DLSSHY 142 (81
Tat at clobteak spr, and 1718 (LS
138 ened ith CEPOL. Atte tie of
“amples from patient age fess than 70 yeas. In
(Gomer 1the pane cade i probes. ee
‘he pel ded for pao. Le 2, som
teeter 12.114 and 3p On flop se
eran inpatient aged me tha 70 Ye,
Incase FIST wat peared ecning
Tal proce pai. The alse were Bete
ened cer on unaired spl or on oe
SME TPA w GhGML-2 Guroff value wore
‘Sublated n cath cee foreach ee. Fat
tied and lsc sample ad fr psp
‘cal Mandan bone me, the sie eae
Unaiscd ileences between TPA. and
(Gye? were ened wi the MeNem test
plied for esing prion capaci and
inva nding (Nera, 97: Apes, 202
‘Diferencs, ajowed for comer and tae,
vet einstein ube pti isin
enced near med modes wh» ado,
Fee or pont and feo ak
poroptin,wsing sxinun Hkelbod (Aust,
tn adage Caner ques i 7
Points wit aed fo inepte ower the ao
Teepe west sere indeted (Ages,
az; te et, 2008) Estimates even
‘ated ith fine ltl which "Comer
for cemter, "base mow” forse and
"CpGtts2" foe meio. Deis we show a
Sopot aston Tales 19. Rls were
ome scat athe 0S level
‘Some india abceaions were fund
he tte Gene in toby *) We here
foe only sept mated re ing the
Neer tt ar these (Aes 02
‘Conon! Cyogoete Alas
Amd of 20 metaphases (ange 8-61) coud
be eqegenetiaiyanaeed ia 214 of 217 ees
(rly. Tae (JeSned above) occred in 42
fsa afer TPA (secs ate 0 B18) adn 35
fees afer CpOMLZ eultve (neces fate af
ip, No simian aitteence in freloe
fest sate for ether simulation technique as
nerve (P= 0082), Comers 2 sind 8 wee si
‘amy more likely o bute # ale ow
Se, ths eum be explained by bea!
ices conceting the number of alyeed
‘fap per clare. Of note, Ceutr# ans
Iprng the bighest number af metsptane pet
Str had the highew detection nite of sbaoe
‘nls, Detaled veut pr enter a shown
iTable
‘Con sbnomaliies were cbscred ia 16
ste (8) In Mees (3) he sero elone
hs tered fn bth cates, OF thee he po
vas of sberen mcapases were sn it
vlc 17 and higher CpG? ad
JTPA cates in aod if can reget
(One sbeant sone war doce in af thee
‘Messe Al bit ae cle wee en ath
(Glow conn, OF 22 crs wah more then
ne wbslng the sbelnes ere relat at
‘Stace br cach, One sion urelaed
Selone as found aly afer stilton with
Gp? oe TPA fora oe ees, rrp
ey. In one ee, ll sbelnes oberved in
CaCl? sod TPA cules were vorelaed. In
fe detested onl in Cx? on TPA clearer
rspasively Ts the peeenige of anormal
Kenyeryper wth: CHCHILZ and TPA vas SIs
nd Se egecvly (P< ODD on,
(Crit? tres were siiieay oe ely
to yal higher umber of abortions
{ode Dee on amber aeration pe
fare and on kareipe cme ae shown ih
The lowing aboomatie were detected
ser Cpe? and TPA. smulaton, espe:
cyl) Gr 1 a I PR)1s dy Cnet nee As
er e233 Gi@IADY
BGMRF inser
Bt Maia 1 ORS tate
Beate conse
Bs Reintaeay TT
ai
sarang wo scien '
2k Binnie an Shea :
Sian me Sieane i
Solis st sie 3
Sechampaet) et Sikes i
‘io mt May at
‘Cae mf oingleane aoa
et et
Me} etait 2
2m le 3 ‘tisleto i
iil Seta a} aa: 2
Sub e 3 sisi —
oho 3 Stele ;
cenwionr 2 simon, :
sia aimee i angen ;
Sinerar ‘ isielai? '
flan eit! ar ‘ Came 4
‘Sacra setts 4
fetpiate) : rine a i
seit) 3 Shearer :
toe ‘ ‘Sctopemeras i
Hei i soya '
eta t seine ‘
seminar t set i
eon, } Sects 3
vet Soarbiam cian i
ei gar
er decrniseintranain st
Hi Smaart siete im
Hi Stawernetiats "st hina ‘ot
fa Sith meta et Sete natn so
Te Statist sete }
Be Slee ey teeta a et
te trian, “ot ats oot
matey ‘eto et
om intone aoa weir ca
eee md 3
teiheatar at al
fonction et
Bh Seeaiematy tt at
Gian mt rae
ia aiatieansy eT ee fet
J settee ie Conary St
et en
ann _ ela D1 x pats _demenniann mo
tdiGe — 200028, P08 det Ge = 21 ve
Pen ie sbemionn Ov 2 mh
‘cluding delim tslosons ada P=
(dep) vn Boe, Pe [and dee
SB ye P= 018" “Teast afer CAGE
cum 80 ees (P42, respectively
(les and). The aces in tein rte
er Cpe? san as si for bath
laced (4 32 17) and unbalanced (n= 2
1) tandoctios. "Voeston® sce
‘sh Bell Iympoolfeve dsrder were
here i ight eae HL4IBX 32320 (= 3
aioyahdghs) Gm Zand one each of
Sets nate “nd id
(Glgi2 We aid oe mgt to crew al
Janos se to be exfeoed heetse diene
nding tiga (Ge Q) wee sed i
ferent come Neverban, the bekpoite
Teat-14 apa to be highly scuseny ing
“hicred in" 13 eatslcatins. Sone of these,
Sch #2919 cad be eee ia
“ifr pte. Means aban were
‘lected inh cme 3 cact (P= OLD) aor
(Gaited wd 'TPA simu, espe.
periph! bled fom Be belly tla
teem 30 maps were examined pe ae
fev se: In ect smal with CpG,
Di sieewtnes wee Se ct fe te
‘oat ING28A) and pin of & noon
Smiter ieee emted Sar ssne were
ined wih TPA, ta rondonlearlcion
{We1d{q S52) snd nonlnl wmy 3a one
sermons wore ial in fur eons
19) Micellneos wolves Were
Ser C52 sinlion P= M3). Among
thc onal andes wore Steed in
Her proprio Cp than a TPA cue
tues (P= 05), en G25) vem ener
(28) repetely Tae,
Plt capacty
Prieto capacity wa eed in ttf
indo ws sy higher Cit tha ib
eon 2, 15-20 mses in 18 ves 1
Ghd