Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia

Flow cytometric DNA-index (DIFCM) and karyotype were analysed in 82 consecutive children with acute lymphoblastic leukemia (ALL) during a 10 year period. A statistically significant correlation existed between modal chromosome number and DIFCM (p = 0.009). DIFCM could reliably identify leukemias wit...

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Main Authors: Erik Forestier, Gösta Holmgren, Göran Roos
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/1998/712042
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author Erik Forestier
Gösta Holmgren
Göran Roos
author_facet Erik Forestier
Gösta Holmgren
Göran Roos
author_sort Erik Forestier
collection DOAJ
description Flow cytometric DNA-index (DIFCM) and karyotype were analysed in 82 consecutive children with acute lymphoblastic leukemia (ALL) during a 10 year period. A statistically significant correlation existed between modal chromosome number and DIFCM (p = 0.009). DIFCM could reliably identify leukemias with >51 chromosomes, whereas only three out of 12 cases with modal chromosome numbers between 47–51 were classified as aneuploid by DIFCM. In the pseudodiploid group only one out of 20 leukemias had a DIFCM>1.0. Five leukemias with a diploid karyotype showed an aneuploid DIFCM and in three patients the flow cytometric measurement revealed biclonality undetected by karyotyping. During treatment aneuploid clones could be detected by DIFCM in a substantial number of cases where the cytogenetic analysis was normal, and the opposite was also demonstrated in one case. DIFCM gave prognostic information, showing that cases with a DI >1.12 (corresponding to 51 chromosomes) had a superior outcome with treatment protocols today in use.
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spelling doaj-art-6af1a191e8ab4f7ab66176cfde980ca92025-02-03T05:58:52ZengWileyAnalytical Cellular Pathology0921-89121878-36511998-01-0117314515610.1155/1998/712042Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic LeukemiaErik Forestier0Gösta Holmgren1Göran Roos2Department of Pediatrics, Umeå University, SwedenDepartment of Clinical Genetics, Umeå University, SwedenDepartment of Pathology, Umeå University, SwedenFlow cytometric DNA-index (DIFCM) and karyotype were analysed in 82 consecutive children with acute lymphoblastic leukemia (ALL) during a 10 year period. A statistically significant correlation existed between modal chromosome number and DIFCM (p = 0.009). DIFCM could reliably identify leukemias with >51 chromosomes, whereas only three out of 12 cases with modal chromosome numbers between 47–51 were classified as aneuploid by DIFCM. In the pseudodiploid group only one out of 20 leukemias had a DIFCM>1.0. Five leukemias with a diploid karyotype showed an aneuploid DIFCM and in three patients the flow cytometric measurement revealed biclonality undetected by karyotyping. During treatment aneuploid clones could be detected by DIFCM in a substantial number of cases where the cytogenetic analysis was normal, and the opposite was also demonstrated in one case. DIFCM gave prognostic information, showing that cases with a DI >1.12 (corresponding to 51 chromosomes) had a superior outcome with treatment protocols today in use.http://dx.doi.org/10.1155/1998/712042
spellingShingle Erik Forestier
Gösta Holmgren
Göran Roos
Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
Analytical Cellular Pathology
title Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
title_full Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
title_fullStr Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
title_full_unstemmed Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
title_short Flow Cytometric DNA Index and Karyotype in Childhood Lymphoblastic Leukemia
title_sort flow cytometric dna index and karyotype in childhood lymphoblastic leukemia
url http://dx.doi.org/10.1155/1998/712042
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