Romeo Maura, Chauffaille Maria de Lourdes, Silva Maria Regina R, Bahia Daniella M M, Kerbauy José
Disciplina de Hematologia e Hemoterapia, Rua Botucatu 740, 3.o Andar, 04023-900, UNIFESP/EPM, SP, São Paulo, Brazil
Leuk Res. 2002 Nov;26(11):993-6. doi: 10.1016/s0145-2126(02)00047-4.
Karyotyping is important for diagnosis and prognosis of myelodysplastic syndrome (MDS). Using fluorescence in situ hybridization (FISH) either mitotic or interphase cells can be analyzed and a higher number of cells can be screened. This study evaluated the effectiveness of FISH in detecting the most common chromosomal abnormalities [-5/del 5q/-7/+8/del 11q23 and -Y] in 40 patients with MDS. Karyotype detected abnormalities in 35.2% of the patients and FISH in 35%, while some abnormalities remained undetected by each approach but the association of both methods increased the detection rate up to 40%.
核型分析对于骨髓增生异常综合征(MDS)的诊断和预后评估至关重要。使用荧光原位杂交(FISH)技术,可以对有丝分裂期或间期细胞进行分析,并且能够筛查更多数量的细胞。本研究评估了FISH技术在检测40例MDS患者中最常见染色体异常(-5/del 5q/-7/+8/del 11q23和-Y)方面的有效性。核型分析在35.2%的患者中检测到异常,FISH在35%的患者中检测到异常,虽然每种方法都有一些异常未被检测到,但两种方法联合使用可将检测率提高至40%。