Comparison Between Integrated Genomic DNA/RNA Profiling and Fluorescence In Situ Hybridization in the Detection of MYC, BCL-2, and BCL-6 Gene Rearrangements in Large B-Cell Lymphomas

Abstract Objectives To compare fluorescence in situ hybridization (FISH) and a commercially available sequencing assay for comprehensive genomic profiling (CGP) to determine the best approach to identify gene rearrangements (GRs) in large B-cell lymphomas (LBCLs). Methods Comparison of standard-of-c...

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Veröffentlicht in:American journal of clinical pathology 2020-02, Vol.153 (3), p.353-359
Hauptverfasser: Cassidy, Daniel P, Chapman, Jennifer R, Lopez, Rafael, White, Kyle, Fan, Yao-Shan, Casas, Carmen, Severson, Eric A, Vega, Francisco
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container_issue 3
container_start_page 353
container_title American journal of clinical pathology
container_volume 153
creator Cassidy, Daniel P
Chapman, Jennifer R
Lopez, Rafael
White, Kyle
Fan, Yao-Shan
Casas, Carmen
Severson, Eric A
Vega, Francisco
description Abstract Objectives To compare fluorescence in situ hybridization (FISH) and a commercially available sequencing assay for comprehensive genomic profiling (CGP) to determine the best approach to identify gene rearrangements (GRs) in large B-cell lymphomas (LBCLs). Methods Comparison of standard-of-care FISH assays (including a two-probe approach for MYC; break-apart and fusion probes) and an integrated genomic DNA/RNA sequencing CGP approach on a set of 69 consecutive LBCL cases. Results CGP detected GRs, including those involving MYC (1), BCL-2 (3), and BCL-6 (3), not detected by FISH. FISH detected non–IgH-MYC (4) and BCL-6 (2) GRs that were not detected by CGP. In four instances, standalone CGP or FISH testing would have missed a double-hit lymphoma. Conclusions CGP was superior to FISH in the detection of IgH-MYC rearrangements but was inferior for the detection of non–IgH-MYC rearrangements. Our study demonstrates the rationale for development of a customized approach to identify GRs in LBCLs.
doi_str_mv 10.1093/ajcp/aqz172
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Methods Comparison of standard-of-care FISH assays (including a two-probe approach for MYC; break-apart and fusion probes) and an integrated genomic DNA/RNA sequencing CGP approach on a set of 69 consecutive LBCL cases. Results CGP detected GRs, including those involving MYC (1), BCL-2 (3), and BCL-6 (3), not detected by FISH. FISH detected non–IgH-MYC (4) and BCL-6 (2) GRs that were not detected by CGP. In four instances, standalone CGP or FISH testing would have missed a double-hit lymphoma. Conclusions CGP was superior to FISH in the detection of IgH-MYC rearrangements but was inferior for the detection of non–IgH-MYC rearrangements. Our study demonstrates the rationale for development of a customized approach to identify GRs in LBCLs.</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/ajcp/aqz172</identifier><identifier>PMID: 31872861</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adult ; Aged ; Aged, 80 and over ; B-cell lymphoma ; Bcl-2 protein ; BCL-6 gene ; Bcl-6 protein ; Comparative analysis ; Deoxyribonucleic acid ; Diagnosis ; DNA ; DNA fingerprinting ; DNA probes ; DNA sequencing ; Female ; Fluorescence in situ hybridization ; Gene Rearrangement ; Genetic aspects ; Genetic Profile ; Heavy chains ; Humans ; Immunoglobulins ; In Situ Hybridization, Fluorescence ; Lymphocytes B ; Lymphoma ; Lymphoma, Large B-Cell, Diffuse - diagnosis ; Lymphoma, Large B-Cell, Diffuse - genetics ; Lymphoma, Large B-Cell, Diffuse - pathology ; Lymphomas ; Male ; Medical prognosis ; Middle Aged ; Myc protein ; Nucleotide sequencing ; Original ; Proto-Oncogene Proteins c-bcl-2 - genetics ; Proto-Oncogene Proteins c-bcl-6 - genetics ; Proto-Oncogene Proteins c-myc - genetics ; Ribonucleic acid ; RNA ; RNA sequencing</subject><ispartof>American journal of clinical pathology, 2020-02, Vol.153 (3), p.353-359</ispartof><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2019</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-89dcfb2e2d0d884c0275f831fc3c9b2f4ce9fbbe6c1dc5946f988fcbd244a2663</citedby><cites>FETCH-LOGICAL-c507t-89dcfb2e2d0d884c0275f831fc3c9b2f4ce9fbbe6c1dc5946f988fcbd244a2663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31872861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cassidy, Daniel P</creatorcontrib><creatorcontrib>Chapman, Jennifer R</creatorcontrib><creatorcontrib>Lopez, Rafael</creatorcontrib><creatorcontrib>White, Kyle</creatorcontrib><creatorcontrib>Fan, Yao-Shan</creatorcontrib><creatorcontrib>Casas, Carmen</creatorcontrib><creatorcontrib>Severson, Eric A</creatorcontrib><creatorcontrib>Vega, Francisco</creatorcontrib><title>Comparison Between Integrated Genomic DNA/RNA Profiling and Fluorescence In Situ Hybridization in the Detection of MYC, BCL-2, and BCL-6 Gene Rearrangements in Large B-Cell Lymphomas</title><title>American journal of clinical pathology</title><addtitle>Am J Clin Pathol</addtitle><description>Abstract Objectives To compare fluorescence in situ hybridization (FISH) and a commercially available sequencing assay for comprehensive genomic profiling (CGP) to determine the best approach to identify gene rearrangements (GRs) in large B-cell lymphomas (LBCLs). Methods Comparison of standard-of-care FISH assays (including a two-probe approach for MYC; break-apart and fusion probes) and an integrated genomic DNA/RNA sequencing CGP approach on a set of 69 consecutive LBCL cases. Results CGP detected GRs, including those involving MYC (1), BCL-2 (3), and BCL-6 (3), not detected by FISH. FISH detected non–IgH-MYC (4) and BCL-6 (2) GRs that were not detected by CGP. In four instances, standalone CGP or FISH testing would have missed a double-hit lymphoma. Conclusions CGP was superior to FISH in the detection of IgH-MYC rearrangements but was inferior for the detection of non–IgH-MYC rearrangements. Our study demonstrates the rationale for development of a customized approach to identify GRs in LBCLs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>B-cell lymphoma</subject><subject>Bcl-2 protein</subject><subject>BCL-6 gene</subject><subject>Bcl-6 protein</subject><subject>Comparative analysis</subject><subject>Deoxyribonucleic acid</subject><subject>Diagnosis</subject><subject>DNA</subject><subject>DNA fingerprinting</subject><subject>DNA probes</subject><subject>DNA sequencing</subject><subject>Female</subject><subject>Fluorescence in situ hybridization</subject><subject>Gene Rearrangement</subject><subject>Genetic aspects</subject><subject>Genetic Profile</subject><subject>Heavy chains</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>In Situ Hybridization, Fluorescence</subject><subject>Lymphocytes B</subject><subject>Lymphoma</subject><subject>Lymphoma, Large B-Cell, Diffuse - diagnosis</subject><subject>Lymphoma, Large B-Cell, Diffuse - genetics</subject><subject>Lymphoma, Large B-Cell, Diffuse - pathology</subject><subject>Lymphomas</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Middle Aged</subject><subject>Myc protein</subject><subject>Nucleotide sequencing</subject><subject>Original</subject><subject>Proto-Oncogene Proteins c-bcl-2 - genetics</subject><subject>Proto-Oncogene Proteins c-bcl-6 - genetics</subject><subject>Proto-Oncogene Proteins c-myc - genetics</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>RNA sequencing</subject><issn>0002-9173</issn><issn>1943-7722</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kktv1DAUhSMEokNhxR5ZQkJINB0_8twgzaT0IQ0FFViwshznOuNRYqdO0mr6w_h9OJ1SKELIC1v2d87VvT5B8JLgQ4JzNhcb2c3F5Q1J6aNgRvKIhWlK6eNghjGmYU5Sthc86_sNxoRmOHoa7DGSpTRLyCz4Udi2E0731qAlDNcABp2ZAWonBqjQCRjbaomOzhfzi_MF-uys0o02NRKmQsfNaB30EowEr0Jf9DCi023pdKVvxKC9pzZoWAM6ggHk7YVV6OP34gAti1VID25tpmMylQJ0AcI5YWpowQz9pF4JVwNahgU0DVpt225tW9E_D54o0fTw4m7fD74df_hanIarTydnxWIVyhinQ5jllVQlBVrhKssiiWkaq4wRJZnMS6oiCbkqS0gkqWScR4nKs0zJsqJRJGiSsP3g_c63G8sWKt_p4ETDO6db4bbcCs0fvhi95rW94inGqZ-yN3h7Z-Ds5Qj9wFvtB9Y0woAde04ZwyzCNE89-vovdGNHZ3x7nEY0jpOERuw3VYsGuDbK-rpyMuWLhKQZZjmJPXX4D8qvCvx3WgP-F-Gh4N1OIJ3tewfqvkeC-RQzPsWM72Lm6Vd_juWe_ZUrD7zZAXbs_uv0E46N25M</recordid><startdate>20200208</startdate><enddate>20200208</enddate><creator>Cassidy, Daniel P</creator><creator>Chapman, Jennifer R</creator><creator>Lopez, Rafael</creator><creator>White, Kyle</creator><creator>Fan, Yao-Shan</creator><creator>Casas, Carmen</creator><creator>Severson, Eric A</creator><creator>Vega, Francisco</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200208</creationdate><title>Comparison Between Integrated Genomic DNA/RNA Profiling and Fluorescence In Situ Hybridization in the Detection of MYC, BCL-2, and BCL-6 Gene Rearrangements in Large B-Cell Lymphomas</title><author>Cassidy, Daniel P ; 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Methods Comparison of standard-of-care FISH assays (including a two-probe approach for MYC; break-apart and fusion probes) and an integrated genomic DNA/RNA sequencing CGP approach on a set of 69 consecutive LBCL cases. Results CGP detected GRs, including those involving MYC (1), BCL-2 (3), and BCL-6 (3), not detected by FISH. FISH detected non–IgH-MYC (4) and BCL-6 (2) GRs that were not detected by CGP. In four instances, standalone CGP or FISH testing would have missed a double-hit lymphoma. Conclusions CGP was superior to FISH in the detection of IgH-MYC rearrangements but was inferior for the detection of non–IgH-MYC rearrangements. Our study demonstrates the rationale for development of a customized approach to identify GRs in LBCLs.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>31872861</pmid><doi>10.1093/ajcp/aqz172</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
B-cell lymphoma
Bcl-2 protein
BCL-6 gene
Bcl-6 protein
Comparative analysis
Deoxyribonucleic acid
Diagnosis
DNA
DNA fingerprinting
DNA probes
DNA sequencing
Female
Fluorescence in situ hybridization
Gene Rearrangement
Genetic aspects
Genetic Profile
Heavy chains
Humans
Immunoglobulins
In Situ Hybridization, Fluorescence
Lymphocytes B
Lymphoma
Lymphoma, Large B-Cell, Diffuse - diagnosis
Lymphoma, Large B-Cell, Diffuse - genetics
Lymphoma, Large B-Cell, Diffuse - pathology
Lymphomas
Male
Medical prognosis
Middle Aged
Myc protein
Nucleotide sequencing
Original
Proto-Oncogene Proteins c-bcl-2 - genetics
Proto-Oncogene Proteins c-bcl-6 - genetics
Proto-Oncogene Proteins c-myc - genetics
Ribonucleic acid
RNA
RNA sequencing
title Comparison Between Integrated Genomic DNA/RNA Profiling and Fluorescence In Situ Hybridization in the Detection of MYC, BCL-2, and BCL-6 Gene Rearrangements in Large B-Cell Lymphomas
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