FISH and real-time RT-PCR analysis in 48 cases of MM
. | . | . | . | . | . | . | QRT-PCR . | . | . | |
---|---|---|---|---|---|---|---|---|---|---|
Case . | Age . | Sex . | MG . | Histology . | Segregation FISH≈ . | Locus-specific FISH≈ . | Cyclin D1 . | MYEOV . | IHC Cyclin D1 . | |
Group 1 | ||||||||||
1 | 64 | M | G,κ | I-LP | NF | ND | 666.25 | 1.99 | +++ | |
2a* | 78 | F | G,κ | I | Pos | ND | 425 | 9.57 | +++ | |
2b* | 78 | F | G,κ | I | Pos, ↑ copies | ND | 571 | ND | +++ | |
3 | 58 | M | G,κ | I-LP | Pos | ND | 408.09 | 3.3 | +++ | |
4 | 59 | M | NA | I-LP | Pos†, ↑ copies | ND | 192.9 | 3.71 | +++ | |
5 | 61 | F | κ | I | Pos, ↑ copies | ND | 175.9 | 0.55 | +++ | |
6 | 81 | M | λ | I-LP | Pos†, ↑ copies | ND | 166.71 | 0.03 | +++ | |
7 | 56 | F | G,κ | I | Pos†, ↑ copies | ND | 163.51 | 2.71 | +++ | |
8 | 59 | M | κ | I-LP | Pos, ↑ copies | ND | 145.22 | 0.35 | +++ | |
9 | 76 | F | λ | I | Pos | ND | 139.24 | 44.4 | +++ | |
10 | 40 | M | G,κ | I | Pos†, ↑ copies | ND | 103.85 | 1.98 | +++ | |
11* | 76 | M | κ | I-LP | Pos | ND | 96.76 | 1.79 | +++ | |
Group 2 | ||||||||||
12a | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 18.72 | 7.58 | ++ | |
12b | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 14.23 | ND | ++ | |
12c | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 17.07 | ND | + | |
13 | 78 | M | NA | I | Neg | Disomy | 15.44 | ND | ++ | |
14 | 69 | F | G,κ | I | Neg | Disomy | 15.34 | 24.28 | ++ | |
15‡ | 32 | M | G,κ | I | Neg, ↑ copies | Polysomy | 15.36 | 31.59 | + | |
16 | 66 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 12.42 | 1.76 | + | |
17a | 59 | M | G,κ | I | ND | Polysomy | 10.49 | 7.25 | + | |
17b | 59 | M | G,κ | I | Neg, ↑ copies | Polysomy | 5.27 | ND | + | |
17c | 59 | M | G,κ | I | Neg, ↑ copies | Polysomy | 6.7 | ND | + | |
18 | 74 | F | G,κ | I | Neg, ↑ copies | Polysomy | 3.78 | 11.34 | ++ | |
19 | 74 | F | G,κ | I | Neg, ↑ copies | Polysomy | 7.79 | 10.42 | Neg∥ | |
20 | 60 | F | G,λ | II | Neg§ | Polysomy | 7.64 | 1.59 | Neg | |
21 | 61 | M | NA | I | Neg, ↑ copies | Polysomy | 6.6 | 19.95 | Neg∥ | |
22* | 56 | F | NA | I-LP | Neg, ↑ copies | Polysomy | 4.14 | 13.94 | Neg | |
23 | 60 | F | G,κ | I | Neg, ↑ copies | Polysomy | 3.63 | 0.36 | Neg | |
24 | 68 | M | NA | I | Neg, ↑ copies | Polysomy | 3.28 | 2.34 | Neg∥ | |
25* | 69 | F | G,κ | I | Neg§ | Polysomy | 2.56 | 3.57 | Neg | |
26 | 73 | M | G,κ | I | Neg, ↑ copies | Polysomy | 2.5 | 3.2 | Neg | |
Group 3 | ||||||||||
27 | 76 | M | A,λ | II | Neg | ND | 2.03 | 0.36 | Neg | |
28 | 48 | F | λ | II | Neg | ND | 1.55 | 0.18 | Neg | |
29 | 63 | F | G,κ | II | Neg | ND | 1.26 | NF | Neg | |
30 | 79 | F | NA | I | Neg | ND | 1.23 | 2.13 | Neg | |
31 | 47 | F | κ | I | Neg | ND | 1.0 | 4.23 | Neg | |
32 | 71 | F | G,κ | I | Neg | ND | 0.87 | 6.6 | ND | |
33 | 52 | M | G,λ | I | Neg | ND | 0.77 | Absent | Neg | |
34 | 72 | F | NA | II | Neg | ND | 0.77 | 0.44 | ND | |
35 | 75 | M | NA | II | Neg, ↑ copies | Polysomy | 0.67 | 0.01 | Neg | |
36 | 74 | F | κ | I | Neg | ND | 0.62 | 0.8 | Neg | |
37 | 55 | F | λ | I | Neg | ND | 0.57 | 1.14 | Neg | |
38* | 63 | F | A,λ | I | Neg | ND | 0.46 | 13.38 | Neg | |
39a | 75 | F | κ | I | Neg | ND | 0.44 | ND | Neg | |
39b | 75 | F | κ | I | Neg | ND | 0.14 | 2.48 | Neg | |
40 | 62 | F | M,λ | II | Neg | ND | 0.7 | 2.66 | Neg | |
41 | 69 | M | G,λ | I | Neg | ND | 0.38 | ND | Neg | |
42a | 64 | M | G,κ | II | Neg | ND | 0.37 | ND | Neg | |
42b | 64 | M | G,κ | II | Neg | ND | 0.82 | 3.42 | Neg | |
42c | 64 | M | G,κ | II | Neg | ND | 0.42 | ND | Neg | |
43 | 54 | M | λ | I-LP | Neg | ND | 0.27 | 4.14 | Neg | |
44‡ | 64 | F | G,λ | I | Neg | ND | 0.26 | 6.8 | Neg | |
45 | 63 | M | G,λ | I | Neg | ND | 0.26 | 6.24 | Neg | |
46 | 64 | F | G,λ | I | Neg | ND | 0.2 | 5.8 | Neg | |
47 | 76 | M | G,κ | II | Neg | ND | 0.13 | 1.28 | Neg | |
48 | 57 | M | NA | I | Neg | ND | 0.11 | 0.21 | Neg |
. | . | . | . | . | . | . | QRT-PCR . | . | . | |
---|---|---|---|---|---|---|---|---|---|---|
Case . | Age . | Sex . | MG . | Histology . | Segregation FISH≈ . | Locus-specific FISH≈ . | Cyclin D1 . | MYEOV . | IHC Cyclin D1 . | |
Group 1 | ||||||||||
1 | 64 | M | G,κ | I-LP | NF | ND | 666.25 | 1.99 | +++ | |
2a* | 78 | F | G,κ | I | Pos | ND | 425 | 9.57 | +++ | |
2b* | 78 | F | G,κ | I | Pos, ↑ copies | ND | 571 | ND | +++ | |
3 | 58 | M | G,κ | I-LP | Pos | ND | 408.09 | 3.3 | +++ | |
4 | 59 | M | NA | I-LP | Pos†, ↑ copies | ND | 192.9 | 3.71 | +++ | |
5 | 61 | F | κ | I | Pos, ↑ copies | ND | 175.9 | 0.55 | +++ | |
6 | 81 | M | λ | I-LP | Pos†, ↑ copies | ND | 166.71 | 0.03 | +++ | |
7 | 56 | F | G,κ | I | Pos†, ↑ copies | ND | 163.51 | 2.71 | +++ | |
8 | 59 | M | κ | I-LP | Pos, ↑ copies | ND | 145.22 | 0.35 | +++ | |
9 | 76 | F | λ | I | Pos | ND | 139.24 | 44.4 | +++ | |
10 | 40 | M | G,κ | I | Pos†, ↑ copies | ND | 103.85 | 1.98 | +++ | |
11* | 76 | M | κ | I-LP | Pos | ND | 96.76 | 1.79 | +++ | |
Group 2 | ||||||||||
12a | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 18.72 | 7.58 | ++ | |
12b | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 14.23 | ND | ++ | |
12c | 67 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 17.07 | ND | + | |
13 | 78 | M | NA | I | Neg | Disomy | 15.44 | ND | ++ | |
14 | 69 | F | G,κ | I | Neg | Disomy | 15.34 | 24.28 | ++ | |
15‡ | 32 | M | G,κ | I | Neg, ↑ copies | Polysomy | 15.36 | 31.59 | + | |
16 | 66 | M | G,κ | I-LP | Neg, ↑ copies | Polysomy | 12.42 | 1.76 | + | |
17a | 59 | M | G,κ | I | ND | Polysomy | 10.49 | 7.25 | + | |
17b | 59 | M | G,κ | I | Neg, ↑ copies | Polysomy | 5.27 | ND | + | |
17c | 59 | M | G,κ | I | Neg, ↑ copies | Polysomy | 6.7 | ND | + | |
18 | 74 | F | G,κ | I | Neg, ↑ copies | Polysomy | 3.78 | 11.34 | ++ | |
19 | 74 | F | G,κ | I | Neg, ↑ copies | Polysomy | 7.79 | 10.42 | Neg∥ | |
20 | 60 | F | G,λ | II | Neg§ | Polysomy | 7.64 | 1.59 | Neg | |
21 | 61 | M | NA | I | Neg, ↑ copies | Polysomy | 6.6 | 19.95 | Neg∥ | |
22* | 56 | F | NA | I-LP | Neg, ↑ copies | Polysomy | 4.14 | 13.94 | Neg | |
23 | 60 | F | G,κ | I | Neg, ↑ copies | Polysomy | 3.63 | 0.36 | Neg | |
24 | 68 | M | NA | I | Neg, ↑ copies | Polysomy | 3.28 | 2.34 | Neg∥ | |
25* | 69 | F | G,κ | I | Neg§ | Polysomy | 2.56 | 3.57 | Neg | |
26 | 73 | M | G,κ | I | Neg, ↑ copies | Polysomy | 2.5 | 3.2 | Neg | |
Group 3 | ||||||||||
27 | 76 | M | A,λ | II | Neg | ND | 2.03 | 0.36 | Neg | |
28 | 48 | F | λ | II | Neg | ND | 1.55 | 0.18 | Neg | |
29 | 63 | F | G,κ | II | Neg | ND | 1.26 | NF | Neg | |
30 | 79 | F | NA | I | Neg | ND | 1.23 | 2.13 | Neg | |
31 | 47 | F | κ | I | Neg | ND | 1.0 | 4.23 | Neg | |
32 | 71 | F | G,κ | I | Neg | ND | 0.87 | 6.6 | ND | |
33 | 52 | M | G,λ | I | Neg | ND | 0.77 | Absent | Neg | |
34 | 72 | F | NA | II | Neg | ND | 0.77 | 0.44 | ND | |
35 | 75 | M | NA | II | Neg, ↑ copies | Polysomy | 0.67 | 0.01 | Neg | |
36 | 74 | F | κ | I | Neg | ND | 0.62 | 0.8 | Neg | |
37 | 55 | F | λ | I | Neg | ND | 0.57 | 1.14 | Neg | |
38* | 63 | F | A,λ | I | Neg | ND | 0.46 | 13.38 | Neg | |
39a | 75 | F | κ | I | Neg | ND | 0.44 | ND | Neg | |
39b | 75 | F | κ | I | Neg | ND | 0.14 | 2.48 | Neg | |
40 | 62 | F | M,λ | II | Neg | ND | 0.7 | 2.66 | Neg | |
41 | 69 | M | G,λ | I | Neg | ND | 0.38 | ND | Neg | |
42a | 64 | M | G,κ | II | Neg | ND | 0.37 | ND | Neg | |
42b | 64 | M | G,κ | II | Neg | ND | 0.82 | 3.42 | Neg | |
42c | 64 | M | G,κ | II | Neg | ND | 0.42 | ND | Neg | |
43 | 54 | M | λ | I-LP | Neg | ND | 0.27 | 4.14 | Neg | |
44‡ | 64 | F | G,λ | I | Neg | ND | 0.26 | 6.8 | Neg | |
45 | 63 | M | G,λ | I | Neg | ND | 0.26 | 6.24 | Neg | |
46 | 64 | F | G,λ | I | Neg | ND | 0.2 | 5.8 | Neg | |
47 | 76 | M | G,κ | II | Neg | ND | 0.13 | 1.28 | Neg | |
48 | 57 | M | NA | I | Neg | ND | 0.11 | 0.21 | Neg |
Group 1: t(11;14)-positive and high cyclin D1 mRNA and protein. Group 2: t(11;14)-negative and low to intermediate cyclin D1 mRNA and protein. Group 3: t(11;14) and cyclin D1 mRNA and protein negative. MG indicates monoclonal gammopathy; Segregation FISH, breakpoint analysis; Locus-specific FISH, analysis of chromosome copy numbers; IHC, immunohistochemistry; I-LP, Bartl grade I, lymphoplasmacytoid morphology lymphoplasmocytoid morphology; NF, not feasible; ND, not done; +++, ≥ 80% tumor cells strongly positive; I, Bartl grade I; II, Bartl grade II; Pos, positive; ↑ copies, increased copies; NA, data are not available; Neg, negative; ++, 20%-50% tumor cells positive; and +, 10%-20% tumor cells positive.
Positive for CD20 in a proportion of tumor cells.
Segregation FISH pattern indicative of a translocation with subsequent loss of the derivative chromosome containing MYEOV (see Figure 1D for a representative example).
Multiple biopsies were analyzed.
Not informative concerning copy number changes.
Cases were considered negative, however, rare bona fide plasma cells were positive for cyclin D1.