Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study

Objective: Minimal residual disease (MRD) is considered the greatest prognostic factor in acute lymphoblastic leukemia(ALL). MRD is a valuable tool for anticipating impending relapse and treatment response assessment. The objective ofthe present study was to investigate whether the detection of IgH...

Full description

Bibliographic Details
Main Authors: Sepideh Shahkarami, Samareh Younesian, Shahrbano Rostami, Farzad Kompani, Davood Bashash, Seyed Mousavi, Seyed Ghaffari
Format: Article
Language:English
Published: Royan Institute (ACECR), Tehran 2023-02-01
Series:Cell Journal
Subjects:
Online Access:https://www.celljournal.org/article_701270_10d55f2d99dee9d331af491fa317890e.pdf
_version_ 1797894788546035712
author Sepideh Shahkarami
Samareh Younesian
Shahrbano Rostami
Farzad Kompani
Davood Bashash
Seyed Mousavi
Seyed Ghaffari
author_facet Sepideh Shahkarami
Samareh Younesian
Shahrbano Rostami
Farzad Kompani
Davood Bashash
Seyed Mousavi
Seyed Ghaffari
author_sort Sepideh Shahkarami
collection DOAJ
description Objective: Minimal residual disease (MRD) is considered the greatest prognostic factor in acute lymphoblastic leukemia(ALL). MRD is a valuable tool for anticipating impending relapse and treatment response assessment. The objective ofthe present study was to investigate whether the detection of IgH gene rearrangement using polymerase chain reaction(PCR)-based GeneScan analysis could be a complementary method to monitor MRD along with the quantitative realtimePCR (qPCR).Materials and Methods: In this cross-sectional study, we valued the MRD levels, based on the GeneScanning analysis(GSA), and then compared the data with quantitative real-time polymerase chain reaction at different time points inperipheral blood (PB) samples of adult B-lineage ALL patients (n=35). The specific polymerase chain reaction (PCR)primers for IGH gene FR-1 and fluorescence-labeled J-primer were used and analyzed by capillary gel electrophoresison a sequencer. The results of this study were compared with the previously reported MRD results obtained by the IGHrearrangements allele-specific oligonucleotide (ASO) -qPCR methods.Results: The total concordance rate was 86.7%, with a P<0.001. MRD results obtained by GSA and ASO-qPCR methodswere concordant in all diagnostic samples and samples on the 14th and 28th days of induction therapy. The results of these 2.5years’ follow-ups demonstrated a significant correlation between the two techniques (r=0.892, P<0.001).Conclusion: It seems that the PCR-based GeneScan analysis of IGH gene rearrangement detection may be a valuablemolecular technique to distinguish monoclonality from polyclonality. And also, it may be a precise tool to detect theresidual leukemic DNA in the PB follow-up samples of patients.
first_indexed 2024-04-10T07:16:01Z
format Article
id doaj.art-405207f106af4f929872eed85a2a5988
institution Directory Open Access Journal
issn 2228-5806
2228-5814
language English
last_indexed 2024-04-10T07:16:01Z
publishDate 2023-02-01
publisher Royan Institute (ACECR), Tehran
record_format Article
series Cell Journal
spelling doaj.art-405207f106af4f929872eed85a2a59882023-02-25T09:41:26ZengRoyan Institute (ACECR), TehranCell Journal2228-58062228-58142023-02-01252859110.22074/cellj.2023.557390.1049701270Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional StudySepideh Shahkarami0Samareh Younesian1Shahrbano Rostami2Farzad Kompani3Davood Bashash4Seyed Mousavi5Seyed Ghaffari6Hematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranResearch Center for Immunodeficiencies, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranObjective: Minimal residual disease (MRD) is considered the greatest prognostic factor in acute lymphoblastic leukemia(ALL). MRD is a valuable tool for anticipating impending relapse and treatment response assessment. The objective ofthe present study was to investigate whether the detection of IgH gene rearrangement using polymerase chain reaction(PCR)-based GeneScan analysis could be a complementary method to monitor MRD along with the quantitative realtimePCR (qPCR).Materials and Methods: In this cross-sectional study, we valued the MRD levels, based on the GeneScanning analysis(GSA), and then compared the data with quantitative real-time polymerase chain reaction at different time points inperipheral blood (PB) samples of adult B-lineage ALL patients (n=35). The specific polymerase chain reaction (PCR)primers for IGH gene FR-1 and fluorescence-labeled J-primer were used and analyzed by capillary gel electrophoresison a sequencer. The results of this study were compared with the previously reported MRD results obtained by the IGHrearrangements allele-specific oligonucleotide (ASO) -qPCR methods.Results: The total concordance rate was 86.7%, with a P<0.001. MRD results obtained by GSA and ASO-qPCR methodswere concordant in all diagnostic samples and samples on the 14th and 28th days of induction therapy. The results of these 2.5years’ follow-ups demonstrated a significant correlation between the two techniques (r=0.892, P<0.001).Conclusion: It seems that the PCR-based GeneScan analysis of IGH gene rearrangement detection may be a valuablemolecular technique to distinguish monoclonality from polyclonality. And also, it may be a precise tool to detect theresidual leukemic DNA in the PB follow-up samples of patients.https://www.celljournal.org/article_701270_10d55f2d99dee9d331af491fa317890e.pdfacute lymphoblastic leukemiacapillary gel electrophoresisimmunoglobulin heavy chaingenescanningminimal residual disease
spellingShingle Sepideh Shahkarami
Samareh Younesian
Shahrbano Rostami
Farzad Kompani
Davood Bashash
Seyed Mousavi
Seyed Ghaffari
Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
Cell Journal
acute lymphoblastic leukemia
capillary gel electrophoresis
immunoglobulin heavy chain
genescanning
minimal residual disease
title Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
title_full Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
title_fullStr Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
title_full_unstemmed Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
title_short Minimal Residual Disease Detection Using Gene Scanning Analysis, Fluorescent Fragment Analysis, and Capillary Electrophoresis for IgH Rearrangement in Adult B-Lineage Acute Lymphoblastic Leukemia: A Cross-Sectional Study
title_sort minimal residual disease detection using gene scanning analysis fluorescent fragment analysis and capillary electrophoresis for igh rearrangement in adult b lineage acute lymphoblastic leukemia a cross sectional study
topic acute lymphoblastic leukemia
capillary gel electrophoresis
immunoglobulin heavy chain
genescanning
minimal residual disease
url https://www.celljournal.org/article_701270_10d55f2d99dee9d331af491fa317890e.pdf
work_keys_str_mv AT sepidehshahkarami minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT samarehyounesian minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT shahrbanorostami minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT farzadkompani minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT davoodbashash minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT seyedmousavi minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy
AT seyedghaffari minimalresidualdiseasedetectionusinggenescanninganalysisfluorescentfragmentanalysisandcapillaryelectrophoresisforighrearrangementinadultblineageacutelymphoblasticleukemiaacrosssectionalstudy