Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma
Background: Multiple myeloma (MM) is a clonal plasma cell disorder characterized by heterogeneous complex genetic abnormalities. Due to the low proliferative index of plasma cells, conventional cytogenetic (CC) analysis is hampered in MM. Interphase fluorescence in situ hybridization (FISH) along wi...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
Series: | Biomedical and Biotechnology Research Journal |
Subjects: | |
Online Access: | http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=284;epage=288;aulast=Shetty |
_version_ | 1818479284252049408 |
---|---|
author | Vijith Vittal Shetty Meenakshi Arumugam Reshma Arun Shetty Akanksha Ashok Kalal Nagaraj Venkatesh Kulkarni Deyyenthody Prashanth Shetty |
author_facet | Vijith Vittal Shetty Meenakshi Arumugam Reshma Arun Shetty Akanksha Ashok Kalal Nagaraj Venkatesh Kulkarni Deyyenthody Prashanth Shetty |
author_sort | Vijith Vittal Shetty |
collection | DOAJ |
description | Background: Multiple myeloma (MM) is a clonal plasma cell disorder characterized by heterogeneous complex genetic abnormalities. Due to the low proliferative index of plasma cells, conventional cytogenetic (CC) analysis is hampered in MM. Interphase fluorescence in situ hybridization (FISH) along with CC enhances the sensitivity of detection. The study aims to investigate the diagnostic yield and prevalence of P53 deletion in patients with MM. Materials and Methods: Cytogenetic analysis and FISH were performed on 41 MM patients. Results: Our study showed that 55–65 years of age range among all individuals, predominantly affected by the disease. The cytogenetic analysis detected abnormal karyotype in 12% (5/41), normal karyotype in 66% (27/41), and culture failure in 22% (9/41). Abnormal karyotype showed numerical abnormalities such as hyperdiploidy 5% (n = 2) and hypodiploidy 7% (n = 3%). Chromosomes 5, 9, 11, and 21 were common gains among hyperdiploid cases. Chromosome 7, 17, 22 and Y were the common missing chromosome in hypodiploid cases. P53 gene deletion is a rare genetic event and difficult to identify using CC. FISH analysis of deletion 17p was detected in 15% (6/41). Out of six cases, two cases showed deletion of 17p region, three cases showed monosomy 17, and one case showed amplification signals for chromosome 17. Conclusion: CC along with FISH increases the rate of detection of abnormality in MM cases. P53 being less frequent is uncommon at initial diagnosis; increasing its incidence with advanced stage is considered one of the important prognostic factors in MM. |
first_indexed | 2024-12-10T09:58:46Z |
format | Article |
id | doaj.art-574bd4cef5024b4aad783a759356bf88 |
institution | Directory Open Access Journal |
issn | 2588-9834 2588-9842 |
language | English |
last_indexed | 2024-12-10T09:58:46Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Biomedical and Biotechnology Research Journal |
spelling | doaj.art-574bd4cef5024b4aad783a759356bf882022-12-22T01:53:24ZengWolters Kluwer Medknow PublicationsBiomedical and Biotechnology Research Journal2588-98342588-98422022-01-016228428810.4103/bbrj.bbrj_84_22Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myelomaVijith Vittal ShettyMeenakshi ArumugamReshma Arun ShettyAkanksha Ashok KalalNagaraj Venkatesh KulkarniDeyyenthody Prashanth ShettyBackground: Multiple myeloma (MM) is a clonal plasma cell disorder characterized by heterogeneous complex genetic abnormalities. Due to the low proliferative index of plasma cells, conventional cytogenetic (CC) analysis is hampered in MM. Interphase fluorescence in situ hybridization (FISH) along with CC enhances the sensitivity of detection. The study aims to investigate the diagnostic yield and prevalence of P53 deletion in patients with MM. Materials and Methods: Cytogenetic analysis and FISH were performed on 41 MM patients. Results: Our study showed that 55–65 years of age range among all individuals, predominantly affected by the disease. The cytogenetic analysis detected abnormal karyotype in 12% (5/41), normal karyotype in 66% (27/41), and culture failure in 22% (9/41). Abnormal karyotype showed numerical abnormalities such as hyperdiploidy 5% (n = 2) and hypodiploidy 7% (n = 3%). Chromosomes 5, 9, 11, and 21 were common gains among hyperdiploid cases. Chromosome 7, 17, 22 and Y were the common missing chromosome in hypodiploid cases. P53 gene deletion is a rare genetic event and difficult to identify using CC. FISH analysis of deletion 17p was detected in 15% (6/41). Out of six cases, two cases showed deletion of 17p region, three cases showed monosomy 17, and one case showed amplification signals for chromosome 17. Conclusion: CC along with FISH increases the rate of detection of abnormality in MM cases. P53 being less frequent is uncommon at initial diagnosis; increasing its incidence with advanced stage is considered one of the important prognostic factors in MM.http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=284;epage=288;aulast=Shettyconventional cytogeneticsfluorescence in situ hybridizationmultiple myeloma |
spellingShingle | Vijith Vittal Shetty Meenakshi Arumugam Reshma Arun Shetty Akanksha Ashok Kalal Nagaraj Venkatesh Kulkarni Deyyenthody Prashanth Shetty Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma Biomedical and Biotechnology Research Journal conventional cytogenetics fluorescence in situ hybridization multiple myeloma |
title | Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
title_full | Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
title_fullStr | Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
title_full_unstemmed | Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
title_short | Biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
title_sort | biological implications of deletion p53 by fluorescence in situ hybridization in multiple myeloma |
topic | conventional cytogenetics fluorescence in situ hybridization multiple myeloma |
url | http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2022;volume=6;issue=2;spage=284;epage=288;aulast=Shetty |
work_keys_str_mv | AT vijithvittalshetty biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma AT meenakshiarumugam biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma AT reshmaarunshetty biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma AT akankshaashokkalal biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma AT nagarajvenkateshkulkarni biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma AT deyyenthodyprashanthshetty biologicalimplicationsofdeletionp53byfluorescenceinsituhybridizationinmultiplemyeloma |