An advantageous method to evaluate IgH rearrangement and its role in minimal residual disease detection

Leuk Res. 1999 Oct;23(10):921-9. doi: 10.1016/s0145-2126(99)00110-1.

Abstract

A sensitive, safe and cheap method to detect minimal residual disease (MRD) is here presented. The PCR-GS technique includes: (a) a fluorescent PCR for the IgH region with CDR3/JH consensus primers; (b) the electrophoresis on an automatic sequencer (ABI PRISM 310); (c) the analysis of results by the GeneScan program. A total of 72 samples were analysed: 34/49 B-cell Non-Hodgkin's Lymphoma (NHL) (69%), six out of seven Multiple Myeloma (MM) (86%), 1/2 Hodgkin's Disease (HD) and 4/4 Acute Lymphoblastic Leukaemia (ALL) were found to be positive, showing a monoclonal IgH rearrangement. The major bias of the PCR-GS method are the 21% of false negatives, but 13/15 negative patients carried t(14;18); consequently, the association of the evaluation by PCR assays of the IgH and BCL2/JH rearrangement allowed to detect a molecular marker of B-neoplasia in more than 94% of tested samples.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Base Sequence
  • DNA Primers
  • Female
  • Gene Rearrangement*
  • Genes, Immunoglobulin*
  • Hematologic Neoplasms / genetics*
  • Hematologic Neoplasms / immunology
  • Hematologic Neoplasms / pathology
  • Humans
  • Immunoglobulin Heavy Chains / genetics*
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Neoplasm, Residual / genetics*
  • Neoplasm, Residual / immunology
  • Polymerase Chain Reaction / methods*

Substances

  • DNA Primers
  • Immunoglobulin Heavy Chains