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Blood, 1 January 2009, Vol. 113, No. 1, pp. 137-148.
Prepublished online as a Blood First Edition Paper on August 14, 2008; DOI 10.1182/blood-2008-02-140616.


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Submitted February 22, 2008
Accepted June 22, 2008

Genome-wide profiling of follicular lymphoma by array comparative genomic hybridization reveals prognostically significant DNA copy number imbalances

K-John J Cheung, Sohrab P Shah, Christian Steidl, Nathalie Johnson, Thomas Relander, Adele Telenius, Betty Lai, Kevin P Murphy, Wan Lam, Abdulwahab J Al-Tourah, Joseph M Connors, Raymond T Ng, Randy D Gascoyne, and Douglas E Horsman*

Center for Lymphoid Cancer, British Columbia Cancer Agency, Vancouver, BC, Canada
Department of Computer Science, University of British Columbia, Vancouver, BC, Canada
Cancer Genetics and Developmental Biology, British Columbia Cancer Research Center, Vancouver, BC, Canada

* Corresponding author; email: dhorsman{at}bccancer.bc.ca.

The secondary genetic events associated with follicular lymphoma (FL) progression are not well defined. We applied genome-wide BAC array comparative genomic hybridization to 106 diagnostic biopsies of FL to characterize regional genomic imbalances. Using an analytical approach that defined regions of copy number change as intersections between visual annotations and a Hidden Markov model-based algorithm, we identified 71 regional alterations that were recurrent in ≥10% of cases. These ranged in size from ~200 kb to 44 Mb, affecting chromosomes 1, 5, 6, 7, 8, 10, 12, 17, 18, 19, and 22. We also demonstrated by cluster analysis that 46.2% of the 106 cases could be sub-grouped based on the presence of +1q, +6p/6q-, +7 or +18. Survival analysis showed that 21 of the 71 regions correlated significantly with inferior overall survival (OS). Of these 21 regions, 16 were independent predictors of OS using a multivariate Cox model that included the International Prognostic Index (IPI) Score. Two of these 16 regions (1p36.22-p36.33 and 6q21-q24.3) were also predictors of transformation risk and independent of IPI. These prognostic features may be useful to identify high-risk patients as candidates for risk-adapted therapies.


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D. O'Shea, C. O'Riain, M. Gupta, R. Waters, Y. Yang, D. Wrench, J. Gribben, A. Rosenwald, G. Ott, L. M. Rimsza, et al.
Regions of acquired uniparental disomy at diagnosis of follicular lymphoma are associated with both overall survival and risk of transformation
Blood, March 5, 2009; 113(10): 2298 - 2301.
[Abstract] [Full Text] [PDF]



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