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Blood, 5 February 2009, Vol. 113, No. 6, pp. 1294-1303.
Prepublished online as a Blood First Edition Paper on October 15, 2008; DOI 10.1182/blood-2008-05-158865.


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Submitted May 23, 2008
Accepted August 23, 2008

Novel genomic alterations and clonal evolution in chronic lymphocytic leukemia revealed by representational oligonucleotide microarray analysis (ROMA)

Vladimir Grubor, Alex Krasnitz, Jennifer E. Troge, Jennifer L. Meth, B. Lakshmi, Jude T. Kendall, Boris Yamrom, Garrick Alex, Deepa Pai, Nicholas Navin, Lisa A. Hufnagel, Yoon-Ha Lee, Kerry Cook, Steven L. Allen, Kanti R. Rai, Rajendra N. Damle, Carlo Calissano, Nicholas Chiorazzi, Michael Wigler, and Diane Esposito*

Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, United States
North Shore University Hospital, North Shore LIJ Health System, Manhasset, NY, United States
Long Island Jewish Medical Center, North Shore LIJ Health System, New Hyde Park, NY, United States
The Feinstein Institute for Medical Research, North Shore LIJ Health System, Manhasset, NY, United States

* Corresponding author; email: esposito{at}cshl.edu.

We examined copy number changes in the genomes of B cells from 58 patients with chronic lymphocytic leukemia (CLL) using representational oligonucleotide microarray analysis (ROMA), a form of comparative genomic hybridization (CGH), at a resolution exceeding previously published studies. We observed at least one genomic lesion in each CLL sample and considerable variation in the number of abnormalities from case to case. Virtually all abnormalities previously reported were also observed here, most of which were indeed highly recurrent. We observed the boundaries of known events with greater clarity and identified previously undescribed lesions, some of which were recurrent. We profiled the genomes of CLL cells separated by the surface marker CD38, and found evidence of distinct subclones of CLL within the same patient. We discuss the potential applications of high resolution CGH analysis in a clinical setting.


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ROMA illuminates CLL genomic lesions
Federico Caligaris-Cappio
Blood 2009 113: 1209-1210. [Full Text] [PDF]



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