MYC和BCL6快速分离数字荧光原位杂交技术的临床应用验证。

IF 1.1 Q4 ONCOLOGY International journal of clinical and experimental pathology Pub Date : 2023-01-01
Michael Liew, Leslie Rowe, Kristina Moore, Emily Aston, Kathryn O'Brien, Maria Longhurst, Jason Kenney, Marshall Priest, Wenhua Zhou, Diane Wilcock, Anton Rets, Rodney Miles
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引用次数: 0

摘要

目的:利用荧光原位杂交技术(FISH)检测MYC(一个调节基因和原癌基因家族)和人b细胞淋巴瘤6 (BCL6)的基因重排,对淋巴瘤,特别是弥漫性大b细胞淋巴瘤(DLBCL)和Burkitt淋巴瘤的评估具有重要意义。我们目前的临床MYC和BCL6 FISH工作流程包括使用GenASIs扫描和分析仪器(应用光谱成像)对探针进行隔夜杂交和数字分析。为了提高检测周转时间,对SureFISH探针进行了验证,将杂交时间从16小时减少到1.5小时。方法:验证是一个四阶段的过程,包括通过在手动协议中测试新探针来初步开发检测方法,以及通过细胞遗传学研究来确认探针的特异性、敏感性和定位。在下一阶段,测定法被验证为手动测定法。第三阶段涉及通过测试和优化GenASIs扫描和分析仪器来开发数字FISH分析。在最后阶段,对数字FISH检测进行验证。结果:细胞遗传学研究证实了100%的探针灵敏度/特异性和定位模式。使用beta累积概率密度函数的倒数(Excel BETAINV计算)从20个正常淋巴结计算出的阴性参考范围截止值为11%,包括手动和数字MYC和BCL6检测。手工方法和数字方法之间有100%的一致性。缩短的杂交时间使整个工作流程时间减少了14.5小时。结论:本研究验证了SureFISH MYC和BCL6探针在福尔马林固定石蜡包埋(FFPE)组织切片上的使用,杂交时间为1.5小时,将整个工作流程缩短了14.5小时。所描述的过程还为将来验证数字FISH分析提供了标准化框架。
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Validation of MYC and BCL6 rapid break apart digital fluorescence in situ hybridization assays for clinical use.

Objective: Detection of gene rearrangements in MYC (a family of regulator genes and proto-oncogenes) and human B-cell lymphoma 6 (BCL6) using fluorescence in situ hybridization (FISH) are important in the evaluation of lymphomas, in particular diffuse large B-cell lymphoma (DLBCL) and Burkitt lymphoma. Our current clinical MYC and BCL6 FISH workflow involves an overnight hybridization of probes with digital analysis using the GenASIs Scan and Analysis instrument (Applied Spectral Imaging). In order to improve assay turnaround time SureFISH probes were validated to reduce the hybridization time from 16 hours down to 1.5 hours.

Methods: Validation was a four-phase process involving initial development of the assays by testing new probes in a manual protocol, and cytogenetic studies to confirm the probe specificity, sensitivity, and localization. In the next phase, the assays were validated as a manual assay. The third phase involved development of the digital FISH assays by testing and optimizing the GenASIs Scan and Analysis instrument. In the final phase, the digital FISH assays were validated.

Results: Cytogenetic studies confirmed 100% probe sensitivity/specificity, and localization patterns. Negative reference range cutoffs calculated from 20 normal lymph nodes using the inverse of the beta cumulative probability density function (Excel BETAINV calculation) were 11% inclusive for both manual and digital MYC and BCL6 assays. There was 100% concordance between the manual and digital methods. The shortened hybridization time decreased the overall workflow time by 14.5 hours.

Conclusions: This study validates the use of the SureFISH MYC and BCL6 probes on formalin fixed paraffin embedded (FFPE) tissue sections using a hybridization time of 1.5 hours that shortened the overall workflow by 14.5 hours. The process described also provides a standardized framework for validating digital FISH assays in the future.

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审稿时长
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期刊介绍: The International Journal of Clinical and Experimental Pathology (IJCEP, ISSN 1936-2625) is a peer reviewed, open access online journal. It was founded in 2008 by an international group of academic pathologists and scientists who are devoted to the scientific exploration of human disease and the rapid dissemination of original data. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal. Unlike most other open access online journals, IJCEP will keep all the traditional features of paper print that we are all familiar with, such as continuous volume and issue numbers, as well as continuous page numbers to keep our warm feelings towards an academic journal.
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