Cytogenetic Analysis for Bone Marrow Diagnosis

Cytogenetic analysis is a powerful technique for bone marrow diagnosis. This is the technique that I wish to use for my leukemia research. For your information, I just went to National University Hospital of Singapore (NUH) to learn the cytogenetic analysis for bone marrow diagnosis last week week. Before I go there, I need to know a little bit about this technique first. Therefore, today we will explore about this technique.

cytogenetic analysis for bone marrow diagnosis Cytogenetic Analysis for Bone Marrow Diagnosis

In hematological neoplasms, the specific and non-random chromosomal abnormalies are commonly found. Those abnormalities become a main factor in pathogenesis. There are some of the hematological neoplasms are defined according to the presence of specific chromosomal abnormalities rather than referring to hematological or histological features. We can see an example where a specific subtype of AML which is M4Eo/inv(16)(p13q22) /CBFβ-MYH11 fusion AML is better defined by the presence of inversion of chromosome 16. Sometimes, the presence of certain chromosomal abnormalities also provides prognostic information too. Furthermore, cytogenetic analysis is good in distinguishing a neoplastic from a reactive process. For instance, the demonstration of clonal cytogenetic abnormality proves that idiopathic hypereosinophilic syndrome is actually eosinophilic leukemia.

Protocol of Cytogenetic Analysis

As we all know, classical cytogenetic analysis can be performed only on cell suspensions which are obtained from peripheral blood or bone marrow. For hematological neoplasms, the metaphase spreads will be examined. Those metaphase spreads must be prepared from blood or bone marrow aspirates either with direct preparations or cell culture. The cells will be arrested in metaphase stage by using colcemid. After the harvesting process and dropping process, the chromosomes will be stained by using Giemsa or quinacrine mustard. With the visualization of the chromosomes, all the individual chromosomes will be classified according to their size, position of the centromere and also the banding pattern.

There are two ways that the finding can be illustrated. The findings can either be illustrated by a karyogram, which is an ordered array of chromosomes or illustrated by karyotype.

In conclusion, the protocol of processing bone marrow specimens for cytogenetic analysis is almost similar to the conventional cytogenetic test. In my next post, we will talk about the applications of cytogenetic analysis for bone marrow diagnosis and its limitations. Stay tuned in Cytogenetics Cancer Research blog! icon smile Cytogenetic Analysis for Bone Marrow Diagnosis

(Reference: Bone Marrow Pathology written by Barbara J. B., David M. C., Irvin A. L. and Bridget S. W.)

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9 Responses to “Cytogenetic Analysis for Bone Marrow Diagnosis”

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  1. miao miao says:

    i m miao miao~

  2. wow this is serious stuff. Kok Siong I appreciate all that you are doing.

  3. dr ayatollahi says:

    Dear professor Kok Siong
    If you can please send to me all detail in cytogenetic protocol for bone marrow karyotyping for leukemia(AML&ALL).
    I work 4 months in this field but iI dont get any result .
    I examined FdUR ,EtBr,BrdU protocols.
    If you can please guied me for this purpose.
    Thanks fro your kindness.
    Dr Ayatollahi-Iran

  4. Kok Siong Chen says:

    Hi Dr. Ayatollahi, i will contact you personally via email.

  5. Aswathy Nair says:

    Hi,
    i am a cytogeneticist interested in cancer cytogenetics.there seems to be a calculation base d on which the volume of sample is decided for bone marrow culturing.Can you please help me on that.

    Would appreciate your help
    Aswathy

  6. Kok Siong Chen says:

    Hi Aswathy! Nice to meet you here!
    Basically, i prefer to use the total 10ml of bone marrow culturing.
    The volume of sample will be used depends to the cell count of the sample. If the cell count is high, less sample will be used. 10 million cells count is the optimum for culturing. After you decide the volume of the sample to be used, just top up it to 10ml with culture medium.
    Am i making the thing clearer?
    I hope that this information can help you. :)

  7. nihal medani says:

    Hi prof\ kok siong am interst in cytogenetic diagnosis of leukemia but here in sudan there is no abbilty to do research like these am heamatolgist in my final year and i want to do my research in these topic can you help me?
    thank you DR kok siong
    Nihal \Sudan \Khartoum

  8. Kok Siong Chen says:

    Hi Nihal! May I know anything that I can help you. Yes, I will try my best to help you in your research topic. Just email me the details. Hope to see you soon.

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