Rapid Detection and Quantitation of BRAF Mutations in Hairy Cell Leukemia Using a Sensitive Pyrosequencing Assay (original) (raw)

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1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX

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1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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Carlos E. Bueso-Ramos, MD, PhD

1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX

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2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX

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2Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX

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1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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1Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX

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Published:

07 January 2012

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Shalini Verma, Wesley O. Greaves, Farhad Ravandi, Neelima Reddy, Carlos E. Bueso-Ramos, Susan O’Brien, Deborah A. Thomas, Hagop Kantarjian, L. Jeffrey Medeiros, Rajyalakshmi Luthra, Keyur P. Patel, Rapid Detection and Quantitation of BRAF Mutations in Hairy Cell Leukemia Using a Sensitive Pyrosequencing Assay, American Journal of Clinical Pathology, Volume 138, Issue 1, July 2012, Pages 153–156, https://doi.org/10.1309/AJCPL0OPXI9LZITV
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Abstract

BRAF protooncogene is an important mediator of cell proliferation and survival signals. BRAF p.V600E mutation was recently described as a molecular marker of hairy cell leukemia (HCL). We developed and validated a pyrosequencing-based approach that covers BRAF mutational hotspots in exons 11 (codon 468) and 15 (codons 595 to 600). The assay detects BRAF mutations at an analytical sensitivity of 5%. We screened 16 unenriched archived bone marrow aspirate samples from patients with a diagnosis of HCL (n = 12) and hairy cell leukemia–variant (HCL-v) (n = 4) using pyrosequencing. BRAF p.V600E mutation was present in all HCL cases and absent in all HCL-v. Our data support the recent finding that BRAF p.V600E mutation is universally present in HCL. Moreover, our pyrosequencing-based assay provides a convenient, rapid, sensitive, and quantitative tool for the detection of BRAF p.V600E mutations in HCL for clinical diagnostic testing.

© American Society for Clinical Pathology

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