Hi David,

Sorry for the very long delay on this.  I've been off the list (and off all
email, actually) for a very long time - only just getting back on now.

> Date: Tue, 17 Aug 2004 02:00:59 -0000
>  From: "dbradley49" <[EMAIL PROTECTED]>
> Subject: Re: Richard?  My latest CML and now CLL (!) Lab results
> 
> Dear Richard,
> 
> Thanks for your counsel!  How can you tell if "the trisomies 12 and
> 14 were in lymphoid (as opposed to myeloid) cells"?  I thought
> chromosome abnormalities were everywhere?  Or at least on
> undifferentiated stem cells...?

I don't actually know whether BCR-ABL is detectable in other blood cell
lines (it's an interesting question) - but standard cytogenetics only show
the Philadelphia Chromosome in myelogenous cells, that is, in granulocytes
(also known as neutrophils, or poly's - it's confusing).

As to trisomies 12 and 14, I believe these are only in the lymphoid line.

One possible source of confusion is the word "genetic," which many people
mistakenly equate with hereditary.  When you have a hereditary chromosomal
change, it shows up in all your cells.  With acquired genetic changes
(mutations that occur during the individual's lifetime, that is), the
results only show up on the progeny of the cell that underwent the mutation.

Does this help?

Best,
Richard R



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