Characteristics of the CLL patients
Patient no. . | Rai stage . | B2M, mg/L . | IgVH mutation* . | ZAP-70† . | No. of prior treatments . | Fludarabine-resistant . | Percentage TP53 del‡ . | Percentage ATM del‡ . |
---|---|---|---|---|---|---|---|---|
1 | II | 3.2 | NA | − | 0 | NT | NA | NA |
2 | I | 3.5 | Unmutated | − | 0 | NT | <5 | 88 |
3 | I | 2.1 | Mutated | + | 1 | NT | 82.5 | 22 |
4 | II | 4.3 | Unmutated | + | 0 | NT | <5 | <5 |
5 | I | 5.6 | Mutated | NA | 2 | No | <5 | <5 |
6 | I | 1.8 | Unmutated | + | 0 | NT | <5 | 38 |
7 | I | 3 | Unmutated | + | 0 | NT | 83.5 | <5 |
8 | I | 4.2 | NA | NA | 0 | NT | NA | NA |
9 | II | 2.2 | Unmutated | NA | 1 | No | NA | NA |
10 | I | 6.2 | Unmutated | − | 0 | NT | 11.5 | <5 |
11 | II | 3.6 | Unmutated | + | 0 | NT | <5 | <5 |
12 | 0 | 2.2 | Mutated | − | 1 | NT | <5 | <5 |
13 | I | 1.7 | Unmutated | + | 0 | NT | <5 | <5 |
14 | II | 3.8 | NA | + | 0 | NT | <5 | <5 |
15 | I | 2.1 | NA | − | 0 | NT | <5 | <5 |
16 | 0 | 1.5 | NA | − | 0 | NT | <5 | <5 |
17 | I | 2.2 | Mutated | + | 0 | NT | <5 | <5 |
18 | I | 2.7 | Unmutated | NA | 0 | NT | <5 | <5 |
19 | I | 2.1 | Mutated | − | 0 | NT | <5 | <5 |
20 | 0 | 1.7 | NA | NA | 0 | NT | <5 | <5 |
21 | I | 2.2 | NA | NA | 0 | NT | NA | NA |
22 | III | 4.3 | Mutated | − | 0 | NT | <5 | <5 |
23 | I | 6.4 | Unmutated | + | 1 | NT | <5 | <5 |
24 | I | 3.4 | Unmutated | + | 2 | NT | <5 | <5 |
25 | I | 4.7 | Unmutated | + | 2 | NT | <5 | <5 |
26 | I | 2.6 | NA | + | 0 | NT | <5 | <5 |
27 | II | 4.1 | Mutated | − | 0 | NT | <5 | <5 |
28 | IV | 4.9 | Mutated | − | 1 | No | 88 | <5 |
29 | IV | 3.8 | NA | NA | 1 | No | <5 | 60 |
30 | I | 2.7 | Mutated | − | 0 | NT | <5 | <5 |
31 | IV | 3.3 | Mutated | − | 1 | NT | <5 | <5 |
32 | 0 | 2 | Unmutated | + | 0 | NT | <5 | <5 |
33 | 0 | 2.9 | Mutated | − | 0 | NT | 79.5 | <5 |
34 | I | 6 | NA | + | 0 | NT | 76.5 | 8.5 |
35 | IV | 7.4 | Unmutated | + | 3 | No | 96.5 | <5 |
36 | IV | 2.6 | Mutated | − | 0 | NT | <5 | <5 |
37 | 0 | 7.3 | Mutated | NA | 1 | NT | <5 | <5 |
38 | I | 7.5 | NA | NA | 0 | NT | NA | NA |
39 | 0 | 4.5 | Mutated | − | 1 | NT | 14 | <5 |
40 | IV | 8.1 | Unmutated | + | 2 | NT | <5 | <5 |
41 | I | 1.8 | Mutated | NA | 0 | NT | <5 | <5 |
42 | II | 2.4 | Mutated | + | 0 | NT | <5 | <5 |
43 | III | 3.2 | Unmutated | + | 0 | NT | <5 | 94.5 |
44 | II | 2.9 | Unmutated | − | 0 | NT | <5 | <5 |
45 | III | 3.4 | Unmutated | + | 2 | No | <5 | 61 |
46 | II | 2.1 | Mutated | − | 0 | NT | <5 | <5 |
47 | IV | 6.3 | Unmutated | + | 1 | Yes | <5 | <5 |
48 | I | 4.4 | Unmutated | + | 5 | Yes | NA | NA |
49 | II | 8.6 | NA | − | 3 | Yes | NA | NA |
50 | 0 | 2.1 | Mutated | − | 0 | NT | 8.5 | <5 |
51 | 0 | 3.4 | Unmutated | NA | 0 | NT | <5 | 61 |
Patient no. . | Rai stage . | B2M, mg/L . | IgVH mutation* . | ZAP-70† . | No. of prior treatments . | Fludarabine-resistant . | Percentage TP53 del‡ . | Percentage ATM del‡ . |
---|---|---|---|---|---|---|---|---|
1 | II | 3.2 | NA | − | 0 | NT | NA | NA |
2 | I | 3.5 | Unmutated | − | 0 | NT | <5 | 88 |
3 | I | 2.1 | Mutated | + | 1 | NT | 82.5 | 22 |
4 | II | 4.3 | Unmutated | + | 0 | NT | <5 | <5 |
5 | I | 5.6 | Mutated | NA | 2 | No | <5 | <5 |
6 | I | 1.8 | Unmutated | + | 0 | NT | <5 | 38 |
7 | I | 3 | Unmutated | + | 0 | NT | 83.5 | <5 |
8 | I | 4.2 | NA | NA | 0 | NT | NA | NA |
9 | II | 2.2 | Unmutated | NA | 1 | No | NA | NA |
10 | I | 6.2 | Unmutated | − | 0 | NT | 11.5 | <5 |
11 | II | 3.6 | Unmutated | + | 0 | NT | <5 | <5 |
12 | 0 | 2.2 | Mutated | − | 1 | NT | <5 | <5 |
13 | I | 1.7 | Unmutated | + | 0 | NT | <5 | <5 |
14 | II | 3.8 | NA | + | 0 | NT | <5 | <5 |
15 | I | 2.1 | NA | − | 0 | NT | <5 | <5 |
16 | 0 | 1.5 | NA | − | 0 | NT | <5 | <5 |
17 | I | 2.2 | Mutated | + | 0 | NT | <5 | <5 |
18 | I | 2.7 | Unmutated | NA | 0 | NT | <5 | <5 |
19 | I | 2.1 | Mutated | − | 0 | NT | <5 | <5 |
20 | 0 | 1.7 | NA | NA | 0 | NT | <5 | <5 |
21 | I | 2.2 | NA | NA | 0 | NT | NA | NA |
22 | III | 4.3 | Mutated | − | 0 | NT | <5 | <5 |
23 | I | 6.4 | Unmutated | + | 1 | NT | <5 | <5 |
24 | I | 3.4 | Unmutated | + | 2 | NT | <5 | <5 |
25 | I | 4.7 | Unmutated | + | 2 | NT | <5 | <5 |
26 | I | 2.6 | NA | + | 0 | NT | <5 | <5 |
27 | II | 4.1 | Mutated | − | 0 | NT | <5 | <5 |
28 | IV | 4.9 | Mutated | − | 1 | No | 88 | <5 |
29 | IV | 3.8 | NA | NA | 1 | No | <5 | 60 |
30 | I | 2.7 | Mutated | − | 0 | NT | <5 | <5 |
31 | IV | 3.3 | Mutated | − | 1 | NT | <5 | <5 |
32 | 0 | 2 | Unmutated | + | 0 | NT | <5 | <5 |
33 | 0 | 2.9 | Mutated | − | 0 | NT | 79.5 | <5 |
34 | I | 6 | NA | + | 0 | NT | 76.5 | 8.5 |
35 | IV | 7.4 | Unmutated | + | 3 | No | 96.5 | <5 |
36 | IV | 2.6 | Mutated | − | 0 | NT | <5 | <5 |
37 | 0 | 7.3 | Mutated | NA | 1 | NT | <5 | <5 |
38 | I | 7.5 | NA | NA | 0 | NT | NA | NA |
39 | 0 | 4.5 | Mutated | − | 1 | NT | 14 | <5 |
40 | IV | 8.1 | Unmutated | + | 2 | NT | <5 | <5 |
41 | I | 1.8 | Mutated | NA | 0 | NT | <5 | <5 |
42 | II | 2.4 | Mutated | + | 0 | NT | <5 | <5 |
43 | III | 3.2 | Unmutated | + | 0 | NT | <5 | 94.5 |
44 | II | 2.9 | Unmutated | − | 0 | NT | <5 | <5 |
45 | III | 3.4 | Unmutated | + | 2 | No | <5 | 61 |
46 | II | 2.1 | Mutated | − | 0 | NT | <5 | <5 |
47 | IV | 6.3 | Unmutated | + | 1 | Yes | <5 | <5 |
48 | I | 4.4 | Unmutated | + | 5 | Yes | NA | NA |
49 | II | 8.6 | NA | − | 3 | Yes | NA | NA |
50 | 0 | 2.1 | Mutated | − | 0 | NT | 8.5 | <5 |
51 | 0 | 3.4 | Unmutated | NA | 0 | NT | <5 | 61 |
Rai stage and B2M levels were assessed at the day of sample acquisition.
B2M indicates β-2-microglobulin; NA, information not available; NT, no fludarabine treatment; −, negative; and +, positive.
IgVH gene with less than 98% homology with the corresponding germline gene was considered mutated.
ZAP-70 expression was detected with either fluorescence in situ hybridization or flow cytometry.33 Sample with more than 20% of CLL cells expressing ZAP-70 is considered ZAP-70+.
TP53 or ATM gene was detected using fluorescence in situ hybridization of bone marrow cells using fluorescent probes designed to detect the 17p13.1 (TP53 gene) region of chromosome 17 or the 11q22.3 (ATM gene) region of chromosome 11. A total of 200 cells were analyzed for each probe. Numbers represent percentage of cells that are abnormal in at least one of the alleles of the gene loci; a percentage more than 5% was reported.