Examples of complex IGH rearrangements. (A–C) Red arrows
indicate signals that are detected by the Cytocell/in-house probes, but not
detected with the Vysis probe. (A) der(8) with CH insertion. (B)
der(11)t(4;11)(?;q14) with CH inserted at 11q13. (C) der(3)t(3;8) VT1a variant
IGH translocation (CH and VH signals near chromosome arm 8q
telomere) (D) anatomy of VT1a, VT1b, and VT2 variant IGH
translocations where the open box depicts chromosome 14 and closed box another
chromosome, CH includes Eα1 or Eα2 enhancer sequences detected
by in-house or Cytocell probes, CH* represents sequences detected by
3′ Vysis Probe, and VH represents sequences detected by all 3 VH probes.
The boxed derivative chromosome is expected to have a target gene dysregulated
by Eα1 or Eα2. Note that the CH probe hybridizes to Eα1
and Eα2 sequences, consistent with the presence of CH signals on both
derivative chromosomes in the VT1b variant IGH
translocation.