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PAX5/ETV6 fusion defines cytogenetic entity dic(9;12)(p13;p13)

Abstract

Recurrent chromosomal abnormalities present in malignant cells often define subentities with unique biological and clinical features. The molecular identification of genes involved in genetic alterations has led to the characterization of fusion genes with neoplastic properties. However, for many nonrandom translocations including the dic(9;12)(p11–13;p11–12), the molecular equivalent has not as yet been identified. The dicentric translocation dic(9;12) is a recurrent chromosome abnormality that accounts for close to 1% of childhood acute lymphoblastic leukemia (ALL). This specific alteration occurs almost exclusively in B-progenitor ALL, and unlike many other nonrandom translocations, is associated with an excellent prognosis. In this work, we provide strong evidence that the PAX5/ETV6 fusion transcript defines the clinical and biological entity that is associated with the presence of a dic(9;12) chromosome. As the PAX5 and ETV6 genes are localized at 9p13 and 12p13, respectively, the cytogenetic description of the dic(9;12)-PAX5/ETV6 rearrangement should be refined to dic(9;12)(p13;p13).

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References

  1. Carroll AJ, Raimondi SC, Williams DL, Behm FG, Borowitz M, Castleberry RP et al. tdic(9;12): a nonrandom chromosome abnormality in childhood B-cell precursor acute lymphoblastic leukemia: a Pediatric Oncology Group Study. Blood 1987; 70: 1962–1965.

    CAS  PubMed  Google Scholar 

  2. Behrendt H, Charrin C, Gibbons B, Harrison CJ, Hawkins JM, Heerema NA et al. Dicentric (9;12) in acute lymphocytic leukemia and other hematological malignancies: report from a dic(9;12) study group. Leukemia 1995; 9: 102–106.

    CAS  PubMed  Google Scholar 

  3. Mahmoud H, Carroll AJ, Behm F, Raimondi SC, Schuster J, Borowitz M et al. The non-random dic(9;12) translocation in acute lymphoblastic leukemia is associated with B-progenitor phenotype and an excellent prognosis. Leukemia 1992; 6: 703–707.

    CAS  PubMed  Google Scholar 

  4. ISCN. Mitelman F (Ed.). An International System for Human Cytogenetic Nomenclature. Basel: Karger, 1995.

  5. Busslinger M, Klix N, Pfeffer P, Graninger PG, Kozmik Z . Deregulation of PAX-5 by translocation of the Emu enhancer of the IgH locus adjacent to two alternative PAX-5 promoters in a diffuse large-cell lymphoma. Proc Natl Acad Sci USA 1996; 93: 6129–6134.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Baens M, Peeters P, Guo C, Aerssens J, Marynen P . Genomic organization of TEL: the human ETS-variant gene 6. Genome Res 1996; 6: 404–413.

    Article  CAS  PubMed  Google Scholar 

  7. Cazzaniga G, Daniotti M, Tosi S, Giudici G, Aloisi A, Pogliani E et al. The paired box domain gene PAX5 is fused to ETV6/TEL in an acute lymphoblastic leukemia case. Cancer Res 2001; 61: 4666–4670.

    CAS  PubMed  Google Scholar 

  8. Peeters P, Raynaud SD, Cools J, Wlodarska I, Grosgeorge J, Philip P et al. Fusion of TEL, the ETS-variant gene 6 (ETV6), to the receptor-associated kinase JAK2 as a result of t(9;12) in a lymphoid and t(9;15;12) in a myeloid leukemia. Blood 1997; 90: 2535–2540.

    CAS  PubMed  Google Scholar 

  9. Kuno Y, Abe A, Emi N, Iida M, Yokozawa T, Towatari M et al. Constitutive kinase activation of the TEL-Syk fusion gene in myelodysplastic syndrome with t(9;12)(q22;p12).). Blood 2001; 97: 1050–1055.

    Article  CAS  PubMed  Google Scholar 

  10. Andreasson P, Johansson B, Carlsson M, Jarlsfelt I, Fioretos T, Mitelman F et al. BCR/ABL-negative chronic myeloid leukemia with ETV6/ABL fusion. Genes Chromosomes Cancer 1997; 20: 299–304.

    Article  CAS  PubMed  Google Scholar 

  11. Nutt SL, Heavey B, Rolink AG, Busslinger M . Commitment to the B-lymphoid lineage depends on the transcription factor Pax5. Nature 1999; 401: 556–562.

    Article  CAS  PubMed  Google Scholar 

  12. Mikkola I, Heavey B, Horcher M, Busslinger M . Reversion of B cell commitment upon loss of Pax5 expression. Science 2002; 297: 110–113.

    Article  CAS  PubMed  Google Scholar 

  13. Nutt SL, Morrison AM, Dorfler P, Rolink A, Busslinger M . Identification of BSAP (Pax-5) target genes in early B-cell development by loss- and gain-of-function experiments. EMBO J 1998; 17: 2319–2333.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This work was supported by grants of the ‘Österreichische Kinderkrebshilfe’ and private donations.

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Strehl, S., König, M., Dworzak, M. et al. PAX5/ETV6 fusion defines cytogenetic entity dic(9;12)(p13;p13). Leukemia 17, 1121–1123 (2003). https://doi.org/10.1038/sj.leu.2402923

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