Multiple clonal MLL fusions in a patient receiving CHOP-based chemotherapy
| Autor: | Shyh Jen Shih, Manuel O. Diaz, Dawei Lin, Andrew T M Vaughan, Joseph Fass, Vincent Buffalo, Sheetal Singh |
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| Rok vydání: | 2012 |
| Předmět: |
Molecular Sequence Data
CHOP Translocation Genetic Article Fusion gene Exon Cytidine Deaminase hemic and lymphatic diseases Antineoplastic Combined Chemotherapy Protocols Activation-induced (cytidine) deaminase Humans Amino Acid Sequence Cyclophosphamide neoplasms Base Sequence biology Inverse polymerase chain reaction Breakpoint Histone-Lysine N-Methyltransferase Hematology Cytidine deaminase Molecular biology DNA-Binding Proteins Leukemia Myeloid Acute Doxorubicin Vincristine Mutation biology.protein Prednisone Myeloid-Lymphoid Leukemia Protein Lymphoma Large B-Cell Diffuse Gene Fusion Transcription Factors |
| Zdroj: | British Journal of Haematology. 159:50-57 |
| ISSN: | 0007-1048 |
| DOI: | 10.1111/j.1365-2141.2012.09248.x |
| Popis: | Summary MLL rearrangements were analysed in the blood of a patient receiving chemotherapy for diffuse large B-cell lymphoma using inverse polymerase chain reaction targeting exon 12, parallel sequencing and a custom algorithm design. Of thirteen MLL rearrangements detected, five were capable of generating MLL fusion genes, including MLL-MLLT3, the most common fusion in acute myeloid leukaemia (AML). Other fusions, all previously clinically unobserved, included MLL-NKD1, a fusion to the negative regulator of Wnt/β-catenin signaling, a pathway linked to leukaemic cell proliferation. The majority of the fusions exhibited clonal persistence from before treatment until 6 months post-chemotherapy, suggesting the fusions may confer a survival advantage to the mutant clone. MLL breakpoints were partly clustered at a specific location, indicating commonality in the process of their formation. Further, the same MLL breakpoint location exhibited a 50–100-fold increase in C to T transitions, consistent with attack by activation-induced cytidine deaminase (AICDA). As is also observed in AML and acute lymphoblastic leukaemia, in this single patient setting, MLL is capable of interacting with multiple fusion partners. This finding defines a discrete site of MLL susceptibility to fragmentation, linked to possible deregulation of AICDA function. |
| Databáze: | OpenAIRE |
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