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KMT2A-MLLT1 and the Novel SEC16A-KMT2A in a Cryptic 3-Way Translocation t(9;11;19) Present in an Infant With Acute Lymphoblastic Leukemia.
de Matos, Roberto R C; Ferreira, Gerson M; Meyer, Claus; Marschalek, Rolf; Larghero, Patrizia; Ribeiro, Raul C; Liehr, Thomas; Othman, Moneeb; Bizarro, Mariana T de S M; Sobral da Costa, Elaine; Land, Marcelo G P; Abdelhay, Eliana; Binato, Renata; Silva, Maria Luiza M.
Afiliação
  • de Matos RRC; Cytogenetics Department, Bone Marrow Transplantation Unit, Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA).
  • Ferreira GM; Post-Graduation Program in Oncology, National Cancer Institute (INCA).
  • Meyer C; Post-Graduation Program in Oncology, National Cancer Institute (INCA).
  • Marschalek R; Stem Cell Department, Bone Marrow Transplantation Unit, Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA).
  • Larghero P; Institute of Pharmaceutical Biology, Diagnostic Center of Acute Leukemia, Goethe University Frankfurt, Frankfurt/Main.
  • Ribeiro RC; Institute of Pharmaceutical Biology, Diagnostic Center of Acute Leukemia, Goethe University Frankfurt, Frankfurt/Main.
  • Liehr T; Institute of Pharmaceutical Biology, Diagnostic Center of Acute Leukemia, Goethe University Frankfurt, Frankfurt/Main.
  • Othman M; Departments of Oncology and Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN.
  • Bizarro MTSM; Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany.
  • Sobral da Costa E; Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany.
  • Land MGP; Cytogenetics Department, Bone Marrow Transplantation Unit, Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA).
  • Abdelhay E; Clinical Medicine Post-Graduation Program, Faculty of Medicine.
  • Binato R; Pediatrics Institute IPPMG, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Silva MLM; Clinical Medicine Post-Graduation Program, Faculty of Medicine.
J Pediatr Hematol Oncol ; 44(3): e719-e722, 2022 04 01.
Article em En | MEDLINE | ID: mdl-34966090
About 25% of the patients with the translocation t(11;19)(q23;p13.3)/KMT2A-MLLT1 present three-way or more complex fusions, associated with a worse prognosis, suggesting that a particular mechanism creates functional KMT2A fusions for this condition. In this work, we show a cryptic three-way translocation t(9;11;19). Interestingly, long-distance inverse polymerase chain reaction sequencing revealed a KMT2A-MLLT1 and the yet unreported out-of-frame SEC16A-KMT2A fusion, associated with low SEC16A expression and KMT2A overexpression, in an infant with B-acute lymphoblastic leukemia presenting a poor prognosis. Our case illustrates the importance of molecular cytogenetic tests in selecting cases for further investigations, which could open perspectives regarding novel therapeutic approaches for poor prognosis childhood leukemias.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Retículo Endoplasmático / Leucemia-Linfoma Linfoblástico de Células Precursoras Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Retículo Endoplasmático / Leucemia-Linfoma Linfoblástico de Células Precursoras Idioma: En Ano de publicação: 2022 Tipo de documento: Article