PMID- 12161353 OWN - NLM STAT- MEDLINE DCOM- 20021217 LR - 20091119 IS - 0390-6078 (Print) IS - 0390-6078 (Linking) VI - 87 IP - 8 DP - 2002 Aug TI - Clonal eosinophils are a morphologic hallmark of ETV6/ABL1 positive acute myeloid leukemia. PG - 789-94 AB - BACKGROUND AND OBJECTIVES: The ETV6 gene undergoes rearrangements with tyrosine kinases in hematologic malignancies and solid tumors. ETV6/ABL1 chimeric proteins have been detected both in lymphoid and myeloid disorders. Our objective was to study two new cases of ETV6/ABL1-positive acute myeloid leukemia (AML) and to focus on bone marrow morphology and on molecular cytogenetics of eosinophilic cells. DESIGN AND METHODS: Fluorescence in situ hybridization (FISH) was performed in two AML cases with different translocations, i.e. t(8;12)(p21;p13) and t(9;12) (q34; p13). We used probes for the short arm of chromosome 12, for ABL1 and BCR, for centromeric regions, and for whole chromosome arms. Polymerase chain reaction (PCR) was carried out by applying primers selected for the ETV6 gene. RESULTS: In both cases, bone marrow morphology was characterized by trilineage dysplasia and increased abnormal eosinophils. FISH showed the 5'ETV6 translocated to chromosome 8 in patient #1, and to chromosome 9 in patient #2. A 3' PCR identified chimeric products resulting from fusion between ETV6 exon 4 or exon 5, and ABL1 exon 2. Accordingly, an ETV6/ABL1 fusion signal was detected on der(8) in patient #1, and on der(9) in patient #2. Using interphase FISH abnormal bone marrow eosinophils were proved to belong to the neoplastic clone, carrying the ETV6 rearrangement. INTERPRETATION AND CONCLUSIONS: Our findings provide new information on the heterogeneity of conventional cytogenetics in ETV6/ABL1 positive leukemias, and indicate the putative target cell in this AML is an immature precursor capable of terminally differentiating towards eosinophils. FAU - La Starza, Roberta AU - La Starza R AD - Hematology and Bone Marrow Transplantation Unit, Policlinico Monteluce, University of Perugia, via Brunamonti, 06122 Perugia, Italy. FAU - Trubia, Maurizio AU - Trubia M FAU - Testoni, Nicoletta AU - Testoni N FAU - Ottaviani, Emanuela AU - Ottaviani E FAU - Belloni, Elena AU - Belloni E FAU - Crescenzi, Barbara AU - Crescenzi B FAU - Martelli, Massimo AU - Martelli M FAU - Flandrin, Georges AU - Flandrin G FAU - Pelicci, Pier Giuseppe AU - Pelicci PG FAU - Mecucci, Cristina AU - Mecucci C LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (RNA, Messenger) RN - 0 (RNA, Neoplasm) RN - 0 (TEL-ABL fusion protein, human) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) SB - IM CIN - Haematologica. 2002 Aug;87(8):785-6. PMID: 12161349 MH - Adult MH - Anemia, Refractory, with Excess of Blasts/complications MH - Bone Marrow/pathology MH - Cell Lineage MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 12/*genetics/ultrastructure MH - Chromosomes, Human, Pair 8/genetics/ultrastructure MH - Chromosomes, Human, Pair 9/genetics/ultrastructure MH - Clone Cells/enzymology/pathology MH - Eosinophilia/etiology/genetics/*pathology MH - Eosinophils/enzymology/*pathology MH - Genes, abl MH - Genetic Heterogeneity MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Myeloid, Acute/*blood/complications/genetics MH - Male MH - Middle Aged MH - Neoplastic Stem Cells/enzymology/pathology MH - Oncogene Proteins, Fusion/*genetics/physiology MH - Protein-Tyrosine Kinases MH - RNA, Messenger/genetics MH - RNA, Neoplasm/genetics MH - Translocation, Genetic/*genetics EDAT- 2002/08/06 10:00 MHDA- 2002/12/18 04:00 CRDT- 2002/08/06 10:00 PHST- 2002/08/06 10:00 [pubmed] PHST- 2002/12/18 04:00 [medline] PHST- 2002/08/06 10:00 [entrez] PST - ppublish SO - Haematologica. 2002 Aug;87(8):789-94.