PMID- 12368157 OWN - NLM STAT- MEDLINE DCOM- 20030113 LR - 20120605 IS - 0390-6078 (Print) IS - 0390-6078 (Linking) VI - 87 IP - 10 DP - 2002 Oct TI - Novel mutation and RNA splice variant of fibroblast growth factor receptor 3 in multiple myeloma patients at diagnosis. PG - 1036-40 AB - BACKGROUND AND OBJECTIVES: The karyotypically silent t(4;14)(p16.3;q32) translocation can be found in approximately 15-20% of multiple myeloma (MM) patients and results in the ectopic expression of fibroblast growth factor receptor 3 (FGFR3) from der4. Point mutations in specific FGFR3 domains can be found in the translocated allele, and have been recently proven to be oncogenic. These mutations produce a constitutively activated receptor, which shows dimerization and autophosphorylation even in the absence of ligand. We investigated the presence of FGFR3 expression and activating mutations in a series of newly diagnosed MM patients. DESIGN AND METHODS: We validated a new sensitive and specific Taqman real-time reverse-transcription polymerase-chain-reaction (RT-PCR) set up to evaluate FGFR3 mRNA expression, and applied it to 78 newly diagnosed patients; in positive cases, FGFR3 mRNA transcripts were sequenced. Fluorescence in situ hybridization (FISH) was done in 32 cases with sufficient material. RESULTS: Real-time RT-PCR revealed FGFR3 mRNA expression in 10/78 (13%) patients. In two cases, sequence analysis revealed novel FGFR3 mutations. In a patient with FISH evidence of the t(4;14), a CGC to TGC transition was detected in codon 248. In a patient without the t(4;14), three additional, abnormal-sized transcripts were detected, corresponding to truncated transcripts originating from cryptic splice donor sites located within exon 7. INTERPRETATION AND CONCLUSIONS: We describe a novel FGFR3 mutation (with a demonstrated deregulatory mechanism), as well as a case of alternative splicing in the absence of t(4;14), detected in newly diagnosed MM patients overexpressing FGFR3. This implies that FGFR3 mutation can occur at an early stage of myelomagenesis and even in the absence of the t(4;14). FAU - Soverini, Simona AU - Soverini S AD - Institute of Hematology and Medical Oncology Seragnoli , University of Bologna, Italy. FAU - Terragna, Carolina AU - Terragna C FAU - Testoni, Nicoletta AU - Testoni N FAU - Ruggeri, Deborah AU - Ruggeri D FAU - Tosi, Patrizia AU - Tosi P FAU - Zamagni, Elena AU - Zamagni E FAU - Cellini, Claudia AU - Cellini C FAU - Cavo, Michele AU - Cavo M FAU - Baccarani, Michele AU - Baccarani M FAU - Tura, Sante AU - Tura S FAU - Martinelli, Giovanni AU - Martinelli G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (RNA, Messenger) RN - 0 (Receptors, Fibroblast Growth Factor) RN - 63231-63-0 (RNA) RN - EC 2.7.10.1 (FGFR3 protein, human) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor, Fibroblast Growth Factor, Type 3) SB - IM MH - *Alternative Splicing MH - Amino Acid Sequence MH - DNA Mutational Analysis MH - Humans MH - In Situ Hybridization, Fluorescence MH - Models, Genetic MH - Molecular Sequence Data MH - Multiple Myeloma/diagnosis/*genetics/metabolism MH - *Mutation MH - *Protein-Tyrosine Kinases MH - RNA/metabolism MH - RNA, Messenger/metabolism MH - Receptor, Fibroblast Growth Factor, Type 3 MH - Receptors, Fibroblast Growth Factor/*genetics/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sequence Homology, Amino Acid EDAT- 2002/10/09 04:00 MHDA- 2003/01/14 04:00 CRDT- 2002/10/09 04:00 PHST- 2002/10/09 04:00 [pubmed] PHST- 2003/01/14 04:00 [medline] PHST- 2002/10/09 04:00 [entrez] PST - ppublish SO - Haematologica. 2002 Oct;87(10):1036-40.