PMID- 12885467 OWN - NLM STAT- MEDLINE DCOM- 20030821 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 145 IP - 1 DP - 2003 Aug TI - Insertion of chromosome 11 in chromosome 4 resulting in a 5'MLL-3'AF4 fusion gene in a case of adult acute lymphoblastic leukemia. PG - 74-7 AB - We report on a 69-year-old woman with B-lineage acute lymphoblastic leukemia. Cytogenetic studies at diagnosis with R banding showed an insertion, ins(4;11)(q21;q13q23). Fluorescence in situ hybridization (FISH) with whole chromosome painting probes confirmed the insertion of chromosome 11 material into chromosome 4. FISH using the MLL probe showed the translocation of the 5' end of MLL into chromosome 4. Since the 5'MLL-3'AF4 fusion transcript was detected by a reverse transcriptase polymerase chain reaction, we concluded that the insertion of part of chromosome 11 split the AF4 gene in two, resulting in the presence of the 5'MLL-3'AF4 fusion gene on the der(4) instead of the der(11), as commonly observed. Our findings stress the value of combining banding cytogenetics with FISH and molecular techniques to better assess rearrangements in leukemia. FAU - Morel, Frederic AU - Morel F AD - Service de Cytogenetique, Cytologie et Biologie de la Reproduction, CHU Morvan, Brest, France. FAU - Le Bris, Marie-Josee AU - Le Bris MJ FAU - Douet-Guilbert, Nathalie AU - Douet-Guilbert N FAU - Duchemin, Jerome AU - Duchemin J FAU - Herry, Angele AU - Herry A FAU - Le Calvez, Genevieve AU - Le Calvez G FAU - Marion, Veronique AU - Marion V FAU - Berthou, Christian AU - Berthou C FAU - De Braekeleer, Marc AU - De Braekeleer M LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (MLL-AF4 fusion protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) SB - IM MH - Aged MH - *Chromosomes, Human, Pair 11 MH - *Chromosomes, Human, Pair 4 MH - Female MH - Humans MH - Myeloid-Lymphoid Leukemia Protein MH - Oncogene Proteins, Fusion/*analysis MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*genetics MH - *Translocation, Genetic EDAT- 2003/07/30 05:00 MHDA- 2003/08/22 05:00 CRDT- 2003/07/30 05:00 PHST- 2003/07/30 05:00 [pubmed] PHST- 2003/08/22 05:00 [medline] PHST- 2003/07/30 05:00 [entrez] AID - S0165460803000293 [pii] AID - 10.1016/s0165-4608(03)00029-3 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2003 Aug;145(1):74-7. doi: 10.1016/s0165-4608(03)00029-3.