PMID- 12907457 OWN - NLM STAT- MEDLINE DCOM- 20040114 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 102 IP - 12 DP - 2003 Dec 1 TI - Cloning of the t(1;5)(q23;q33) in a myeloproliferative disorder associated with eosinophilia: involvement of PDGFRB and response to imatinib. PG - 4187-90 AB - Eosinophilia is common in myeloproliferative disorders (MPDs) with abnormalities of chromosome band 5q31-33, including those that present with t(1;5)(q23;q33). With the development of rational drug therapy, characterization of the molecular targets for these translocations could guide treatment and affect patient survival. We cloned the t(1;5)(q23;q33) and showed that it fuses platelet-derived growth factor receptor beta (PDGFRB) to the coiled-coil domains of a novel partner protein, myomegalin. Using two-color interphase fluorescence in situ hybridization (FISH), we also demonstrated that the eosinophils are clonal in these disorders. Imatinib mesylate has recently been shown to be efficacious in MPDs with PDGFR activation. Therefore, following our molecular studies, we were able to redirect this patient's treatment. Although she had refractory and progressive disease, once imatinib was started, complete clinical and hematologic remission, as well as major cytogenetic response, was achieved. Given the therapeutic implications, our findings stress the need to aggressively investigate the molecular basis of these diseases, with emphasis on the PDGFR family. FAU - Wilkinson, Kathryn AU - Wilkinson K AD - Dana-Farber Cancer Institute, 44 Binney St, M514, Boston, MA 02115, USA. FAU - Velloso, Elvira R P AU - Velloso ER FAU - Lopes, Luiz Fernando AU - Lopes LF FAU - Lee, Charles AU - Lee C FAU - Aster, Jon C AU - Aster JC FAU - Shipp, Margaret A AU - Shipp MA FAU - Aguiar, Ricardo C T AU - Aguiar RC LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030807 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Benzamides) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Pde4dip protein, rat) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.10.1 (Receptor, Platelet-Derived Growth Factor beta) SB - IM MH - Benzamides MH - Chromosomes, Human, Pair 1 MH - Chromosomes, Human, Pair 5 MH - Clone Cells/pathology MH - Cloning, Molecular MH - Eosinophilia/*etiology/genetics/pathology MH - Female MH - Humans MH - Imatinib Mesylate MH - Infant MH - Microtubule-Associated Proteins/genetics MH - Myeloproliferative Disorders/complications/*drug therapy/*genetics MH - Piperazines/*therapeutic use MH - Pyrimidines/*therapeutic use MH - Receptor, Platelet-Derived Growth Factor beta/*genetics MH - Remission Induction MH - Translocation, Genetic EDAT- 2003/08/09 05:00 MHDA- 2004/01/15 05:00 CRDT- 2003/08/09 05:00 PHST- 2003/08/09 05:00 [pubmed] PHST- 2004/01/15 05:00 [medline] PHST- 2003/08/09 05:00 [entrez] AID - S0006-4971(20)44032-7 [pii] AID - 10.1182/blood-2003-04-1150 [doi] PST - ppublish SO - Blood. 2003 Dec 1;102(12):4187-90. doi: 10.1182/blood-2003-04-1150. Epub 2003 Aug 7.