PMID- 15075073 OWN - NLM STAT- MEDLINE DCOM- 20060227 LR - 20061115 IS - 1592-8721 (Electronic) IS - 0390-6078 (Linking) VI - 89 IP - 4 DP - 2004 Apr TI - Partial duplication of the MLL oncogene in patients with aggressive acute myeloid leukemia. PG - 403-7 AB - BACKGROUND AND OBJECTIVES: MLL translocations generate a fusion gene between the 5' end of MLL and the 3' end of different partner genes. Several chromosomal mechanisms including complex and cryptic changes lead to these recombinations. Our objective was to analyze the molecular composition of chromosomes in complex karyotypes with specific MLL translocations. DESIGN AND METHODS: Fluorescence in situ hybridization (FISH) was performed in two acute leukemias (AL), one acute myeloid leukemia (AML) M5a, and one treatment-related-AL (t-AL), to investigate the nature of complex changes accompanying the respective t(9;11)(p22;q23)-MLL/AF9 and t(11;16)(q23;p13.3)-MLL/CBP. RESULTS: In the case with the MLL/AF9 chimeric transcript, duplication of a der(1) originated from an additional unbalanced translocation between the der(9)t(9;11) and a chromosome 1. The 5'AF9/3'MLL chimeric gene was present on both der(1). In the second case, there was a t(11;16)(q23;p13.3) producing one der(11) and two der(16) which derived from both homologs. One der(16) was present in multiple copies all containing the 5'CBP/3'MLL fusion gene. INTERPRETATION AND CONCLUSIONS: In both cases the 3' end of MLL was present in multiple copies. Mitotic recombination and non-disjunction may underlie the extra derivatives in both cases. In this genomic imbalance not only the 5'MLL but also the 3'end of MLL could play a critical role in the leukemic process. FAU - Sambani, Constantina AU - Sambani C AD - Laboratory of Health Physics & Environmental Hygiene, NCSR Demokritos, 15310 Athens, Greece. FAU - La Starza, Roberta AU - La Starza R FAU - Roumier, Christophe AU - Roumier C FAU - Crescenzi, Barbara AU - Crescenzi B FAU - Stavropoulou, Chryssa AU - Stavropoulou C FAU - Katsarou, Olga AU - Katsarou O FAU - Karafoulidou, Anastasia AU - Karafoulidou A FAU - Dhalle, Jean Hugues AU - Dhalle JH FAU - Lai, Jean-Luc AU - Lai JL FAU - Preudhomme, Claude AU - Preudhomme C FAU - Martelli, Massimo Fabrizio AU - Martelli MF 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 - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) SB - IM MH - Acute Disease MH - Adult MH - Chromosomes, Human, Pair 11 MH - Chromosomes, Human, Pair 16 MH - Chromosomes, Human, Pair 9 MH - Cytogenetic Analysis MH - Female MH - *Gene Duplication MH - Humans MH - Infant MH - Leukemia, Myeloid/*genetics MH - Male MH - Myeloid-Lymphoid Leukemia Protein/*genetics MH - Translocation, Genetic EDAT- 2004/04/13 05:00 MHDA- 2006/02/28 09:00 CRDT- 2004/04/13 05:00 PHST- 2004/04/13 05:00 [pubmed] PHST- 2006/02/28 09:00 [medline] PHST- 2004/04/13 05:00 [entrez] PST - ppublish SO - Haematologica. 2004 Apr;89(4):403-7.