PMID- 18594780 OWN - NLM STAT- MEDLINE DCOM- 20090109 LR - 20211020 IS - 0925-5710 (Print) IS - 0925-5710 (Linking) VI - 88 IP - 2 DP - 2008 Sep TI - Evolutional change of karyotype with t(8;9)(p22;p24) and HLA-DR immunophenotype in relapsed acute myeloid leukemia. PG - 197-201 LID - 10.1007/s12185-008-0113-4 [doi] AB - The rare recurrent translocation of (8;9)(p22;p24) with PCM1-JAK2 fusion was recently characterized in diverse hematological malignancies. Most of them are atypical chronic myeloid leukemia (CML) or other myeloproliferative disorders (MPD), and are predominantly in the male. We report a female patient with acute myeloid leukemia (AML) initially presenting with normal karyotype and negative HLA-DR expression who achieved complete remission after standard chemotherapy. The disease relapsed 7 months later with cytogenetic change of t(8;9)(p22;p24). Flow cytometry analysis showed evolutional change of immunophenotype from negative to positive HLA-DR expression and fluorescence in situ hybridization (FISH) analysis demonstrated a PCM1-JAK2 fusion gene. We speculate that the cytogenetic change of t(8;9)(p22;p24) may induce HLA-DR immunophenotypic switch and a coordination of the two evolutional changes may play a role in leukemic cell progression. FAU - Huang, Kuan-Po AU - Huang KP AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. FAU - Chase, Andrew J AU - Chase AJ AD - Wessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, UK. FAU - Cross, Nicholas C P AU - Cross NCP AD - Wessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, UK. FAU - Reiter, Andrea AU - Reiter A AD - III. Medizinische Klinik, Medizinische Fakultat Mannheim der Universitat Heidelberg, Mannheim, Germany. FAU - Li, Tzu-Ying AU - Li TY AD - Cytogenetics Laboratory, Center for Medical Genetics, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan, ROC. FAU - Wang, Tso-Fu AU - Wang TF AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. FAU - Chu, Sung-Chao AU - Chu SC AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. FAU - Lu, Xuan-Yin AU - Lu XY AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. FAU - Li, Chi-Cheng AU - Li CC AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. FAU - Kao, Ruey-Ho AU - Kao RH AD - Division of Oncology and Hematology, Buddhist Tzu Chi General Hospital, 707, Sec.3, Chung-Yang Rd., Hualien, Taiwan, ROC. rueyhokao@tzuchi.org.tw. AD - Department of Oncology, Buddhist Tzu Chi University, Hualien, Taiwan, ROC. rueyhokao@tzuchi.org.tw. LA - eng PT - Case Reports PT - Journal Article DEP - 20080702 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Autoantigens) RN - 0 (Cell Cycle Proteins) RN - 0 (HLA-DR Antigens) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (PCM1 protein, human) RN - EC 2.7.10.2 (JAK2 protein, human) RN - EC 2.7.10.2 (Janus Kinase 2) SB - IM MH - Autoantigens/*genetics MH - Cell Cycle Proteins/*genetics MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 8 MH - Chromosomes, Human, Pair 9 MH - Fatal Outcome MH - Female MH - Flow Cytometry MH - Gene Expression Regulation, Leukemic MH - HLA-DR Antigens/*genetics MH - Humans MH - Immunophenotyping MH - Janus Kinase 2/*genetics MH - Leukemia, Myeloid, Acute/*genetics/pathology MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics MH - Recurrence MH - *Translocation, Genetic EDAT- 2008/07/03 09:00 MHDA- 2009/01/10 09:00 CRDT- 2008/07/03 09:00 PHST- 2008/01/21 00:00 [received] PHST- 2008/05/27 00:00 [accepted] PHST- 2008/05/01 00:00 [revised] PHST- 2008/07/03 09:00 [pubmed] PHST- 2009/01/10 09:00 [medline] PHST- 2008/07/03 09:00 [entrez] AID - 10.1007/s12185-008-0113-4 [pii] AID - 10.1007/s12185-008-0113-4 [doi] PST - ppublish SO - Int J Hematol. 2008 Sep;88(2):197-201. doi: 10.1007/s12185-008-0113-4. Epub 2008 Jul 2.