PMID- 19224461 OWN - NLM STAT- MEDLINE DCOM- 20090605 LR - 20191111 IS - 1676-5680 (Electronic) IS - 1676-5680 (Linking) VI - 8 IP - 1 DP - 2009 Jan 6 TI - Identification of PML/RARalpha fusion gene transcripts that showed no t(15;17) with conventional karyotyping and fluorescent in situ hybridization. PG - 1-7 AB - Acute promyelocytic leukemia (APL) is characterized by a reciprocal translocation, t(15;17)(q22;q11-21), resulting in the fusion of the promyelocytic leukemia (PML) and retinoic acid receptor alpha (RARalpha) genes. Using conventional cytogenetic methods, these translocations are normally detected in about 70-90% of patients; most negative results are due to technical problems or cryptic variants. These masked PML/RARalpha fusions can be identified by molecular analyses, such as reverse transcriptase-polymerase chain reaction (RT-PCR) or fluorescence in situ hybridization (FISH). Approximately 5 to 10% of all APL cases reported do not show PML/RARalpha fusion transcripts, even with dual-colored FISH. We report three of 40 diagnosed APL cases that showed morphological, cytochemical, and immunophenotypic features of hypergranular APL, but did not show a PML/RARalpha fusion signal or any of its variants, on FISH. All cases were identified by RT-PCR, which was further confirmed by cDNA sequencing. Conventional karyotyping showed other clonal aberrations in these cases, but failed to show t(15;17) or any other variants or complex translocations. FAU - Choughule, A AU - Choughule A AD - Molecular Biology Laboratory, Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India. anu.c1112@gmail.com FAU - Polampalli, S AU - Polampalli S FAU - Amre, P AU - Amre P FAU - Shinde, S AU - Shinde S FAU - Banavali, S AU - Banavali S FAU - Prabhash, K AU - Prabhash K FAU - Nair, R AU - Nair R FAU - Subramanian, P G AU - Subramanian PG FAU - Gujral, S AU - Gujral S FAU - Parikh, P M AU - Parikh PM LA - eng PT - Case Reports PT - Journal Article DEP - 20090106 PL - Brazil TA - Genet Mol Res JT - Genetics and molecular research : GMR JID - 101169387 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (RNA, Messenger) RN - 0 (promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein) SB - IM MH - Adult MH - Chromosomes, Human, Pair 15/*genetics MH - Chromosomes, Human, Pair 17/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics MH - RNA, Messenger/analysis MH - Translocation, Genetic/*genetics EDAT- 2009/02/19 09:00 MHDA- 2009/06/06 09:00 CRDT- 2009/02/19 09:00 PHST- 2009/02/19 09:00 [entrez] PHST- 2009/02/19 09:00 [pubmed] PHST- 2009/06/06 09:00 [medline] AID - gmr488 [pii] AID - 10.4238/vol8-1gmr488 [doi] PST - epublish SO - Genet Mol Res. 2009 Jan 6;8(1):1-7. doi: 10.4238/vol8-1gmr488.