PMID- 19998443 OWN - NLM STAT- MEDLINE DCOM- 20100224 LR - 20231213 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 49 IP - 3 DP - 2010 Mar TI - Cytogenetics of long-term survivors of ETV6-RUNX1 fusion positive acute lymphoblastic leukemia. PG - 253-9 LID - 10.1002/gcc.20736 [doi] AB - This study describes the cytogenetics of 33 children with ETV6-RUNX1 positive acute lymphoblastic leukemia (ALL) who had been in continuous complete remission for a minimum of 8.8 years [median event-free survival (EFS) 10.9 years]. The results were compared with a published series of 16 fusion positive patients treated on the same childhood ALL trial, who had relapsed (median EFS, 2.3 years). Interphase fluorescence in situ hybridization (FISH) at diagnosis showed deletion of the second ETV6 signal from all fusion positive cells in 45% of the long-term survivors but in none of the relapsed patients, whereas patients with mixed populations with retained or lost second signals were more frequent among those who had relapsed (69%) than the long-term survivors (21%). Interphase populations with two fusion signals in 18% of the long-term survivors and 31% of relapsed patients were smaller in the long-term survivors (median, 4% of total cells) than in the relapsed patients (median, 84%). The additional copy of chromosome 21 in 30% of long-term survivors and in 69% of relapsed patients was a derived chromosome 21 in 20% and 55% of patients, respectively. Metaphase FISH for 26 long-term survivors and 15 relapsed patients revealed complex karyotypes in both groups. Variant translocations involved different chromosome arms between the long-term survivors and relapsed patients. It appears that the two groups have some distinguishing cytogenetic features at the time of diagnosis, which may provide pointers to relapse that are worthy of more detailed study. FAU - Konn, Zoe J AU - Konn ZJ AD - Leukaemia Research Cytogenetics Group, Cancer Sciences Division, University of Southampton, Southampton, UK. FAU - Martineau, Mary AU - Martineau M FAU - Bown, Nicholas AU - Bown N FAU - Richards, Sue AU - Richards S FAU - Swansbury, John AU - Swansbury J FAU - Talley, Polly AU - Talley P FAU - Wright, Sarah L AU - Wright SL FAU - Harrison, Christine J AU - Harrison CJ LA - eng GR - MC_U137686856/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (Proto-Oncogene Proteins c-ets) RN - 0 (RUNX1 protein, human) RN - 0 (Repressor Proteins) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Core Binding Factor Alpha 2 Subunit/*genetics MH - Follow-Up Studies MH - *Gene Fusion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/*genetics/pathology MH - Proto-Oncogene Proteins c-ets/*genetics MH - Recurrence MH - Repressor Proteins/*genetics MH - *Survivors MH - Time Factors MH - ETS Translocation Variant 6 Protein EDAT- 2009/12/10 06:00 MHDA- 2010/02/25 06:00 CRDT- 2009/12/10 06:00 PHST- 2009/12/10 06:00 [entrez] PHST- 2009/12/10 06:00 [pubmed] PHST- 2010/02/25 06:00 [medline] AID - 10.1002/gcc.20736 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2010 Mar;49(3):253-9. doi: 10.1002/gcc.20736.