PMID- 20124335 OWN - NLM STAT- MEDLINE DCOM- 20100225 LR - 20171116 IS - 1550-8080 (Electronic) IS - 0091-7370 (Linking) VI - 40 IP - 1 DP - 2010 Winter TI - Acute myeloid leukemia with del(X)(p21) and cryptic RUNX1/RUNX1T1 from ins(8;21)(q22;q22q22) revealed by atypical FISH signals. PG - 80-4 AB - A 57-yr-old woman was diagnosed with acute myeloid leukemia (AML) with maturation, based on morphological and cytochemical/immunophenotypic findings on bone marrow studies. Conventional cytogenetic analysis using bone marrow cells revealed terminal deletion of the short arm of an X chromosome as 46,X,del(X)(p21)[8]/46,XX[12]. On the other hand, fluorescence in situ hybridization (FISH) for the RUNX1/RUNX1T1 (formerly AML1/ETO) rearrangement revealed 86% interphase nuclei with one fusion signal, which was found to be on the long arm of chromosome 8 on metaphase FISH, indicating the RUNX1/RUNX1T1 rearrangement by cryptic insertion of the RUNX1 gene. Molecular genetic study by reverse transcriptase polymerase chain reaction (RT-PCR) confirmed the presence of the chimeric transcript. The final karyotype was 46,X,del(X)(p21).ish ins(8;21)(q22;q22q22)(RUNX1T1+,RUNX1+;RU NX1+,RUNX1T1-)[8]/46,XX[12]. In addition to the cryptic RUNX1/RUNX1T1 rearrangement, this is the first report of partial deletion of an X chromosome as an additional cytogenetic aberration in AML with RUNX1/RUNX1T1. FAU - Jang, Ja-Hyun AU - Jang JH AD - Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Yoo, Eun-Hyung AU - Yoo EH FAU - Kim, Hee-Jin AU - Kim HJ FAU - Kim, Dong-Hwan AU - Kim DH FAU - Jung, Chul-Won AU - Jung CW FAU - Kim, Sun-Hee AU - Kim SH LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RUNX1 Translocation Partner 1 Protein) RN - 0 (RUNX1 protein, human) RN - 0 (RUNX1T1 protein, human) RN - 0 (Transcription Factors) SB - IM MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 21/*genetics MH - Chromosomes, Human, Pair 8/*genetics MH - Chromosomes, Human, X/*genetics MH - Core Binding Factor Alpha 2 Subunit/*genetics MH - Female MH - Flow Cytometry MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/*genetics/pathology/therapy MH - Middle Aged MH - Proto-Oncogene Proteins/*genetics MH - RUNX1 Translocation Partner 1 Protein MH - Transcription Factors/*genetics EDAT- 2010/02/04 06:00 MHDA- 2010/02/26 06:00 CRDT- 2010/02/04 06:00 PHST- 2010/02/04 06:00 [entrez] PHST- 2010/02/04 06:00 [pubmed] PHST- 2010/02/26 06:00 [medline] AID - 40/1/80 [pii] PST - ppublish SO - Ann Clin Lab Sci. 2010 Winter;40(1):80-4.