PMID- 25435396 OWN - NLM STAT- MEDLINE DCOM- 20150820 LR - 20141222 IS - 1791-2431 (Electronic) IS - 1021-335X (Linking) VI - 33 IP - 2 DP - 2015 Feb TI - MLLT10 and IL3 rearrangement together with a complex four-way translocation and trisomy 4 in a patient with early T-cell precursor acute lymphoblastic leukemia: A case report. PG - 625-30 LID - 10.3892/or.2014.3624 [doi] AB - Cytogenetic classification of acute lymphoblastic leukemia (ALL) is primarily based on numerical and structural chromosomal abnormalities. In T-cell ALL (T-ALL), chromosomal rearrangements are identified in up to 70% of the patients while the remaining patients show a normal karyotype. In the present study, a 16-year-old male was diagnosed with T-precursor cell ALL and a normal karyotype after standard GTG-banding, was studied retrospectively (>10 years after diagnosis) in frame of a research project by molecular approaches. In addition to molecular cytogenetics, multiplex ligation-dependent probe amplification (MLPA) and high resolution array-comparative genomic hybridization (aCGH) were also applied. Thus, the following yet unrecognized balanced chromosomal aberrations were detected: der(3)t(3;5)(p23;q31.1), der(5)t(3;5)(p23;q35.3), der(5)t(5;10)(q31.1;p12.3) and der(10)t(5;10)(q35.3;p12.3). The oncogene MLLT10 was involved in this rearrangement as was the IL3 gene; in addition, trisomy 4 was present. All of these clonal aberrations were found in 40% of the cells. Even if this complex karyotype would have been identified at the time of diagnosis, most likely no other protocol of anticancer therapy (ALL-BFM 95) would have been applied. Three months after the end of a successful 2-year treatment, the patient suffered from isolated bone marrow relapse and died of sepsis during ALL-REZ-BFM protocol treatment. FAU - Othman, Moneeb A K AU - Othman MA AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. FAU - Melo, Joana B AU - Melo JB AD - Laboratory of Cytogenetics and Genomics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal. FAU - Carreira, Isabel M AU - Carreira IM AD - Laboratory of Cytogenetics and Genomics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal. FAU - Rincic, Martina AU - Rincic M AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. FAU - Alhourani, Eyad AU - Alhourani E AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. FAU - Wilhelm, Kathleen AU - Wilhelm K AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. FAU - Gruhn, Bernd AU - Gruhn B AD - Department of Pediatrics (Oncology and Hematology), Jena University Hospital, Friedrich Schiller University, Jena, Germany. FAU - Glaser, Anita AU - Glaser A AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. FAU - Liehr, Thomas AU - Liehr T AD - Jena University Hospital, Friedrich Schiller University, Institute of Human Genetics, Jena, Germany. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141125 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - 0 (IL3 protein, human) RN - 0 (Interleukin-3) RN - 0 (MLLT10 protein, human) RN - 0 (Transcription Factors) SB - IM MH - Adolescent MH - Chromosomes, Human, Pair 4/*genetics MH - Cytogenetic Analysis/methods MH - Humans MH - Interleukin-3/*genetics MH - Male MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/*genetics MH - Prognosis MH - Retrospective Studies MH - Transcription Factors/*genetics MH - Translocation, Genetic MH - Trisomy/*genetics EDAT- 2014/12/02 06:00 MHDA- 2015/08/21 06:00 CRDT- 2014/12/02 06:00 PHST- 2014/09/03 00:00 [received] PHST- 2014/10/13 00:00 [accepted] PHST- 2014/12/02 06:00 [entrez] PHST- 2014/12/02 06:00 [pubmed] PHST- 2015/08/21 06:00 [medline] AID - 10.3892/or.2014.3624 [doi] PST - ppublish SO - Oncol Rep. 2015 Feb;33(2):625-30. doi: 10.3892/or.2014.3624. Epub 2014 Nov 25.