PMID- 25800664 OWN - NLM STAT- MEDLINE DCOM- 20150717 LR - 20161125 IS - 2210-7762 (Print) VI - 208 IP - 3 DP - 2015 Mar TI - MYC amplification in multiple marker chromosomes and EZH2 microdeletion in a man with acute myeloid leukemia. PG - 96-100 LID - S2210-7762(15)00011-3 [pii] LID - 10.1016/j.cancergen.2015.01.010 [doi] AB - The role of MYC and EZH2 in acute myeloid leukemia (AML) pathogenesis is poorly understood. Herein we present a case of AML with MYC amplification in marker chromosomes and a microdeletion of chromosome 7 below cytogenetic resolution. The karyotype of the patient's bone marrow aspirate showed three to five marker chromosomes in all dividing cells without other structural or numerical chromosomal abnormalities. Analysis by fluorescence in situ hybridization (FISH) with a probe specific for the human MYC gene revealed amplification of the oncogene localized to the marker chromosomes. Using whole genome single nucleotide polymorphism (SNP) microarray analysis, an approximately 4.4 Mb amplicon containing the MYC gene was identified with an estimated amplification of about 30 copies per leukemic cell and, thus, an average of about 8 copies per marker chromosome. A 6.4 Mb hemizygous microdeletion of chromosome 7 within band q36.1 was also found by SNP microarray analysis in a cellular-equivalent dosage of 50%. The microdeletion spans multiple genes, including EZH2, a gene with well-known cancer association. No mutation was found in the remaining EZH2 allele by next generation gene sequencing. The combination of MYC amplification and EZH2 deletion, which has not been described previously in AML, may suggest a synergistic role of the two oncogenes in the pathogenesis of the patient's acute leukemia. CI - Published by Elsevier Inc. FAU - Xiang, Zhifu AU - Xiang Z AD - Division of Hematology and Oncology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Division of Hematology and Oncology, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. Electronic address: zxiang@uams.edu. FAU - Abdallah, Al-Ola AU - Abdallah AO AD - Division of Hematology and Oncology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA. FAU - Govindarajan, Rangaswamy AU - Govindarajan R AD - Division of Hematology and Oncology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Division of Hematology and Oncology, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. FAU - Mehta, Paulette AU - Mehta P AD - Division of Hematology and Oncology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Division of Hematology and Oncology, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. FAU - Emanuel, Peter D AU - Emanuel PD AD - Division of Hematology and Oncology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA. FAU - Papenhausen, Peter AU - Papenhausen P AD - Division of Cytogenetics, LabCorp, Center for Molecular Biology and Pathology, Research Triangle Park, NC, USA. FAU - Schichman, Steven A AU - Schichman SA AD - Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Pathology and Laboratory Medicine Service, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. LA - eng PT - Case Reports PT - Journal Article DEP - 20150207 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 RN - EC 2.1.1.43 (EZH2 protein, human) RN - EC 2.1.1.43 (Enhancer of Zeste Homolog 2 Protein) RN - EC 2.1.1.43 (Polycomb Repressive Complex 2) SB - IM MH - Aged MH - Aged, 80 and over MH - Enhancer of Zeste Homolog 2 Protein MH - *Gene Amplification MH - *Gene Deletion MH - *Genes, myc MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/etiology/*genetics MH - Male MH - Polycomb Repressive Complex 2/*genetics MH - Polymorphism, Single Nucleotide OTO - NOTNLM OT - Acute myeloid leukemia OT - EZH2 OT - Genetic abnormality OT - MYC OT - Marker chromosomes EDAT- 2015/03/25 06:00 MHDA- 2015/07/18 06:00 CRDT- 2015/03/25 06:00 PHST- 2014/07/25 00:00 [received] PHST- 2015/01/28 00:00 [revised] PHST- 2015/01/30 00:00 [accepted] PHST- 2015/03/25 06:00 [entrez] PHST- 2015/03/25 06:00 [pubmed] PHST- 2015/07/18 06:00 [medline] AID - S2210-7762(15)00011-3 [pii] AID - 10.1016/j.cancergen.2015.01.010 [doi] PST - ppublish SO - Cancer Genet. 2015 Mar;208(3):96-100. doi: 10.1016/j.cancergen.2015.01.010. Epub 2015 Feb 7.