PMID- 25930743 OWN - NLM STAT- MEDLINE DCOM- 20160202 LR - 20150520 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 54 IP - 7 DP - 2015 Jul TI - Unique clonal relationship between T-cell acute lymphoblastic leukemia and subsequent Langerhans cell histiocytosis with TCR rearrangement and NOTCH1 mutation. PG - 409-17 LID - 10.1002/gcc.22252 [doi] AB - Acute lymphoblastic leukemia (ALL) occasionally develops before or after the onset of Langerhans cell histiocytosis (LCH). The mechanism of LCH developing after ALL remains unclear; thus the clonality of LCH developing during maintenance chemotherapy for T-cell ALL (T-ALL) was investigated. The T-ALL and LCH cells tested had the same T-cell receptor (TCR) gamma rearrangement. Mutation analysis of the NOTCH1 gene revealed 7213C>T (Q2405X) in exon 34 in T-ALL and LCH cells, but 5156T>C (I1719T) in exon 27 only in T-ALL. Polymerase chain reaction-restriction fragment length polymorphism analysis revealed three patterns of NOTCH1 mutations in T-ALL cells. The results suggest that the T-ALL and LCH cells were derived from a common precursor with TCR rearrangement and a single NOTCH1 mutation, rather than LCH cells developing from a minor clone of T-ALL with single NOTCH1 mutation. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Yokokawa, Yuichi AU - Yokokawa Y AD - Department of Molecular Diagnostics and Therapeutics, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. AD - Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. FAU - Taki, Tomohiko AU - Taki T AD - Department of Molecular Diagnostics and Therapeutics, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. FAU - Chinen, Yoshiaki AU - Chinen Y AD - Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. FAU - Kobayashi, Satoru AU - Kobayashi S AD - Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. FAU - Nagoshi, Hisao AU - Nagoshi H AD - Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. FAU - Akiyama, Masaharu AU - Akiyama M AD - Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. AD - Division of Molecular Genetics, Institute of DNA Medicine, The Jikei University School of Medicine, Tokyo, Japan. FAU - Morimoto, Akira AU - Morimoto A AD - Department of Pediatrics, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan. FAU - Ida, Hiroyuki AU - Ida H AD - Department of Pediatrics, The Jikei University School of Medicine, Tokyo, Japan. FAU - Taniwaki, Masafumi AU - Taniwaki M AD - Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150430 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (Antineoplastic Agents) RN - 0 (NOTCH1 protein, human) RN - 0 (Receptor, Notch1) RN - 0 (Receptors, Antigen, T-Cell, gamma-delta) SB - IM MH - Antineoplastic Agents/adverse effects MH - Child MH - Clone Cells/pathology MH - Histiocytosis, Langerhans-Cell/drug therapy/*genetics MH - Humans MH - Langerhans Cells/pathology MH - Leukocytosis/genetics MH - Male MH - Mutation MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/*genetics MH - Receptor, Notch1/*genetics MH - Receptors, Antigen, T-Cell, gamma-delta/*genetics MH - T-Lymphocytes/pathology MH - Thrombocytopenia/genetics EDAT- 2015/05/02 06:00 MHDA- 2016/02/03 06:00 CRDT- 2015/05/02 06:00 PHST- 2014/09/23 00:00 [received] PHST- 2015/02/09 00:00 [accepted] PHST- 2015/05/02 06:00 [entrez] PHST- 2015/05/02 06:00 [pubmed] PHST- 2016/02/03 06:00 [medline] AID - 10.1002/gcc.22252 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2015 Jul;54(7):409-17. doi: 10.1002/gcc.22252. Epub 2015 Apr 30.