PMID- 26203356 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150723 LR - 20200930 IS - 2050-7771 (Print) IS - 2050-7771 (Electronic) IS - 2050-7771 (Linking) VI - 3 DP - 2015 TI - A case of B-cell acute lymphoblastic leukemia in a child with Down syndrome bearing a t(2;12)(p12;p13) involving ETV6 and biallelic IGH@ rearrangements. PG - 11 LID - 10.1186/s40364-015-0036-1 [doi] LID - 11 AB - BACKGROUND: Rearrangements involving ETV6 (12p13) are among the most common structural abnormalities in pediatric B-cell acute lymphoblastic leukemia (B-ALL) and involve numerous partner genes. Additionally, the t(8;14)(q11.2;q32), which can result in the placement of CEBPD (8q11.2) near the regulatory regions of IGH@ (14q32) and consequent overexpression of CEPBD, occurs at a higher frequency in individuals with Down syndrome-associated ALL (DS-ALL) compared to both the general and pediatric population. The coexistence of cytogenetically detectable ETV6 abnormalities and t(8;14)(q11.2;q32) is a rare occurrence in B-ALL and has only been reported in a single case in the literature. FINDINGS: Herein, we present a case of B-ALL in a 9-year old male with Down syndrome in which conventional cytogenetic analysis revealed two reciprocal translocations: a t(8;14)(q11.2;q32) and a t(2;12)(p12;p13). Interphase and metaphase fluorescence in situ hybridization (FISH) analysis using break apart probes confirmed the involvement of IGH@ and ETV6 in these translocations, respectively. Additionally, interphase FISH revealed a clonal subpopulation bearing biallelic IGH@ rearrangements not observed by conventional cytogenetic analysis. CONCLUSIONS: To the best of our knowledge, this is the first reported case of B-ALL bearing an ETV6 translocation with a partner gene on the short arm of chromosome 2 confirmed by FISH. Additionally, it is the second reported case of t(8;14)(q11.2;q32)-ALL bearing a concomitant, cytogenetically detectable abnormality involving ETV6. This case provides insight into a novel translocation involving ETV6 as well as potentially unique and understudied mechanisms of clonal evolution in pediatric B-ALL. FAU - Tirado, Carlos A AU - Tirado CA AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Shabsovich, David AU - Shabsovich D AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Kim, Yeun AU - Kim Y AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Traum, Peter AU - Traum P AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Pullarkat, Sheeja AU - Pullarkat S AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Kallen, Michael AU - Kallen M AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. FAU - Rao, Nagesh AU - Rao N AD - Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA USA. LA - eng PT - Case Reports DEP - 20150605 PL - England TA - Biomark Res JT - Biomarker research JID - 101607860 EIN - Biomark Res. 2015;3:27. PMID: 26535130 PMC - PMC4509750 OTO - NOTNLM OT - B-ALL OT - Cytogenetics OT - ETV6 OT - FISH EDAT- 2015/07/24 06:00 MHDA- 2015/07/24 06:01 PMCR- 2015/06/05 CRDT- 2015/07/24 06:00 PHST- 2015/04/17 00:00 [received] PHST- 2015/05/26 00:00 [accepted] PHST- 2015/07/24 06:00 [entrez] PHST- 2015/07/24 06:00 [pubmed] PHST- 2015/07/24 06:01 [medline] PHST- 2015/06/05 00:00 [pmc-release] AID - 36 [pii] AID - 10.1186/s40364-015-0036-1 [doi] PST - epublish SO - Biomark Res. 2015 Jun 5;3:11. doi: 10.1186/s40364-015-0036-1. eCollection 2015.