PMID- 26300976 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150824 LR - 20201001 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 8 DP - 2015 TI - Double inv(3)(q21q26.2) in acute myeloid leukemia is resulted from an acquired copy neutral loss of heterozygosity of chromosome 3q and associated with disease progression. PG - 68 LID - 10.1186/s13039-015-0171-2 [doi] LID - 68 AB - BACKGROUND: Acute myeloid leukemia (AML) with inv(3)(q21q26.2)/t(3;3)(q21;q26.2) is a distinct clinicopathologic entity with a poor prognosis. However, double inv(3)(q21q26.2) is extremely rare in AML. We report here 3 cases analyzed by oligonucleotide microarray comparative genomic hybridization (aCGH) and single nucleotide polymorphism (SNP). Clinicopathologic, cytogenetic and molecular findings were correlated with clinical outcome to better understand the entity. RESULTS: The study group included one man and two women at 56-74 years of age. The AML arose from myelodysplastic syndrome in one patient and from chronic myelomonocytic leukemia in another patient. Monosomy 7 was found as additional cytogenetic finding in one patient. One patient had a single inv(3) in the initial clone and acquired double inv(3) as part of clonal evolution. EVI1 (MECOM) rearrangement was confirmed using metaphase/interphase fluorescence in situ hybridization (FISH). Microarray (aCGH + SNP) data analysis revealed that the double inv(3) was a result of acquiring copy neutral loss of heterozygosity of chromosome 3q: arr[hg19] 3q13.21q29(10,344,387-197,802,470)x2 hmz, spanning ~ 94.3 Mb in size. Mutational profiling showed a PTPN11 mutation at a low level (~10 %) in one patient and wild type FLT3 and RAS in all patients. No patients achieved cytogenetic remission and all died with an overall survival (OS) of 23, 12 and 5 months, respectively. CONCLUSIONS: Double inv(3) is a result of acquired copy neutral loss of heterozygosity, a somatic repair event occurring as a part of mitotic recombination of the partial chromosome 3q. The double inv(3) in AML patients is highly associated with a rapid disease progression. FAU - Gu, Jun AU - Gu J AD - Cytogenetic Technology Program, School of Health Professions, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0002, Houston, TX 77030 USA. FAU - Patel, Keyur P AU - Patel KP AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Bai, Bing AU - Bai B AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Liu, Ching-Hua AU - Liu CH AD - Cytogenetic Technology Program, School of Health Professions, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0002, Houston, TX 77030 USA ; The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Tang, Guilin AU - Tang G AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Kantarjian, Hagop M AU - Kantarjian HM AD - Department of Leukemia, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0428, Houston, TX 77030 USA. FAU - Tang, Zhenya AU - Tang Z AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Abraham, Ronald AU - Abraham R AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Luthra, Rajyalakshmi AU - Luthra R AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Medeiros, L Jeffrey AU - Medeiros LJ AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Lin, Pei AU - Lin P AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. FAU - Lu, Xinyan AU - Lu X AD - The Department of Hematopathology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd. Unit 0149, Houston, TX 77030 USA. LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20150819 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC4545786 EDAT- 2015/08/25 06:00 MHDA- 2015/08/25 06:01 PMCR- 2015/08/19 CRDT- 2015/08/25 06:00 PHST- 2015/05/06 00:00 [received] PHST- 2015/08/04 00:00 [accepted] PHST- 2015/08/25 06:00 [entrez] PHST- 2015/08/25 06:00 [pubmed] PHST- 2015/08/25 06:01 [medline] PHST- 2015/08/19 00:00 [pmc-release] AID - 171 [pii] AID - 10.1186/s13039-015-0171-2 [doi] PST - epublish SO - Mol Cytogenet. 2015 Aug 19;8:68. doi: 10.1186/s13039-015-0171-2. eCollection 2015.