PMID- 28186604 OWN - NLM STAT- MEDLINE DCOM- 20170629 LR - 20171116 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 34 IP - 1 DP - 2017 Feb 10 TI - [Clinical and genetic features of a patient with myeloid neoplasm in association with PDGFRA and EVI1 gene rearrangements]. PG - 93-97 LID - 10.3760/cma.j.issn.1003-9406.2017.01.022 [doi] AB - OBJECTIVE: Todelineate the clinical and genetic features of a patient with myeloproliferative neoplasm (MPN) in association with PDGFRA and EVI1 genes rearrangements. METHODS: Clinical data of the patient was collected. Conventional cytogenetics, fluorescence in situ hybridization (FISH) and nested PCR were carried out for the patient. RESULTS: The patient has featured recurrent rash, joint pain, and intermittent fever. Laboratory tests showed hyperleukocytosis and marked eosinophilia. Physical examination revealed splenomegaly. His karyotype was 46,XY,t(3;5)(q26;q15)[6]/46,XY[10]. FISH assay showed that both PDGFRA and EVI1 genes were rearranged. Molecular studies of the mRNA suggested that there was a in-frame fusion between exon 12 of the PDGFRA gene and exon 9 of the FIP1L1 gene. Imatinib was initiated at a dosage of 200 mg, and after 10 months, the signal of the FIP1L1-PDGFRA fusion gene was undetectable in bone marrow sample. However, the expression of EVI1 mRNA was stable, with no significant difference found between the patient and 10 healthy controls. CONCLUSION: MPN in association with PDGFRA and EVI1 genes rearrangements have unique clinical and genetic features. Genetic testing is helpful for early diagnosis. Imatinib may be effective for the treatment. FAU - Han, Wenmin AU - Han W AD - Department of Hematology, Affiliated Changzhou Second Hospital of Nanjing Medical University, Changzhou, Jiangsu 213003, China. chaohy2006@126.com. FAU - Chao, Hongying AU - Chao H FAU - Zhou, Min AU - Zhou M FAU - Cen, Ling AU - Cen L FAU - Chen, Suning AU - Chen S FAU - He, Xuefeng AU - He X FAU - Lu, Xuzhang AU - Lu X LA - chi PT - Case Reports PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - 0 (Antineoplastic Agents) RN - 0 (DNA-Binding Proteins) RN - 0 (MDS1 and EVI1 Complex Locus Protein) RN - 0 (MECOM protein, human) RN - 0 (Transcription Factors) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.10.1 (Receptor, Platelet-Derived Growth Factor alpha) SB - IM MH - Antineoplastic Agents/therapeutic use MH - Base Sequence MH - Chromosome Banding MH - Chromosomes, Human, Pair 3/genetics MH - Chromosomes, Human, Pair 5/genetics MH - DNA-Binding Proteins/*genetics MH - *Gene Rearrangement MH - Humans MH - Imatinib Mesylate/therapeutic use MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - MDS1 and EVI1 Complex Locus Protein MH - Male MH - Myeloproliferative Disorders/drug therapy/*genetics MH - Proto-Oncogenes/*genetics MH - Receptor, Platelet-Derived Growth Factor alpha/*genetics MH - Transcription Factors/*genetics MH - Translocation, Genetic MH - Treatment Outcome MH - Young Adult EDAT- 2017/02/12 06:00 MHDA- 2017/07/01 06:00 CRDT- 2017/02/11 06:00 PHST- 2017/02/11 06:00 [entrez] PHST- 2017/02/12 06:00 [pubmed] PHST- 2017/07/01 06:00 [medline] AID - 940634022 [pii] AID - 10.3760/cma.j.issn.1003-9406.2017.01.022 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Feb 10;34(1):93-97. doi: 10.3760/cma.j.issn.1003-9406.2017.01.022.