PMID- 29153093 OWN - NLM STAT- MEDLINE DCOM- 20171128 LR - 20231213 IS - 2210-7762 (Print) VI - 218-219 DP - 2017 Dec TI - Next-generation sequencing and molecular cytogenetic characterization of ETV6-LYN fusion due to chromosomes 1, 8 and 12 rearrangement in acute myeloid leukemia. PG - 15-19 LID - S2210-7762(17)30269-7 [pii] LID - 10.1016/j.cancergen.2017.09.001 [doi] AB - In a newly diagnosed patient with acute myeloid leukemia (AML) and complex cytogenetics and negative for gene mutations associated with myeloid neoplasms, RNA sequencing by next-generation sequencing (NGS) through a large cancer-related gene panel showed ETV6-LYN leukemic fusion transcript. Breakpoint analysis of the NGS reads showed fusion of exon 5 of the ETV6 gene to exon 8 of the LYN gene. Metaphase fluorescence in situ hybridization (FISH) inferred a four-break rearrangement of three chromosomes, namely 1, 8 and 12. First, there was a balanced translocation t(1;12)(p13;p13.2) in which the ETV6 was split between der(1) and der(12). Second, an inverted insertion of 8q12.1~q24.21 into 1p13 occurred, thus bringing ETV6 and LYN into juxtaposition in the correct 5' to 3' orientation to produce an in-frame chimeric fusion gene on der(1). Notwithstanding two previous reports of ETV6-LYN fusion in myeloproliferative neoplasms (MPN), we report the first case of this fusion in AML and hence broaden its disease association. We also illustrate the clinical utility of NGS based detection of gene fusion in the setting of complex karyotype or cryptic aberration, since this method does not require a priori knowledge of the translocation partner and exact breakpoints to guide the application of appropriate primers or probes. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Ma, Edmond S K AU - Ma ESK AD - Division of Molecular Pathology, Department of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong. Electronic address: eskma@hksh.com. FAU - Wan, Thomas S K AU - Wan TSK AD - Blood Cancer Cytogenetics and Genomics Laboratory, Department of Anatomical & Cellular Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. FAU - Au, Chun Hang AU - Au CH AD - Division of Molecular Pathology, Department of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong. FAU - Ho, Dona N AU - Ho DN AD - Division of Molecular Pathology, Department of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong. FAU - Ma, Shing Yan AU - Ma SY AD - Specialist in Hematology & Hematological Oncology in private practice, Hong Kong. FAU - Ng, Margaret H L AU - Ng MHL AD - Blood Cancer Cytogenetics and Genomics Laboratory, Department of Anatomical & Cellular Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. FAU - Chan, Tsun Leung AU - Chan TL AD - Division of Molecular Pathology, Department of Pathology, Hong Kong Sanatorium & Hospital, Hong Kong. LA - eng PT - Case Reports PT - Journal Article DEP - 20170913 PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins c-ets) RN - 0 (Repressor Proteins) RN - EC 2.7.10.2 (lyn protein-tyrosine kinase) RN - EC 2.7.10.2 (src-Family Kinases) SB - IM MH - Adult MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 1/*genetics MH - Chromosomes, Human, Pair 12/*genetics MH - Chromosomes, Human, Pair 8/*genetics MH - *Gene Rearrangement MH - High-Throughput Nucleotide Sequencing/methods MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/*genetics/pathology MH - Male MH - Oncogene Proteins, Fusion/*genetics MH - Proto-Oncogene Proteins c-ets/*genetics MH - Repressor Proteins/*genetics MH - src-Family Kinases/*genetics MH - ETS Translocation Variant 6 Protein OTO - NOTNLM OT - Acute myeloid leukemia OT - ETV6-LYN OT - cytogenetics OT - fluorescence in situ hybridization OT - gene fusion OT - next-generation sequencing EDAT- 2017/11/21 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/11/21 06:00 PHST- 2017/06/11 00:00 [received] PHST- 2017/09/01 00:00 [revised] PHST- 2017/09/06 00:00 [accepted] PHST- 2017/11/21 06:00 [entrez] PHST- 2017/11/21 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] AID - S2210-7762(17)30269-7 [pii] AID - 10.1016/j.cancergen.2017.09.001 [doi] PST - ppublish SO - Cancer Genet. 2017 Dec;218-219:15-19. doi: 10.1016/j.cancergen.2017.09.001. Epub 2017 Sep 13.