PMID- 35927023 OWN - NLM STAT- Publisher LR - 20240216 IS - 2373-2873 (Electronic) IS - 2373-2873 (Linking) VI - 8 IP - 5 DP - 2022 Aug 4 TI - Detection of a GLIS3 fusion in an infant with AML refractory to chemotherapy. LID - mcs.a006220 [pii] LID - 10.1101/mcs.a006220 [doi] LID - a006220 AB - Infants diagnosed with acute myeloid leukemia (AML) frequently harbor cytogenetically cryptic fusions involving KMT2A, NUP98 or GLIS2. Those with AML driven specifically by CBFA2T3::GLIS2 fusions have a dismal prognosis and are currently risk-stratified to receive hematopoietic stem cell transplantation (HSCT) in first remission. Here we report an infant with AML who was refractory to multiple lines of chemotherapy but lacked an identifiable fusion despite cytogenetic, fluorescence in situ hybridization (FISH) and targeted next generation sequencing (NGS) testing. Research-grade RNASeq from a relapse sample revealed in-frame CBFA2T3::GLIS3 and GLIS3::CBFA2T3 fusions. A patient-derived xenograft (PDX) generated from this patient has a short latency period and represents a strategy to test novel agents that may be effective in this aggressive subtype of AML. This report describes the first case of AML with a CBFA2T3::GLIS3 fusion and highlights the need for unbiased NGS testing including RNASeq at diagnosis, as patients with CBFA2T3::GLIS3 fusions should be considered for HSCT in first remission. CI - Cold Spring Harbor Laboratory Press. FAU - Smith, Stephen M AU - Smith SM AD - UCSF Benioff Children's Hospital Oakland; stephen.smith@ucsf.edu. FAU - Lee, Alex AU - Lee A AD - UCSF Benioff Children's Hospital San Francisco. FAU - Tong, Schuyler AU - Tong S AD - UCSF Benioff Children's Hospital Oakland. FAU - Leung, Stanley AU - Leung S AD - UCSF Benioff Children's Hospital San Francisco. FAU - Hongo, Henry AU - Hongo H AD - UCSF Benioff Children's Hospital San Francisco. FAU - Rivera, Jose AU - Rivera J AD - UCSF Benioff Children's Hospital San Francisco. FAU - Sweet-Cordero, Alejandro AU - Sweet-Cordero A AD - UCSF Benioff Children's Hospital San Francisco. FAU - Michlitsch, Jennifer AU - Michlitsch J AD - UCSF Benioff Children's Hospital Oakland. FAU - Stieglitz, Elliot AU - Stieglitz E AUID- ORCID: 0000-0001-7032-4623 AD - UCSF Benioff Children's Hospital San Francisco. LA - eng GR - T32 GM067547/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20220804 PL - United States TA - Cold Spring Harb Mol Case Stud JT - Cold Spring Harbor molecular case studies JID - 101660017 SB - IM PMC - PMC9528968 OTO - NOTNLM OT - Acute myeloid leukemia OT - Hematological neoplasm EDAT- 2022/08/05 06:00 MHDA- 2022/08/05 06:00 PMCR- 2022/08/01 CRDT- 2022/08/04 21:42 PHST- 2022/05/17 00:00 [received] PHST- 2022/07/21 00:00 [accepted] PHST- 2022/08/05 06:00 [pubmed] PHST- 2022/08/05 06:00 [medline] PHST- 2022/08/04 21:42 [entrez] PHST- 2022/08/01 00:00 [pmc-release] AID - mcs.a006220 [pii] AID - 10.1101/mcs.a006220 [doi] PST - aheadofprint SO - Cold Spring Harb Mol Case Stud. 2022 Aug 4;8(5):a006220. doi: 10.1101/mcs.a006220.