PMID- 36627146 OWN - NLM STAT- MEDLINE DCOM- 20230329 LR - 20230512 IS - 2373-2873 (Electronic) IS - 2373-2873 (Linking) VI - 9 IP - 1 DP - 2023 Feb TI - A TRIP11:: FLT3 gene fusion in a patient with myeloid/lymphoid neoplasm with eosinophilia and tyrosine kinase gene fusions: a case report and review of the literature. LID - 10.1101/mcs.a006243 [doi] LID - a006243 AB - Myeloid/lymphoid neoplasms with FLT3 gene fusions have recently been included among myeloid/lymphoid neoplasms with eosinophilia and tyrosine kinase gene fusions (MLN-TK) in the World Health Organization classification and International Consensus Classification. As this entity remains remarkably rare, its scope and phenotypic features are evolving. In this report, we describe a 33-yr-old male with MLN-TK. Conventional chromosome analysis revealed a t(13;14)(q12;q32). Further analysis with mate-pair sequencing (MPseq) confirmed a TRIP11::FLT3 gene fusion. A diagnosis of MLN-TK was rendered. To the best of our knowledge, we report the third case of MLN-TK with a TRIP11::FLT3 gene fusion. In contrast to previously described cases, our case exhibited distinctly mild clinical features and disease behavior, emphasizing the diverse spectrum of MLN-TK at primary presentation and variability in disease course. MLN-TK with FLT3 gene fusions are a genetically defined entity which may be targetable with tyrosine kinase inhibitors with anti-FLT3 activity. Accordingly, from diagnostic and therapeutic viewpoints, genetic testing for FLT3 rearrangements using fluorescence in situ hybridization (FISH) or sequencing-based assays should be pursued for patients with chronic eosinophilia. CI - (c) 2023 Venable et al.; Published by Cold Spring Harbor Laboratory Press. FAU - Venable, Elise R AU - Venable ER AD - Division of Anatomic Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Gagnon, Marie-France AU - Gagnon MF AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Pitel, Beth A AU - Pitel BA AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Palmer, Jeanne M AU - Palmer JM AD - Division of Hematology and Oncology, Department of Medicine, Mayo Clinic, Phoenix, Arizona 85054, USA. FAU - Peterson, Jess F AU - Peterson JF AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology, Rochester, Minnesota 55905, USA. FAU - Baughn, Linda B AU - Baughn LB AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology, Rochester, Minnesota 55905, USA. FAU - Hoppman, Nicole L AU - Hoppman NL AD - Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Greipp, Patricia T AU - Greipp PT AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology, Rochester, Minnesota 55905, USA. FAU - Ketterling, Rhett P AU - Ketterling RP AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology, Rochester, Minnesota 55905, USA. FAU - Patnaik, Mrinal S AU - Patnaik MS AD - Division of Hematology and Oncology, Department of Medicine Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Kelemen, Katalin AU - Kelemen K AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology; Mayo Clinic, Phoenix, Arizona 85054, USA. FAU - Xu, Xinjie AU - Xu X AD - Division of Hematopathology, Department of Laboratory Medicine and Pathology, Rochester, Minnesota 55905, USA; Xu.Xinjie@mayo.edu. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230324 PL - United States TA - Cold Spring Harb Mol Case Stud JT - Cold Spring Harbor molecular case studies JID - 101660017 RN - 0 (Cytoskeletal Proteins) RN - EC 2.7.10.1 (FLT3 protein, human) RN - EC 2.7.10.1 (fms-Like Tyrosine Kinase 3) RN - 0 (Oncogene Proteins, Fusion) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - 0 (TRIP11 protein, human) SB - IM MH - Humans MH - Male MH - Cytoskeletal Proteins/genetics MH - *Eosinophilia/genetics MH - fms-Like Tyrosine Kinase 3/genetics MH - Gene Fusion MH - In Situ Hybridization, Fluorescence MH - *Lymphoma/genetics MH - *Myeloproliferative Disorders/diagnosis/drug therapy/genetics MH - Oncogene Proteins, Fusion/genetics MH - Protein-Tyrosine Kinases MH - Adult PMC - PMC10111796 OTO - NOTNLM OT - eosinophilia OT - hematological neoplasm OT - malignant eosinophil proliferation EDAT- 2023/01/11 06:00 MHDA- 2023/03/28 17:11 PMCR- 2023/02/01 CRDT- 2023/01/10 20:52 PHST- 2022/10/25 00:00 [received] PHST- 2022/12/13 00:00 [accepted] PHST- 2023/03/28 17:11 [medline] PHST- 2023/01/11 06:00 [pubmed] PHST- 2023/01/10 20:52 [entrez] PHST- 2023/02/01 00:00 [pmc-release] AID - mcs.a006243 [pii] AID - 10.1101/mcs.a006243 [doi] PST - epublish SO - Cold Spring Harb Mol Case Stud. 2023 Mar 24;9(1):a006243. doi: 10.1101/mcs.a006243. 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