PMID- 9763573 OWN - NLM STAT- MEDLINE DCOM- 19981109 LR - 20210924 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 92 IP - 8 DP - 1998 Oct 15 TI - CBFA2(AML1) translocations with novel partner chromosomes in myeloid leukemias: association with prior therapy. PG - 2879-85 AB - CBFA2(AML1) has emerged as a gene critical in hematopoiesis; its protein product forms the DNA-binding subunit of the heterodimeric core-binding factor (CBF) that binds to the transcriptional regulatory regions of genes, some of which are active specifically in hematopoiesis. CBFA2 forms a fusion gene with ETO and MDS1/EVI1 in translocations in myeloid leukemia and with ETV6(TEL) in the t(12;21) common in childhood pre-B acute lymphoblastic leukemia. We have analyzed samples from 30 leukemia patients who had chromosome rearrangements involving 21q22 by using fluorescence in situ hybridization (FISH). Our analysis showed that 7 of them involved CBFA2 and new translocation partners. Two patients had a t(17;21)(q11.2;q22), whereas the other 5 had translocations involving 1p36, 5q13, 12q24, 14q22, or 15q22. Five of these novel breakpoints in CBFA2 occurred in intron 6; this same intron is involved in the t(3;21). One breakpoint mapped to the t(8;21) breakpoint region in intron 5, and 1 mapped 5' to that region. All 7 CBFA2 rearrangements resulted from balanced translocations. All 7 patients had myeloid disorders (acute myeloid leukemia or myelodysplastic syndrome); 2 were de novo and 5 had treatment histories that included topoisomerase II targeting agents. The association of therapy-related disorders with translocations involving CBFA2 was significant by Fisher's exact test (P < .003). These results provide further evidence that this region of CBFA2 is susceptible to breakage in cells exposed to topoisomerase II inhibitors. CI - Copyright 1998 by The American Society of Hematology. FAU - Roulston, D AU - Roulston D AD - Section of Hematology/Oncology, Department of Medicine, and the Cancer Research Center, The University of Chicago Pritzker School of Medicine, Chicago, IL, USA. FAU - Espinosa, R 3rd AU - Espinosa R 3rd FAU - Nucifora, G AU - Nucifora G FAU - Larson, R A AU - Larson RA FAU - Le Beau, M M AU - Le Beau MM FAU - Rowley, J D AU - Rowley JD LA - eng GR - CA40046/CA/NCI NIH HHS/United States GR - CA42557/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Core Binding Factor Alpha 2 Subunit) RN - 0 (DNA-Binding Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RUNX1 protein, human) RN - 0 (Transcription Factors) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Chromosomes, Human/genetics/*ultrastructure MH - Chromosomes, Human, Pair 1/genetics/ultrastructure MH - Chromosomes, Human, Pair 12/genetics/ultrastructure MH - Chromosomes, Human, Pair 14/genetics/ultrastructure MH - Chromosomes, Human, Pair 15/genetics/ultrastructure MH - Chromosomes, Human, Pair 17/genetics/ultrastructure MH - Chromosomes, Human, Pair 21/genetics/*ultrastructure MH - Chromosomes, Human, Pair 5/genetics/ultrastructure MH - Core Binding Factor Alpha 2 Subunit MH - *DNA-Binding Proteins MH - Humans MH - Leukemia, Myeloid/drug therapy/*genetics/pathology MH - Myelodysplastic Syndromes/genetics/pathology MH - *Proto-Oncogene Proteins MH - Transcription Factors/*genetics MH - *Translocation, Genetic EDAT- 1998/10/09 02:00 MHDA- 2001/03/28 10:01 CRDT- 1998/10/09 02:00 PHST- 1998/10/09 02:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1998/10/09 02:00 [entrez] AID - S0006-4971(20)76208-7 [pii] PST - ppublish SO - Blood. 1998 Oct 15;92(8):2879-85.