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Pedersen B. Thrombopoiesis and Structural Rearrangements of the Long Arm of Chromosome 3. Review arid Analysis of Data on 64 Published Patients. Leuk Lymphoma 2009; 2:93-102. [DOI: 10.3109/10428199009042519] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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2
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Maserati E, Campagnoli E, Truglio F, Casalone R, Geniram A, Invernizzi R, Pasquali F. Transferrin and structural anomalies of chromosome 3 in the blastic phase of chronic myelocytic leukemia. Hereditas 2008; 111:305-8. [PMID: 2632499 DOI: 10.1111/j.1601-5223.1990.tb00409.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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3
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Patel BB, Mohamed AN, Schiffer CA. “Acute myelogenous leukemia like” translocations in CML blast crisis: Two new cases of inv(16)/t(16;16) and a review of the literature. Leuk Res 2006; 30:225-32. [PMID: 16076492 DOI: 10.1016/j.leukres.2005.06.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2005] [Revised: 06/14/2005] [Accepted: 06/15/2005] [Indexed: 11/17/2022]
Abstract
We describe two patients with CML blast crisis with clonal evolution affecting 16q22 (t(16;16)(p13;q22) and inv(16)(p13;q22), abnormalities of core binding factor, usually found in de novo acute myeloid leukemia (AML)). The bone marrow of both cases showed myelomonocytic (M4) differentiation and eosinophilia. Both patients had prominent extramedullary disease and had poor response to treatment. A literature search focused on patients with CML and additional chromosome changes more typical of AML, revealed that the morphology of the blasts correlated with the finding typical of the underlying "AML" cytogenetic abnormality and an overall very poor clinical outcome, even in the groups with "favorable" AML type translocations.
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Affiliation(s)
- Bhaumik B Patel
- Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, Internal Medicine, Division of Hematology-Oncology, Karmanos Cancer Institute, 4HW-4238, 4100 John R, Detroit, MI 48201, USA
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4
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Chang VT, Aviv H, Howard LM, Padberg F. Acute myelogenous leukemia associated with extreme symptomatic thrombocytosis and chromosome 3q translocation: case report and review of literature. Am J Hematol 2003; 72:20-6. [PMID: 12508263 DOI: 10.1002/ajh.10256] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Acute leukemias with thrombocytosis have been recently linked with structural abnormalities of the short arm of chromosome 3. A 46-year-old man with a 2-month history of recurrent transient ischemic attacks and abdominal pain developed an ischemic left foot and a gangrenous toe as his initial symptoms. Platelet count was 3.5 x 10(6)/microL, and despite plateletpheresis, the patient required left-leg amputation. Pathologic examination was remarkable for arterial thrombosis in the absence of atherosclerotic lesions. A diagnosis of acute myeloid leukemia with a novel translocation between chromosomes 3q21, 16, and 7 was made. Induction therapy was unsuccessful, and the patient died of overwhelming sepsis within 5 weeks of diagnosis. The striking features of this case were extreme symptomatic thrombocytosis, peripheral gangrene without atherosclerosis, and a novel three-way chromosomal translocation involving chromosome 3q21.
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MESH Headings
- Acute Disease
- Amputation, Surgical
- Chromosome Breakage
- Chromosomes, Human, Pair 3/genetics
- Chromosomes, Human, Pair 3/ultrastructure
- Fatal Outcome
- Flow Cytometry
- Gangrene/etiology
- Gangrene/surgery
- Humans
- In Situ Hybridization, Fluorescence
- Ischemia/etiology
- Ischemic Attack, Transient/etiology
- Leukemia, Myeloid/complications
- Leukemia, Myeloid/genetics
- Male
- Middle Aged
- Smoking/adverse effects
- Syndrome
- Thrombocytosis/etiology
- Thrombosis/etiology
- Toes/blood supply
- Translocation, Genetic
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Affiliation(s)
- Victor T Chang
- Section of Hematology/Oncology, VA Health Care System of New Jersey, and Department of Medicine, UMDNJ/NJMS, Newark, New Jersey 07018, USA.
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5
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Keung YK, Buss D, Powell BL, Pettenati M. Central diabetes insipidus and inv(3)(q21q26) and monosomy 7 in acute myeloid leukemia. CANCER GENETICS AND CYTOGENETICS 2002; 136:78-81. [PMID: 12165457 DOI: 10.1016/s0165-4608(02)00521-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Chromosomal anomalies involving region 3q21q26 have been reported associated with thrombocytosis in various hematological malignancies, such as chronic myeloid leukemia, myelodysplastic syndrome, and acute myeloid leukemia (AML). Recent reports described the association of central diabetes insipidus with AML and chromosomal anomalies involving region 3q21q26. We review the database in our institution and report five cases of inv(3)(q21q26) in consecutive cytogenetic studies of AML and myelodysplastic syndromes from 1992 to 2000, two cases presented as sole abnormalities and three cases were associated with monosomy 7. Only one case was associated with central diabetes insipidus. The literature of 3q21q26 syndrome and central diabetes insipidus in myeloid leukemia is reviewed.
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Affiliation(s)
- Yi-Kong Keung
- Section on Hematology and Oncology, Comprehensive Cancer Center, Wake Forest University, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
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6
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Horsman DE, Gascoyne RD, Barnett MJ. Acute leukemia with structural rearrangements of chromosome 3. Leuk Lymphoma 1995; 16:369-77. [PMID: 7787746 DOI: 10.3109/10428199509054422] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Cytogenetic investigations have distinguished at least 3 distinct clinical-cytogenetic syndromes of hematopoietic malignancy with structural rearrangement of 3q. The majority of cases have breakpoints at both 3q21 and 3q26, frequently associated with monosomy 7, abnormal thrombopoiesis, and adverse outcome. Cases with only one of these breakpoints may have milder features of the syndrome. A subgroup with t(3q;5q) occurs in younger patients, occasionally with megakaryocytic dysplasia but rarely having thrombocytosis. The t(3;21) is encountered in secondary leukemias or after chemotherapy of myeloproliferative disorders. The genetic deregulations associated with each of these syndromes involve distinct genes on 3q. The majority of cases of acute leukemias with 3q rearrangements have a poor prognosis and do not respond to current modes of therapy.
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Affiliation(s)
- D E Horsman
- Division of Laboratory Medicine, British Columbia Cancer Agency, Vancouver, Canada
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7
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Jotterand Bellomo M, Parlier V, Mühlematter D, Grob JP, Beris P. Three new cases of chromosome 3 rearrangement in bands q21 and q26 with abnormal thrombopoiesis bring further evidence to the existence of a 3q21q26 syndrome. CANCER GENETICS AND CYTOGENETICS 1992; 59:138-60. [PMID: 1581880 DOI: 10.1016/0165-4608(92)90208-p] [Citation(s) in RCA: 84] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Defects of 3q in bands q21 and q26 have been reported in more than 70 cases of acute nonlymphocytic leukemia (ANLL), myelodysplastic syndrome (MDS), and myeloproliferative disorder (MPD) in blast crisis. In this paper three additional patients are described: patient 1 with refractory anemia with excess of blasts in transformation (RAEB-T) and inv(3)(q21q26), patient 2 with RAEB-T and t(3;3)(q21;q26), and patient 3 with myelofibrosis with myeloid metaplasia (MMM) in blast crisis and inv(3)(q21q26). In addition to 3q rearrangements, monosomy 7 and del(7)(q22q36) were observed in patients 1 and 2, respectively. In the three patients, the most characteristic clinical features were elevated platelet counts, marked hyperplasia with dysplasia of the megakaryocytes, and poor prognosis. Although disturbance of thrombopoiesis was not systematically observed in all patients with t(3;3)(q21;q26), inv(3)(q21q26), and ins or dup(3)(q21----q26), study of the 77 cases reported and of the three cases presented here brings further evidence to the existence of a cytogenetic syndrome involving bands q21 and q26 simultaneously, which represents a subtype of ANLL, MDS, and MPD, characterized by normal or elevated platelet counts, hyperplasia with dysplasia of megakaryocytes, multilineage involvement, young median age of patients with MDS, preferential involvement of women in t(3;3), high incidence of chromosome 7 defects in MDS and ANLL, short duration of the MDS phase, no response to chemotherapy, short survival, and por prognosis.
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Affiliation(s)
- M Jotterand Bellomo
- Division de Génétique Médicale, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
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8
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Ihle JN. The Evi-1 zinc finger protein and transformation of hematopoietic progenitors. Stem Cells 1991. [DOI: 10.1002/stem.5530090715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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9
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Gilliland G, Patterson EJ, Rosenthal DS, Tantravahi R. Multiple clones with (3;21) translocation in a case of Ph-positive chronic myelogenous leukemia during relapse after allogeneic bone marrow transplantation. CANCER GENETICS AND CYTOGENETICS 1990; 47:55-60. [PMID: 2357688 DOI: 10.1016/0165-4608(90)90262-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Secondary chromosome changes are frequently observed during the blastic phase of chronic myelogenous leukemia (CML) owing to clonal evolution. Both numerical and structural abnormalities are reported in most of these cases. Recently a new translocation, t(3;21)(q26;q22), was reported in Philadelphia (Ph)-positive CML during the chronic as well as accelerated phase. We report a patient with Ph-positive CML who developed three abnormal clones, all of which had t(3;21) at the time of relapse after allogeneic bone marrow transplantation during the accelerated phase.
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MESH Headings
- Bone Marrow Transplantation
- Chromosomes, Human, Pair 21
- Chromosomes, Human, Pair 3
- Genetic Markers
- Humans
- Karyotyping
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive/pathology
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive/surgery
- Male
- Middle Aged
- Recurrence
- Translocation, Genetic
- Transplantation, Homologous
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Affiliation(s)
- G Gilliland
- Cytogenetics Laboratory, Dana-Farber Cancer Institute, Boston MA 02115
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Walter TA, Morgan R, Ondreyco S, Sandberg AA. Apparent duplication of inv(3)(q21q26) in one of five cases with inv (3) in myelodysplastic syndromes and acute leukemia. Am J Hematol 1990; 33:210-4. [PMID: 2405651 DOI: 10.1002/ajh.2830330310] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Rearrangements affecting the long arm of chromosome 3 have been linked to abnormalities of platelet production and morphology in hematologic disorders. We present five patients with myelodysplastic syndromes or acute leukemia in whom inv(3)(q21q26) was seen. One of the patients showed an inversion of both homologs involving precisely the same breakpoints, suggesting apparent duplication of the abnormal chromosome 3 and loss of the normal homolog. To our knowledge this is the first report detailing such a condition.
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Affiliation(s)
- T A Walter
- Cancer Center of SBRI, Scottsdale, AZ 85251
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11
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Nishigaki H, Inazawa J, Misawa S, Nishida K, Okuda T, Horiike S, Tsuda S, Taniwaki M, Abe T. Distribution of breakpoint within the breakpoint cluster region (bcr) in chronic myelogenous leukemia with a complex Philadelphia chromosome translocation. Am J Hematol 1989; 32:194-9. [PMID: 2816913 DOI: 10.1002/ajh.2830320307] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We analyzed, by Southern blot hybridization, the site of breakpoint within the breakpoint cluster region (bcr) in six patients with a complex Philadelphia chromosome (Ph) translocation and in 23 unselected patients with a standard Ph. The breakpoint was found within the 5.8 kb bcr in all 29 patients. When the bcr was subdivided into four parts, fragments I-IV, based on the restriction enzyme sites, among the six patients with a complex Ph, two had a breakpoint at fragment I, three at fragment II, and one at fragment III. This distribution of breakpoints in patients with a complex Ph did not differ significantly from that in patients with a standard Ph. A deletion of an allele within the bcr was found in three patients (50%) with a complex Ph and in three (13%) with a standard Ph. The internal bcr deletion may be more common in patients with a complex Ph.
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Affiliation(s)
- H Nishigaki
- Third Department of Internal Medicine, Kyoto Prefectural University of Medicine, Japan
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12
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Ramirez GM, Macera MJ, Verma RS. Two new chromosomal abnormalities in chronic myelogenous leukemia 46,XY,t(9;15;22)(q34;q22;q11) and 46,XY,t(6;9;12;22)(p21;q34;q24;q11). CANCER GENETICS AND CYTOGENETICS 1989; 38:115-9. [PMID: 2713807 DOI: 10.1016/0165-4608(89)90171-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Two new variant cases of chronic myelogenous leukemia (CML) are presented. The first case is a 19-year-old male with a 46,XY,t(9;15;22)(q34;q22;q11) karyotype. The second case is a 75-year-old man with a 46,XY,t(6;9;12;22)(p21;q34;q24;q11) karyotype. In both cases, the prognosis was no different from those cases of CML with the standard t(9;22) as the only abnormality. We recommend that all unusual translocations be reported.
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Affiliation(s)
- G M Ramirez
- Division of Genetics, Long Island College Hospital, Brooklyn, NY 11201
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13
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Hallett JM, Martell RW, Sher C, Jacobs P. Amegakaryocytic thrombocytopenia with duplication of part of the long arm of chromosome 3. Br J Haematol 1989; 71:291-2. [PMID: 2923812 DOI: 10.1111/j.1365-2141.1989.tb04269.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- J M Hallett
- University of Cape Town, Leukaemia Centre, Groote Schuur Hospital, South Africa
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14
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Ihle JN, Morishita K, Parker DS, Bartholomew C, Askew D, Buchberg A, Jenkins NA, Copeland N, Weinstein Y. Mechanisms in the transformation of IL3-dependent hematopoietic stem cells. Curr Top Microbiol Immunol 1989; 149:59-69. [PMID: 2499442 DOI: 10.1007/978-3-642-74623-9_5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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15
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Morishita K, Parker DS, Mucenski ML, Jenkins NA, Copeland NG, Ihle JN. Retroviral activation of a novel gene encoding a zinc finger protein in IL-3-dependent myeloid leukemia cell lines. Cell 1988; 54:831-40. [PMID: 2842066 DOI: 10.1016/s0092-8674(88)91175-0] [Citation(s) in RCA: 351] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Normal hematopoietic stem cells proliferate and differentiate in the presence of growth factors such as interleukin-3 (IL-3). Transformation can alter their growth factor requirements, the ability of the cells to differentiate, or both. To identify genes that are capable of transforming hematopoietic cells, IL-3-dependent cell lines, isolated from retrovirus induced myeloid leukemias, were examined for viral insertions in proto-oncogenes and in common sites of viral integration. Five of 37 cell lines contained proviruses in a common viral integration site termed the ecotropic virus integration 1 site (Evi-1). The integrations were correlated with the activation of transcription from the locus. Sequencing of cDNA clones and genomic clones demonstrated that the integrations had occurred near or in 5' noncoding exons of a novel gene. The sequence of the cDNA clones predicts that the gene product is a 120 kd protein that contains two domains with seven and three repeats of a DNA binding consensus sequence (zinc finger) initially described in the Xenopus transcription factor III A (TFIIIA). This represents the first demonstration of the retroviral activation of a gene encoding a zinc finger protein and the first implication for a member of this gene family in the transformation of hematopoietic cells.
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Affiliation(s)
- K Morishita
- NCI-Frederick Cancer Research Facility, Molecular Mechanisms of Carcinogenesis Laboratory, Maryland 21701
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16
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Wang TY, Raza A, Fan YS, Sait SN, Kirschner J, Sandberg AA. Complex cytogenetic changes in Ph-negative chronic myelogenous leukemia. CANCER GENETICS AND CYTOGENETICS 1988; 31:241-5. [PMID: 3162397 DOI: 10.1016/0165-4608(88)90223-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
A Ph-negative chronic myelogenous leukemia (CML) with t(3;7)(q21;q32), t(4;9)(q21;q34), and del(8)(q22) is reported. This case is rather unusual for Ph-negative CML in being associated with complex chromosome changes. The patient was diagnosed as in the accelerated phase of CML. It will be important to study this malignant disorder in detail cytogenetically and molecularly in order to ascertain its nature and place among the myeloproliferative disorders.
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Affiliation(s)
- T Y Wang
- Department of Genetics and Endocrinology, Roswell Park Memorial Institute, Buffalo, New York
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17
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Turchini MF, Travade P, Geneix A, De Laroque A, Perissel B, Malet P. 3p21 and 3q25 breakpoints successively involved in a Philadelphia-positive chronic myelocytic leukemia with thrombocythemia. CANCER GENETICS AND CYTOGENETICS 1987; 27:371-4. [PMID: 3474058 DOI: 10.1016/0165-4608(87)90022-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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