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Chronic myeloid leukemia presenting ALL-type BCR/ABL transcript

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Summary

We investigated the breakpoints of thebcr gene in 46 Ph1-positive CML cases by Southern blot analysis ofbcr rearrangement, and in 17 CML cases by a combination of Southern blot analysis and RT-PCR. By Southern blot, the breakpoint was not identified on M-bcr in three CML cases, of which one case showed the P210-typebcr/abl transcript and two cases showed the ALL-type (P190-type)bcr/abl transcript with or without P210 transcript. Later two cases showed unique hematological profiles such as thrombocytosis, mild myelofibrosis, and relative resistance to alkylating agents. Therefore, the present study suggests that expression of the P190-type transcript may affect clinical and hematological findings in CML.

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References

  1. Bartram CR, Bross-Bach U, Schmidt H, Waller HD (1987) Philadelphia-positive chronic myelogenous leukemia with breakpoint 5′ of the breakpoint cluster region but within the bcr gene. Blut 55:505–511

    PubMed  Google Scholar 

  2. Berger R, Chen SJ, Chen Z (1990) Philadelphia-positive acute leukemia; cytogenetic and molecular aspects. Cancer Genet Cytogenet 44:143–152

    PubMed  Google Scholar 

  3. Chan LC, Karhi KK, Rayter SI, Heisterkamp N, Eridani S, Powles R, Lawler SD, Groffen J, Foulkes JG, Greaves MF, Wiedeman LM (1987) A novel abl protein expressed in Philadelphia chromosome-positive acute lymphoblastic leukemia. Nature 325:635–637

    PubMed  Google Scholar 

  4. Chen SJ, Chen Z, Grausz D, Hillion J, d'Auriol L, Flandrin G, Larsen CJ, Berger R (1988) Molecular cloning of a 5′ segment of the genomic Ph1 gene defines a new breakpoint cluster region (bcr2) in Philadelphia-positive acute leukemia. Leukemia 2:634–641

    PubMed  Google Scholar 

  5. Chen SJ, Chen Z, Hillion J, Grausz D, Loiseau P, Flandrin G, Berger R (1989) Ph1-positive, bcr-negative acute leukemias: clustering of breakpoints chromosome 22 in the 3′ end of the bcr gene first intron. Blood 73:1312–1315

    PubMed  Google Scholar 

  6. Dhingra K, Talpaz M, Kantarjian H, Ku S, Rothberg J, Gutterman JU, Kurzrock R (1991) Appearance of acute leukemia-associated P190BCR-ABL in chronic myelogenous leukemia may correlate with disease progression. 5:191–195

    Google Scholar 

  7. Dobrovic A, Trainor KJ, Morley AA (1988) Detection of the molecular abnormality in chronic myeloid leukemia by use of the polymerase chain reaction. Blood 72:2063–2065

    PubMed  Google Scholar 

  8. Groffen J, Stephenson JR, Heisterkamp N, de Klein A, Bartram CR, Grosveld G (1984) Philadelphia chromosome breakpoints are clustered within a limited region, bcr, on chromosome 22. Cell 36:93–99

    PubMed  Google Scholar 

  9. Guo JQ, Hirsch Ginsberg CF, Xian YM, Stass SA, Champlin RE, Gilart SA, McCredie KB, Campbell ML, Arlinghaus RB (1993) Acute lymphoid leukemia molecular phenotype in patient with benign-phase chronic myelogenous leukemia. Hematol Pathol 7:91–106

    PubMed  Google Scholar 

  10. Heisterkamp N, Stephenson JR, Groffen J, Hansen PF, de Klein A, Bartram CR, Grosveld G (1983) Localization of the c-abl oncogene adjustment to a translocation breakpoint in chronic myelocytic leukemia. Nature 306:239–242

    PubMed  Google Scholar 

  11. Hermans A, Heisterkamp N, van Lindern M, van Baal S, Meijer D, van der Plas D, Wiedeman LM, Groffen J, Bootsma D, Grosveld G (1987) Unique fusion of bcr and c-abl genes in Philadelphia chromosome-positive acute lymphoblastic leukemia. Cell 51:33–40

    PubMed  Google Scholar 

  12. Konopka JB, Witte ON (1985) Detection of c-abl tyrosine kinase activity in vitro permits direct comparison of normal and altered abl gene products. Mol Cell Biol 5:3116–3123

    PubMed  Google Scholar 

  13. Kwok S, Higuchi R 1989) Avoiding false positives with PCR. Nature 339:237

    PubMed  Google Scholar 

  14. Lee MS, LeMaistre A, Kantajian HM, Talpaz M, Freireich EJ, Trujillo JM, Stass SA (1989) Detection of two alternative bcr-abl mRNA junctions and minimal residual disease in Philadelphia chromosome-positive chronic myelogenous leukemia by polymerase chain reaction. Blood 73:2165–2170

    PubMed  Google Scholar 

  15. Lozzio CB, Lozzio BB (1975) Human chronic myelogenous leukemia cell line with positive Philadelphia chromosome. Blood 45:321–334

    PubMed  Google Scholar 

  16. Melo JV, Myint H, Galton DA, Goldman JM (1994) P190BCR-ABL chronic myeloid leukaemia: the missing link with chronic myelomonocytic leukaemia? Leukemia 8:208–211

    PubMed  Google Scholar 

  17. Nakamura Y, Hirosawa S, Aoki N (1993) Consistent involvement of the 3′ half part of the first BCR intron in adult Philadelphia-positive leukaemia without M-bcr rearrangement. Br J Haematol 83:53–57

    PubMed  Google Scholar 

  18. Nowell PC, Hungerford DA (1960) A minute chromosome in human chronic granulocytic leukemia. Science 132:1497

    Google Scholar 

  19. Okabe M, Kunieda Y, Saiki I, Sikano T, Kakinuma M, Miyazaki T (1990) Blast crisis accompanied with occurrence of the point-mutational activation of N-ras proto-oncogene and chromosomal abnormality inv(3q) in chronic myelogenous leukemia presenting thrombocytosis. Leukemia 4:381–382

    PubMed  Google Scholar 

  20. Okabe M, Kunieda Y, Sugiura T, Tanaka M, Miyagishima T, Saiki I, Minagawa T, Kurosawa M, Itaya T, Miyazaki T (1991) Inhibitory effect of interleukin-4 on the in vitro growth of Ph1-positive acute lymphoblastic leukemia cells. Blood 78:1574–1580

    PubMed  Google Scholar 

  21. Okabe M, Matsushima S, Morioka M, Kobayashi M, Abe S, Sakurada K, Kakinuma M, Miyazaki T (1987) Establishment and characterization of cell line, TOM-1, derived from a patient with Philadelphia chromosome-positive acute lymphocytic leukemia. Blood 69:990–998

    PubMed  Google Scholar 

  22. Okabe M, Oita M, Kunieda Y, Matuura J, Sakurada K, Matsushima S, Kakinuma M, Miyazaki T (1989) Bcr rearrangement and c-abl gene expression on Phi-positive hybrid acute leukemia with simultaneous proliferation of lymphoid and myeloid blasts. Blut 58:241–246

    PubMed  Google Scholar 

  23. Popenoe DW, Schaefer-Rego K, Mears JG, Bank A, Leibowitz D (1986) Frequent and extensive deletion during the 9, 22 translocation in CML. Blood 68:1123–1128

    PubMed  Google Scholar 

  24. Rowley JD (1973) A new consistent chromosomal abnormality in chronic myelogenous leukemia identified by quinacrine fluorescence and Giemsa staining. Nature 243:290–293

    PubMed  Google Scholar 

  25. Sawyers CL, Timson L, Kawasaki ES, Clark SS, Witte ON, Champlin R (1990) Molecular relapse in chronic myelogenous leukemia patients after bone marrow transplantation detected by polymerase chain reaction. Proc Natl Acad Sci USA 87:563–567

    PubMed  Google Scholar 

  26. Selleri L, Narni F, Emilia G, Colo A, Zucchini P, Venturelli D, Donelli A, Torelli U, Torelli G (1987) Philadelphia-positive chronic myeloid leukemia with a chromosome 22 breakpoint outside the breakpoint cluster region. Blood 70:1659–1664

    PubMed  Google Scholar 

  27. Selleri L, von Lindern M, Hermans A, Meijer D, Torelli G, Grosveld G (1990) Chronic myeloid leukemia may be associated with several bcr-abl transcripts including the acute lymphoid leukemia-type 7 kb transcript. Blood 75:1146–1153

    PubMed  Google Scholar 

  28. Stivelman E, Lifshitz B, Gale RP, Roe BA, Canaani E (1985) Fused transcript of abl and bcr genes in chronic myelogenous leukemia. Nature 315:550–554

    PubMed  Google Scholar 

  29. Zaccaria A, Tassinari A, Testoni N, Lauria F, Tura S, Algeri R, Guerrasio A, Rosso C, Saglio G (1990) Alternative BCR/ABL transcripts in chronic myeloid leukemia. Blood 76:1663–1665

    Google Scholar 

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Kunieda, Y., Okabe, M., Kurosawa, M. et al. Chronic myeloid leukemia presenting ALL-type BCR/ABL transcript. Ann Hematol 69, 189–193 (1994). https://doi.org/10.1007/BF02215952

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  • DOI: https://doi.org/10.1007/BF02215952

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