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A Case of Chronic Myeloid Leukemia With Rare Variant ETV6/ABL1 Rearrangement

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초록

Dear Editor, The translocation (9;12)(q34;p13) ETV6/ABL1 rearrangement is a rare but recurrent chromosomal translocation associated with a variety of hematological malignancies, including CML, atypical CML, AML, and ALL [1]. The structure of the ETV6/ABL1 oncoprotein is similar to that of BCR/ABL1, and they initiate similar downstream pathways [2]. There are two ETV6/ABL1 fusion isoforms: the type A isoform, which fuses ETV6 exon 4 with ABL1 exon 2; and the type B isoform, which fuses ETV6 exon 5 with ABL1 exon 2 [3, 4]. To date, 30 cases of ETV6/ABL1 fusion have been reported [5, 6], and only one of these cases resulted in CML with positive BCR/ABL1 rearrangement [7]. Herein, we report a rare case of CML with ETV6/ABL1 rearrangement.

Abstract

Dear Editor, The translocation (9;12)(q34;p13) ETV6/ABL1 rearrangement is a rare but recurrent chromosomal translocation associated with a variety of hematological malignancies, including CML, atypical CML, AML, and ALL [1]. The structure of the ETV6/ABL1 oncoprotein is similar to that of BCR/ABL1, and they initiate similar downstream pathways [2]. There are two ETV6/ABL1 fusion isoforms: the type A isoform, which fuses ETV6 exon 4 with ABL1 exon 2; and the type B isoform, which fuses ETV6 exon 5 with ABL1 exon 2 [3, 4]. To date, 30 cases of ETV6/ABL1 fusion have been reported [5, 6], and only one of these cases resulted in CML with positive BCR/ABL1 rearrangement [7]. Herein, we report a rare case of CML with ETV6/ABL1 rearrangement.

참고문헌 (10)

  1. De Braekeleer E, "ETV6 fusion genes in hematological malignancies: a review", Leuk Res, 36, pp.945~961 (2012)
  2. Malinge S, "Activation of the NF-kappaB pathway by the leukemogenic TEL-Jak2 and TEL-Abl fusion proteins leads to the accumulation of antiapoptotic IAP proteins and involves IKKalpha", Oncogene, 25, pp.3589~3597 (2006)
  3. Park J, "Variant of ETV6", ABL1 gene is associated with leukemia phenotype, 2013, pp.129, 78~82
  4. Million RP, "A direct binding site for Grb2 contributes to transformation and leukemogenesis by the Tel-Abl (ETV6-Abl) tyrosine kinase", Mol Cell Biol, 24, pp.4685~4695 (2004)
  5. Gancheva K, "Myeloproliferative neoplasm with ETV6-ABL1 fusion: a case report and literature review", Mol Cytogenet, 6, pp.39~ (2013)
  6. 송주선, "A Cryptic ETV6", ABL1 Rearrangement Represents a Unique Fluorescence In Situ Hybridization Signal Pattern in a Patient with B Acute Lymphoblastic Leukemia, 2014, pp.34(6), 475~477[DOI]
  7. Keung YK, "Chronic myelocytic leukemia with eosinophilia, t(9;12)(q34;p13), and ETV6-ABL gene rearrangement: case report and review of the literature", Cancer Genet Cytogenet, 138, pp.139~142 (2002)
  8. De Braekeleer E, "ABL1 fusion genes in hematological malignancies: a review", Eur J Haematol, 86, pp.361~371 (2011)
  9. La Starza R, "Clonal eosinophils are a morphologic hallmark of ETV6", ABL1 positive acute myeloid leukemia, 2002, pp.87, 789~794
  10. Perna F, "ETV6-ABL1-positive “chronic myeloid leukemia”: clinical and molecular response to tyrosine kinase inhibition", Haematologica, 96, pp.342~343 (2011)

관련 논문AI추천

A Cryptic ETV6/ABL1 Rearrangement Represents a Unique Fluorescence In Situ Hybridization Signal Pattern in a Patient with B Acute Lymphoblastic Leukemia김선희, 김희진, 송주선, 신상용, 이승태대한진단검사의학회 · Annals of Laboratory Medicine2014 · 제34권 제6호Concurrence of e1a2 and e19a2 BCR-ABL1 Fusion Transcripts in a Typical Case of Chronic Myeloid Leukemia김달식, 이재현, 이혜수, 조용곤, 최삼임대한진단검사의학회 · Annals of Laboratory Medicine2017 · 제37권 제1호A Novel e8a2BCR-ABL1 Fusion Transcript without Insertion Sequence in a Patient with Chronic Myeloid LeukemiaCaibao Jin, Jingjing Liu, Li Meng, Min Xiao, Shujuan Yi, Songya Liu, Xian Liu, Xiaojian Zhu, Xiuwen Xu대한진단검사의학회 · Annals of Laboratory Medicine2018 · 제38권 제2호Four Cases of Chronic Myelogenous Leukemia in Mixed Phenotype Blast Phase at Initial Presentation Mimicking Mixed Phenotype Acute Leukemia with t(9;22)이석, 김명신, 김용구, 이재욱, 임지향, 정낙균, 최우진, 한경자대한진단검사의학회 · Annals of Laboratory Medicine2014 · 제34권 제1호A Case of Chronic Myeloid Leukemia with Micro BCR::ABL1 Rearrangement: Precaution in Reverse Transcription PCR to Prevent False Negativity김서완, 김홍경, 신새암, 정해림대한진단검사의학회 · Laboratory Medicine Online2023 · 제13권 제4호Rapid Sequential Gain of ABL1 Kinase Domain Mutations with a Complex Karyotype in the Progression of Chronic Myelogenous Leukemia공선영, 박선섭, 심효은, 엄혜석, 이혜원, 정유선, 조은해대한진단검사의학회 · Annals of Laboratory Medicine2014 · 제34권 제5호

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