AMPLIFICATION OF c-MYC AND MLL GENES AS A MARKER OF CLONAL CELL PROGRESSION IN PATIENTS WITH MYELOID MALIGNANCY AND TRISOMY OF CHROMOSOMES 8 OR 11

被引:5
|
作者
Angelova, S. [1 ]
Jordanova, M. [2 ]
Spassov, B. [1 ]
Shivarov, V [1 ]
Simeonova, M. [3 ]
Christov, I [4 ]
Angelova, P. [3 ]
Alexandrova, K. [5 ]
Stoimenov, A. [1 ]
Nikolova, V [1 ]
Dimova, I [6 ]
Ganeva, P. [1 ]
Tzvetkov, N. [4 ]
Hadjiev, E. [5 ]
Toshkov, S. [1 ]
机构
[1] Natl Specialized Hosp Act Therapy Hematol Dis, Lab Cytogenet & Mol Biol, Sofia 1756, Bulgaria
[2] Children Hosp Hematol Dis, Sofia, Bulgaria
[3] Med Univ Hosp, Dept Med Genet, Pleven, Bulgaria
[4] Med Univ Hosp, Dept Hematol, Pleven, Bulgaria
[5] Med Univ Hosp, Dept Hematol, Sofia, Bulgaria
[6] Med Univ, Dept Med Genet, Sofia, Bulgaria
关键词
Gene amplification (amp); c-MYC; MLL genes; Acute myeloid leukemia (AML); Myelodysplastic syndromes (MDS); Myeloid malignancies; Trisomy chromosomes of 8 or 11; MYELODYSPLASTIC SYNDROME; MULTIPLE COPIES; LEUKEMIA; OVEREXPRESSION; ABNORMALITIES; DUPLICATION; SURVIVAL; TARGET; CANCER; TUMORS;
D O I
10.2478/v10034-011-0043-y
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Gene amplification (amp) is one of the basic mechanisms connected with overexpression of oncogenes. The c-MYC (located in 8q24) and MLL (located in 11q23) are the most often over represented genes that lead to a rapid proliferation of the affected cell clone in patients with myeloid neoplasms. Assessment of the level of amp c-MYC or amp MLL in the cases with trisomy 8 (+8) or trisomy 11 (+11) and myeloid malignances is necessary for a more precise estimation of the disease progression. A total of 26 patients with acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) were included in the study: 18 with +8, six with +11 and two with complex karyotypes suspected of the partial trisomy. Routine cytogenetic analysis and fluorescent in situ hybridization ( FISH) were applied to indicate the chromosome alterations and genes amp in the bone marrow cells. Amp c-MYC was observed in 12 from 18 (66.7%) patients with +8. All the patients with +11 demonstrated a different level of amp MLL. In most of the cases with MDS (9/10), the coincidence of the +8 or +11 with amp c-MYC or amp MLL, respectively, leads to transformation to AML and/or short overall survival. Our data suggest that amp c-MYC and amp MLL develop in conformity with +8 and +11, especially in cases with progressive deviations in the karyotype as an aggressive expansion of an aberrant cell clone and appearance of additional chromosome anomalies.
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页码:17 / 23
页数:7
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