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AML/MDS with 11q/MLL amplification show characteristic gene expression signature and interplay of DNA copy number changes

✍ Scribed by Andrea Zatkova; Sylvia Merk; Melanie Wendehack; Martin Bilban; Eva Maria Muzik; Artur Muradyan; Claudia Haferlach; Torsten Haferlach; Katharina Wimmer; Christa Fonatsch; Reinhard Ullmann


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
744 KB
Volume
48
Category
Article
ISSN
1045-2257

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✦ Synopsis


Abstract

AML/MDS patients carrying 11q amplifications involving the mixed lineage leukemia gene (MLL) locus are characterized by a complex aberrant karyotype (CAK) frequently including deletions within 5q, 17p, and 7q, older age and fast progression of the disease with extremely poor prognosis. MLL has been shown to be overexpressed in cases with 11q amplification. However, in most of the cases, the amplified region is not restricted to the MLL locus. In this study, we investigated 19 patients with AML/MDS and MLL gain/amplification. By means of array CGH performed in 12 patients, we were able to delineate the minimal deleted regions within 5q and 17p and identified three independent regions 11q/I‐III that were amplified in all cases. Gene expression profiles established in 15 cases were used to identify candidate genes within these regions. Notably, analysis of our data suggests a correlation of loss of 5q and 17p and expression of genes present in 11q23‐25. Furthermore, we demonstrate that the gene expression signature can be used to discriminate AML/MDS with MLL amplification from several other types of AML. © 2009 Wiley‐Liss, Inc.