Genome profiling of acute myelomonocytic leukemia: alteration of the MYB locus in MYST3-linked cases

Genome profiling of acute myelomonocytic leukemia: alteration of the MYB locus in MYST3-linked cases
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DOI:
10.1038/leu.2008.257
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发表时间:
2009-01-01
期刊:
影响因子:
11.4
通讯作者:
Birnbaum, D.
Birnbaum, D.
中科院分区:
医学1区
文献类型:
--
作者:
Murati, A.;Gervais, C.;Birnbaum, D.

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t(8; 16)(p11; p13)是一种罕见的易位,发生于原发性和治疗相关的粒单核细胞和单核细胞急性白血病。它融合了两个编码组蛋白乙酰转移酶(HAT)的基因,MYST 3位于8 p11,CREBBP位于16 p13。变异易位涉及其他HAT编码基因,如EP 300、MYST 4、NCOA 2或NCOA 3。MYST 3连锁的急性髓性白血病(AML)具有特定的临床和生物学特征,预后不良。由于其罕见性,MYST 3连锁AML的分子生物学仍然知之甚少。我们分别用阵列比较基因组杂交(aCGH)(n = 52)和DNA微阵列(n = 44)建立了61例M4/M5 AML(包括18例MYST 3连锁AML)的基因组和基因表达谱。我们发现M4/5 AML具有多种罕见的基因组改变。MYB基因座的增加是复发性的,仅在MYST 3连锁的AML中发现(7/18 vs 0/34)。MYST 3-AML还具有特定的基因表达谱,其包括MYB、CD 4和HOXA基因的过表达。这些特征,让人联想到T细胞急性淋巴细胞白血病(ALL),提示靶向共同的T-髓系祖细胞。
The t(8; 16)(p11; p13) is a rare translocation involved in de novo and therapy-related myelomonocytic and monocytic acute leukemia. It fuses two genes encoding histone acetyltransferases (HATs), MYST3 located at 8p11 to CREBBP located at 16p13. Variant translocations involve other HAT-encoding genes such as EP300, MYST4, NCOA2 or NCOA3. MYST3-linked acute myeloid leukemias (AMLs) share specific clinical and biological features and a poor prognosis. Because of its rarity, the molecular biology of MYST3-linked AMLs remains poorly understood. We have established the genome and gene expression profiles of a multicentric series of 61 M4/M5 AMLs including 18 MYST3-linked AMLs by using array comparative genome hybridization (aCGH) (n = 52) and DNA microarrays (n = 44), respectively. We show that M4/5 AMLs have a variety of rare genomic alterations. One alteration, a gain of the MYB locus, was found recurrently and only in the MYST3-linked AMLs (7/18 vs 0/34). MYST3-AMLs have also a specific a gene expression profile, which includes overexpression of MYB, CD4 and HOXA genes. These features, reminiscent of T-cell acute lymphoid leukemia (ALL), suggest the targeting of a common T-myeloid progenitor.