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Atlas of Genetics and Cytogenetics
in Oncology and Haematology
OPEN ACCESS JOURNAL AT INIST-CNRS
Leukaemia Section
Short Communication
t(11;16)(q23;p13)
Jean-Loup Huret
Genetics, Dept Medical Information, University of Poitiers, CHU Poitiers Hospital, F-86021 Poitiers, France
Published in Atlas Database: February 1998
Online updated version: http://AtlasGeneticsOncology.org/Anomalies/t1116q23p13ID1120.html
DOI: 10.4267/2042/37419
This work is licensed under a Creative Commons Attribution-Non-commercial-No Derivative Works 2.0 France Licence.
© 1998 Atlas of Genetics and Cytogenetics in Oncology and Haematology
DNA / RNA
21 exons, spanning over 100 kb; 13-15 kb mRNA.
Protein
431 kDa; contains two DNA binding motifs (a AT
hook, and Zinc fingers), a DNA methyl transferase
motif, a bromodomain; transcriptional regulatory
factor; nuclear localisation.
Clinics and pathology
Disease
ANLL/MDS: only treatment related leukaemias cases
so far (in other 11q23 translocations, most cases occur
in de novo acute leukaemia).
Phenotype / cell stem origin
M4, M2 ANLL; CMML and RAEBT, although MDS is
otherwise rarely seen in 11q23 translocations; the
fusion gene is found in all the mature monocytes, in
some of the granulocytes and erythroblasts, not in the
lymphocytes.
Epidemiology
13 available cases; most cases are children cases:
median age is 10-14 yrs, range is 2-74 yrs; sex ratio is
balanced.
Clinics
Secondary to antitopoisomerase II drugs (etoposide or
teniposide, but also doxorubicin); this secondary
malignancy occurs within 6-60 mths (median 20 mths);
the primary malignancy was a t(8;21)(q22;q22)/M2ANLL in 2 cases.
Prognosis
Yet unknown.
CBP
Location: 16p13
Protein
Nuclear
localisation;
adaptor/coactivator: binds CREB;
acetyltransferase activity.
Results of the chromosomal
anomaly
Hybrid gene
Description
5' MLL - 3' CBP
Fusion protein
Description
N-term AT hook and DNA methyltransferase from
MLL fused to most of CBP starting with the
bromodomain of CBP -or even more in N-term with the
CREB binding domain- and also comprising the
cystein/histidine rich and the glutamine rich domains of
CBP in C-term around 1400 amino acids from MLL;
the reciprocal CBP-MLL may or may not be expressed.
Oncogenesis
May promote histone acetylation of genomic regions
targeted by the MLL AT-hooks; may loose CBP cell
cycle inhibition capability.
Cytogenetics
Additional anomalies
Are found in 8 of 11 cases; variable, except the
unexpectected recurrence of 1p36.1 involvement.
Genes involved and Proteins
MLL
Location: 11q23
Atlas Genet Cytogenet Oncol Haematol. 1998;2(2)
transcriptional
has histone
60
t(11;16)(q23;p13)
Huret JL
References
and CBP have treatment-related hematologic disorders. Blood
1997 Jul 15;90(2):535-41.
Satake N, Ishida Y, Otoh Y, Hinohara S, Kobayashi H,
Sakashita A, Maseki N, Kaneko Y. Novel MLL-CBP fusion
transcript in therapy-related chronic myelomonocytic leukemia
with a t(11;16)(q23;p13) chromosome translocation. Genes
Chromosomes Cancer 1997 Sep;20(1):60-3.
Sobulo OM, Borrow J, Tomek R, Reshmi S, Harden A,
Schlegelberger B, Housman D, Doggett NA, Rowley JD,
Zeleznik-Le NJ. MLL is fused to CBP, a histone
acetyltransferase, in therapy-related acute myeloid leukemia
with a t(11;16)(q23;p13.3). Proc Natl Acad Sci USA 1997 Aug
5;94(16):8732-7.
Taki T, Sako M, Tsuchida M, Hayashi Y. The t(11;16)(q23;p13)
The t(11;16)(q23;p13) translocation in myelodysplastic
syndrome fuses the MLL gene to the CBP gene.. Blood 1997
Jun 1;89(11):3945-50.
This article should be referenced as such:
Huret JL. t(11;16)(q23;p13). Atlas Genet Cytogenet Oncol
Haematol.1998;2(2):60-61.
Rowley JD, Reshmi S, Sobulo O, Musvee T, Anastasi J,
Raimondi S, Schneider NR, Barredo JC, Cantu ES,
Schlegelberger B, Behm F, Doggett NA, Borrow J, Zeleznik-Le
N. All patients with the T(11;16)(q23;p13.3) that involves MLL
Atlas Genet Cytogenet Oncol Haematol. 1998;2(2)
61
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