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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Leukaemia Section Mini Review t(X;11)(q21;q23) Claudia Kalla DKFZ, Div. Molecular Genetics (B060), Im Neuenheimer Feld 280, D-69120 Heidelberg, Germany Published in Atlas Database: August 2006 Online updated version: http://AtlasGeneticsOncology.org/Anomalies/t0X11q21q23ID1430.html DOI: 10.4267/2042/38383 This work is licensed under a Creative Commons Attribution-Non-commercial-No Derivative Works 2.0 France Licence. © 2007 Atlas of Genetics and Cytogenetics in Oncology and Haematology Identity Cytogenetics Other names Originally, this translocation had been published as t(X;11)(q13;23), before BRWD3 was re-mapped to Xq21.1. Probes BAC clones covering the Xq21 breakpoint region: RP11-325E14, RP11-625B7. BAC clones covering the 11q23 breakpoint region: RP11-468P24, RP11-264L21, RP11-285P16. Variants t(11;13)(q23;q14) is a variant translocation that rearranged ARHGAP20 with a novel gene on 13q14 (unpublished data). Clinics and pathology Disease B-cell chronic lymphocytic leukemia (B-CLL) Epidemiology Only one case reported to date. In a second B-CLL case, a variant translocation t(11;13)(q23;q14) rearranged the same gene on 11q23 with another partner. Dual-color interphase FISH analysis of the 11q23 and Xq21 breakpoints with BAC clones. (A) FISH analysis with 11q23 specific BACs: RP11-468P24 (red signals) and RP11-206G12 (green signals). Three red signals indicate translocation within the genomic region represented by RP11-468P24. (B) FISH analysis with the 11q23 specific BAC RP11-264L21 (green signals) and the Xq21 BAC RP11-325E14 (red signals). In the right cell, colocalization of one red and one of the three green signals indicates transfer of 11q23 sequences to Xq21 (white arrow). Atlas Genet Cytogenet Oncol Haematol. 2007;11(1) 32 t(X;11)(q21;q23) Kalla C BRWD3 and ARHGAP20 are in the same transcriptional directions, fusion transcripts, however, were not detected. Genes involved and Proteins BRWD3 Location: Xq21.1 Note: BRWD3 had been originally mapped to Xq13.3. DNA / RNA 5' telomeric → 3' centromeric orientation; 44 exons spanning 132.7 kb genomic DNA; mRNA coding sequence: 4.2 - 5.4 kb. Protein Contains eight tandem WD40 repeats and two bromodomains; involved in the JAK/STAT signalling cascade. Schematic representation of the ARHGAP20-BRWD3 gene rearrangement. Black ovals represent the centromeres. The gene loci and orientation of ARHGAP20 and BRWD3 and their promoter regions are indicated by red and green arrows and boxes, respectively. Black arrows and the dashed line indicate the position of the breakpoints. ARHGAP20 Location: 11q23.1 DNA / RNA 5' telomeric → 3' centromeric orientation; 19 exons spanning 136.1 kb genomic DNA; mRNA coding sequence: 3.5-3.6 kb. Protein Contains a RhoGAP domain in combination with PH and RA modules; involved in the regulation of Rhofamily GTPases (e.g. regulating the neurite outhgrowth); cytoplasmic localisation. Fusion protein Note: No fusion transcript expressed. To be noted Both t(X;11)(q21;q23) and the variant translocation t(11;13)(q23;q14) affect ARHGAP20, which resides within the critical 11q22-q23 deletion region in B-CLL. Deletion of this genomic region is associated with an aggressive course of B-CLL. Results of the chromosomal anomaly References Kalla C, Nentwich H, Schlotter M, Mertens D, Wildenberger K, Döhner H, Stilgenbauer S, Lichter P. Translocation t(X;11)(q13;q23) in B-cell chronic lymphocytic leukemia disrupts two novel genes. Genes Chromosomes Cancer 2005;42:128-143. Hybrid gene Description der(11): 5' BRWD3 (exons 1-22) - 3' ARHGAP20 (exons 1e-15); der(X): 5' ARHGAP20 (promoter-part of exon 1e) - 3' BRWD3 (exons 23-41); Atlas Genet Cytogenet Oncol Haematol. 2007;11(1) This article should be referenced as such: Kalla C. t(X;11)(q21;q23). Atlas Genet Cytogenet Oncol Haematol.2007;11(1):32-33. 33