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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Scope The Atlas of Genetics and Cytogenetics in Oncology and Haematology is a peer reviewed on-line journal in open access, devoted to genes, cytogenetics, clinical entities in cancer, and cancer-prone diseases. It presents structured review articles ("cards") on genes, leukaemias, solid tumours, cancer-prone diseases, more traditional review articles on these and also on surrounding topics ("deep insights"), case reports in hematology, and educational items in the various related topics for students in Medicine and in Sciences. Editorial correspondance Jean-Loup Huret Genetics, Department of Medical Information, University Hospital F-86021 Poitiers, France tel +33 5 49 44 45 46 or +33 5 49 45 47 67 [email protected] or [email protected] Staff Mohammad Ahmad, Mélanie Arsaban, Marie-Christine Jacquemot-Perbal, Maureen Labarussias, Catherine Morel-Pair, Laurent Rassinoux, Sylvie Yau Chun Wan - Senon, Alain Zasadzinski. Database Director: Philippe Dessen, and the Chairman of the on-line version: Alain Bernheim (Gustave Roussy Institute, Villejuif, France). The Atlas of Genetics and Cytogenetics in Oncology and Haematology (ISSN 1768-3262) is published 4 times a year by ARMGHM, a non profit organisation. The Atlas is hosted by INIST-CNRS (http://www.inist.fr) http://AtlasGeneticsOncology.org © ATLAS - ISSN 1768-3262 The PDF version of the Atlas of Genetics and Cytogenetics in Oncology and Haematology is a reissue of the original articles published in collaboration with the Institute for Scientific and Technical Information (INstitut de l’Information Scientifique et Technique - INIST) of the French National Center for Scientific Research (CNRS) on its electronic publishing platform I-Revues. Online and PDF versions of the Atlas of Genetics and Cytogenetics in Oncology and Haematology are hosted by INIST-CNRS. Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Editor-in-Chief Jean-Loup Huret (Poitiers, France) Editorial Board Alessandro Beghini Anne von Bergh Vasantha Brito-Babapulle Charles Buys Anne Marie Capodano Fei Chen Antonio Cuneo Paola Dal Cin Louis Dallaire François Desangles Gordon Dewald Richard Gatti Oskar Haas Anne Hagemeijer Nyla Heerema Jim Heighway Sakari Knuutila Lidia Larizza Lisa Lee-Jones Edmond Ma Cristina Mecucci Yasmin Mehraein Fredrik Mertens Konstantin Miller Felix Mitelman Hossain Mossafa Florence Pedeutour Susana Raimondi Mariano Rocchi Alain Sarasin Albert Schinzel Clelia Storlazzi Sabine Strehl Nancy Uhrhammer Dan Van Dyke Roberta Vanni Franck Viguié Thomas Wan Bernhard Weber (Milan, Italy) (Rotterdam, The Netherlands) (London, UK) (Groningen, The Netherlands) (Marseille, France) (Morgantown, West Virginia) (Ferrara, Italy) (Boston, Massachussetts) (Montreal, Canada) (Paris, France) (Rochester, Minnesota) (Los Angeles, California) (Vienna, Austria) (Leuven, Belgium) (Colombus, Ohio) (Liverpool, UK) (Helsinki, Finland) (Milano, Italy) (Newcastle, UK) (Hong Kong, China) (Perugia, Italy) (Homburg, Germany) (Lund, Sweden) (Hannover, Germany) (Lund, Sweden) (Cergy Pontoise, France) (Nice, France) (Memphis, Tennesse) (Bari, Italy) (Villejuif, France) (Schwerzenbach, Switzerland) (Bari, Italy) (Vienna, Austria) (Clermont Ferrand, France) (Rochester, Minnesota) (Montserrato, Italy) (Paris, France) (Hong Kong, China) (Würzburg, Germany) Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Genes Section Genes / Leukemia Sections Leukemia Section Deep Insights Section Solid Tumors Section Genes / Deep Insights Sections Leukemia Section Genes / Solid Tumors Sections Education Section Leukemia / Solid Tumors Sections Leukemia / Deep Insights Sections Cancer-Prone Diseases / Deep Insights Sections Genes / Leukemia Sections Deep Insights Section Leukemia Section Genes / Deep Insights Sections Deep Insights Section Solid Tumors Section Solid Tumors Section Leukemia Section Genes / Leukemia Sections Cancer-Prone Diseases Section Solid Tumors Section Education Section Deep Insights Section Leukemia Section Genes / Solid Tumors Sections Genes / Leukemia Section Genes Section Cancer-Prone Diseases Section Education Section Genes Section Genes / Leukemia Sections Genes / Cancer-Prone Diseases Sections Education Section Solid Tumors Section Leukemia Section Genes / Leukemia Sections Education Section Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Volume 11, Number 3, July-September 2007 Table of contents Gene Section INTS6 (integrator complex subunit 6) Ilse Wieland 165 LDB1 (LIM domain binding 1) Takeshi Setogawa, Testu Akiyama 167 MSH6 (mutS homolog 6 (E. Coli)) Sreeparna Banerjee 169 BARD1 (BRCA1 associated RING domain 1) Irmgard Irminger-Finger 173 BCL6 (B-Cell Lymphoma 6) Stevan Knezevich 177 BRD4 (bromodomain containing 4) Anna Collin 180 ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2) Mary L Stracke, Timothy Clair 182 EPHA7 (EPH receptor A7) Haruhiko Sugimura, Hiroki Mori, Tomoyasu Bunai, Masaya Suzuki 186 FLCN (folliculin gene) Laura S Schmidt 188 HIC1 (hypermethylated in cancer 1) Dominique Leprince 192 HSPD1 (heat shock 60kDa protein 1) Ahmad Faried, Leri S Faried 194 HSPH1 (heat shock 105kDa/110kDa protein 1) Takumi Hatayama, Nobuyuki Yamagishi 197 JAG2 (human jagged2) Pushpankur Ghoshal, Lionel J Coignet 199 MUC4 (mucin 4, cell surface associated) Nicolas Moniaux, Pallavi Chaturvedi, Isabelle Van Seuningen, Nicole Porchet, Ajay P Singh, Surinder K Batra 201 NUT (nuclear protein in testis) Anna Collin 207 RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)) Nora C Heisterkamp 209 RBM5 (RNA binding motif protein 5) Mirna Mourtada-Maarabouni 213 RHOB (ras homolog gene family, member B) Minzhou Huang, Lisa D Laury-Kleintop, George Prendergast 217 Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS RNASET2 (ribonuclease T2) Francesco Acquati, Paola Campomenosi 219 ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens Sreeparna Banerjee, Asli Erdog 222 IL6 (interleukin 6 (interferon beta 2)) Stefan Nagel, Roderick AF MacLeod 226 KLF6 (Krüppel like factor 6) Scott L Friedman, Goutham Narla, John A Martignetti 229 MIRN21 (microRNA 21) Sadan Duygu Selcuklu, Mustafa Cengiz Yakicier, Ayse Elif Erson 232 PSIP1 (PC4 and SFRS1 interacting protein 1) Cristina Morerio, Claudio Panarello 237 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Max Cayo, David Yu Greenblatt, Muthusamy Kunnimalaiyaan, Herbert Chen 239 Leukaemia Section i(8)(q10) in acute myeloid leukaemia David Betts 245 t(5;12)(q31;p13) in MDS, AML and AEL Maria D Odero 247 Solid Tumour Section Carcinoma with t(15;19) translocation Anna Collin 249 Vulva and Vagina tumors: an overview Roberta Vanni, Giuseppina Parodo 252 Cancer Prone Disease Section Diamond-Blackfan anemia (DBA) Hanna T Gazda 256 Case Report Section t(16;21)(q24;q22) in therapy-related acute myelogenous leukemia arising from myelodysplastic syndrome Paola Dal Cin, Karim Ouahchi A de novo AML with a t(1;21)(p36;q22) in an elderly patient Paola Dal Cin, Andrew J Yee, Bimalangshu Dey Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 258 261 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review INTS6 (integrator complex subunit 6) Ilse Wieland Institut für Humangenetik, Otto-von-Guericke-Universität, Leipziger Str. 44, 39120 Magdeburg, Germany Published in Atlas Database: November 2006 Online updated version: http://AtlasGeneticsOncology.org/Genes/INTS6ID40287ch13q14.html DOI: 10.4267/2042/38428 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 Localisation Identity Mainly nuclear localisation. Hugo: INTS6 Other names: DICE1; deleted in cancer 1; DBI-1; DDX26; INT6 Location: 13q14.3 Function Predicted motifs of DICE1 protein were a von willebrand factor a (VWFA) domain of nuclear proteins, nuclear sorting signals and a DEAD box of ATP-dependent helicases. Ectopic expression of DICE1 cDNA in tumour cells suppresses colony formation and in cell culture. The Int6 protein was purified as a subunit of a RNA polymerase II multiprotein complex with roles in transcriptional regulation and RNA processing. DNA/RNA Description The DICE1 gene consists of 18 exons and contains a GpC-rich promoter. Transcription Homology A major transcript of 4.4 kb and a minor transcript of 6.9 kb was detected in fetal and adult tissues. In adult heart, brain and skeletal muscle an additional smaller transcript of 4 kb has been detected by Northern blot analysis. The DICE1 cDNA consists of 3665 bp with a coding sequence of 2661 bp; an alternatively spliced variant generated by skipping of exon 3 has been detected specifically in brain. Weak homology superfamily II. members of the helicase Mutations Note: Mutations in the coding sequence of DICE1/DDX26 have been infrequently detected in tumour cells. Pseudogene Somatic Presumably LOC285634 at 5p13.1. Frequent loss of heterozygosity (LOH) has been observed in lung, esophageal and prostate carcinomas. Promoter hypermethylation concomitant with reduced mRNA expression has been observed in lung and prostate carcinomas. In esophageal squamous cell carcinomas missense mutations V431I, R658Q have been detected. In prostate cancer cell line LNCaP missense mutation D546G has been described. Protein Description For the DICE1 protein 887 amino acids were predicted. A protein of approximately 100 kDaltons was detected by coupled in vitro transcription and translation. The Int6 protein was purified as an approximately 110 kDaltons polypeptide component of a nuclear Integrator complex. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) to 165 INTS6 (integrator complex subunit 6) Wieland I Implicated in References Functional inactivation of the DICE1 gene has been implicated in: Hoff HBIII, Tresini M, Li S, Sell C. DBI-1, a novel gene related to the Notch family, modulates mitogenic response to insulinlike growth factor 1. Exp Cell Res 1998;238:359-370. Tumorigenesis of sporadic lung carcinomas, esophagus carcinomas, prostate carcinomas and possibly other sporadic carcinomas Meixner A, Wiche G, Propst F. Analysis of the mouse MAPIB gene identifies a highly conserved 4.3 kb 3¹untranslated region and provides evidence against the proposed structure of DBI-1 cDNA. Biochim Biophys Acta 1999;1445; 345-350. Wieland I, Arden KC, Michels D, Klein-Hitpass L, Böhm M, Viars CS, Weidle UH. Isolation of DICE1: A gene frequently affected by LOH and downregulated in lung carcinomas. Oncogene 1999;18:4530-4537. Abnormal Protein A 6.3 kb fusion cDNA of a Notch-like with Dice1 cDNA (DBI-1) was detected in mouse cell line TC4. Overexpression of DBI-1 cDNA in IGF-IR transformed mouse cells compromised the mitogenic response to IGF-1 and interfered with anchorage-independent growth. Oncogenesis Downregulation of DICE1 mRNA was detected in 7 of 8 non-small cell lung carcinoma cell lines by Northern blot analysis. Microdissected non-small cell lung carcinomas showed reduced or absent expression of DICE1 mRNA by RT-PCR. Promoter hypermethylation was found in tumour cells with downregulated DICE1 expression. Aberrantly sized transcripts were detected in two non-small cell lung carcinoma cell lines. A reduced DICE1 expression was also observed in prostate cancer cell lines DU145 and LNCaP by real-time RT-PCR. DICE1 promoter hypermethylation was detected in 6 of 10 microdissected prostate cancer samples. Ectopic expression of DICE1 cDNA inhibited colony formation of human non-small cell lung carcinoma cell lines and prostate carcinoma cell lines and suppressed anchorage-independent growth of IGF-IR transformed mouse cells. Wieland I, Röpke A, Stumm M, Sell C, Weidle UH, Wieacker PF. Molecular characterization of the DICE1 (DDX26) tumor suppressor gene in lung carcinomas. Oncol Res 2001;12:491500. Whittaker CA and Hynes RO. Distribution and evolution of von willebrand/integrin a domains: widely dispersed domains with roles in cell adhesion and elsewhere. Mol Biol Cell 2002;13:3369-3387. (Review). Li WJ, Hu N, Su H, Wang C, Goldstein AM, Wang Y, EmmertBuck MR, Roth MJ, Guo WJ, Taylor PR. Allelic loss on chromosome 13q14 and mutation in deleted in cancer 1 gene in esophageal squamous cell carcinoma. Oncogene 2003;22:314-318. Wieland I, Sell C, Weidle UH, Wieacker P. Ectopic expression of DICE1 suppresses tumor cell growth. Oncol Rep 2004;12:207-211. Baillat D, Hakimi MA, Näär AM, Shilatifard A, Cooch N, Shiekhattar R. Integrator, a multiprotein mediator of small nuclear RNA processing, associates with the C-terminal repeat of RNA polymerase II. Cell 2005;123:265-276. Hernándes M, Papadopoulos N, Almeida TA. Absence of mutations in DICE1/DDX26 gene in human cancer cell lines with frequent 13q14 deletions. Cancer Genet Cytogenet 2005;163:91-92. Röpke A, Buthz P, Böhm M, Seger J, Wieland I, Allhoff EP, Wieacker P. Promoter CpG hypermethylation downregulates DICE1 expression in prostate cancer. Oncogene 2005;24:6667-6675. Han SM, Lee TH, Mun Jy, Kim MJ, Kritikou EA, Lee SJ, Han SS, Hengartner MO, Koo HS. Deleted in cancer 1 (DICE1) is an essential protein controlling the topology of the inner mitochondrial membrane in C. elegans. Development 2006;133:3597-3606. This article should be referenced as such: Wieland I. INTS6 (integrator complex subunit 6). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):165-166. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 166 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Short Communication LDB1 (LIM domain binding 1) Takeshi Setogawa, Testu Akiyama Laboratory of Molecular and Genetic Information, Institute for Molecular and Cellular Biosciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-0032, Japan Published in Atlas Database: November 2006 Online updated version: http://AtlasGeneticsOncology.org/Genes/LDB1ID41135ch10q24.html DOI: 10.4267/2042/38429 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 mice displays multiple developmental defects that reveal a requirement of Ldb1 gene during normal development. Identity Hugo: LDB1 Other names: CLIM2; NLI Location: 10q24 Implicated in Oral squamous cell carcinoma DNA/RNA Oncogenesis LDB1 and LMO4 are frequently detected in lessdifferentiated and metastasized squamous carcinoma, and overexpressed at the carcinoma invasive front. Description 7 kb; 11 exons. Transcription 2292 nucleotides mRNA. References Protein Agulnick AD, Taira M, Breen JJ, Tanaka T, Dawid IB, Westphal H. Interactions of the LIM-domain-binding factor Ldb1 with LIM homeodomain proteins. Nature 1996;384:270-272. Description Bach I, Carrière C, Ostendorff HP, Andersen B, Rosenfeld MG. A family of LIM domain-associated cofactors confer transcriptional synergism between LIM and Otx homeodomain proteins. Genes Dev 1997;11:1370-1380. 375 amino acids; 42.8 kDa protein. Expression Widely expressed. Jurata LW, Gill GN. Functional analysis of the nuclear LIM domain interactor NLI. Mol Cell Biol 1997;17:5688-5698. Localisation Visvader JE, Mao X, Fujiwara Y, Hahm K, Orkin SH. The LIMdomain binding protein Ldb1 and its partner LMO2 act as negative regulators of erythroid differentiation. Proc Natl Acad Sci USA 1997;94:13707-13712. Nuclear. Function Chen L, Segal D, Hukriede NA, Podtelejnikov AV, Bayarsaihan D, Kennison JA, Ogryzko VV, Dawid IB, Westphal H. Ssdp proteins interact with the LIM-domain-binding protein Ldb1 to regulate development. Proc Natl Acad Sci USA 2002;99:14320-14325. LDB1 is a nuclear protein that contains an N-terminal dimerization domain and a C-terminal LIM interaction domain (LID). LDB1 binds to LIM-homeodomain (LIM-HD) and LIM-only (LMO) proteins. It acts as an adaptor protein that mediates interactions between different classes of transcription factors and their cofactors. LDB1 forms a complex with LKB1, LMO4, and GATA-6. The tumor suppressor LKB1 is mutated in Peutz-Jeghers syndrome and various sporadic cancers. A complex containing LDB1, LKB1, LMO4, and GATA-6 induces cyclin-dependent kinase inhibitor p21 expression. Targeted deletion of the Ldb1 gene in Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Matthews JM, Visvader JE. LIM-domain-binding protein 1: a multifunctional cofactor that interacts with diverse proteins. EMBO Rep 2003;4:1132-1137. (Review). Mizunuma H, Miyazawa J, Sanada K, Imai K. The LIM-only protein, LMO4, and the LIM domain-binding protein, LDB1, expression in squamous cell carcinomas of the oral cavity. Br J Cancer 2003;88:1543-1548. Mukhopadhyay M, Teufel A, Yamashita T, Agulnick AD, Chen L, Downs KM, Schindler A, Grinberg A, Huang SP, Dorward D, 167 LDB1 (LIM domain binding 1) Setogawa T, Akiyama T Westphal H. Functional ablation of the mouse Ldb1 gene results in severe patterning defects during gastrulation. Development 2003;130:495-505. This article should be referenced as such: Setogawa T, Akiyama T. LDB1 (LIM domain binding 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):167-168. Setogawa T, Shinozaki-Yabana S, Masuda T, Matsuura K, Akiyama T. The tumor suppressor LKB1 induces p21 expression in collaboration with LMO4, GATA-6, and Ldb1. Biochem Biophys Res Commun 2006;343:1186-1190. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 168 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review MSH6 (mutS homolog 6 (E. Coli)) Sreeparna Banerjee Department of Biology, Middle East Technical University, Ankara 06531, Turkey Published in Atlas Database: November 2006 Online updated version: http://AtlasGeneticsOncology.org/Genes/MSH6ID344ch2p16.html DOI: 10.4267/2042/38430 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 of 23.8 kilo bases. MSH6 has 10 exons, the sizes being 347, 197, 170, 2545, 266, 119, 89, 155, 200 and 176 bps. Identity Hugo: MSH6 Other names: GTBP; HSAP; HNPCC5 Location: 2p16 Local order: Genes flanking MSH6 in centromere to telomere direction on 2p16 are: HTLF (2p22-p16) (human T-cell leukemia virus enhancer factor). FBXO11 (2p16.3) (F-box protein 11). MSH6 (2p16) (mutS homolog 6 (E. coli)). LOC285053 (2p16.3) (similar to ribosomal protein L18a). KCNK12 (2p22-p21) (potassium channel, subfamily K, member 12). MSH2 (2p22-p21) (mutS homolog 2, colon cancer, nonpolyposis type 1 (E. coli)). Transcription Human MSH6 gene is transcriptionally upregulated 2.5 fold at late G1/early S phase while the amount of protein remains unchanged during the whole cell cycle. The promoter region has a high GC content, as well as multiple start sites. Sequence analysis of 3.9 kb of the 5'-upstream region of the MSH6 gene revealed the absence of TATAA- or CAAT-boxes. Seven consensus binding sequences for the ubiquitous transcription factor Sp1 were found in the promoter region. This factor is implicated in positioning the RNA polymerase II complex at the transcriptional start sites of promoters lacking TATA- and CAAT-boxes. The proximal promoter region of MSH6 gene also contains several consensus binding sites of the embryonic TEA domaincontaining factor ETF. This transcription factor has also been reported to stimulate transcription from promoters lacking the TATA box. In addition, the trancription of MSH6 gene is downregulated by CpG methylation of the promoter region. Three common polymorphic variants (-557 T G, -448 G A, and -159 C T) of the MSH6 promoter have been identified in which different Sp1 sites were inactivated by single-nucleotide polymorphisms (SNPs) resulting in altered promoter activity. DNA/RNA Note: The genes for MSH2 and MSH6 which form the major mismatch recognition MutSalpha complex functional in the mismatch repair (MMR) pathway are located within 1 Mb of each other. MSH2 and MSH6 may have been produced by duplication of a primordial mutS repair gene. Description MSH6 gene maps to NC_000002.10 and spans a region Exons are represented by gray boxes (in scale) with exon numbers on the bottom. The arrows show the ATG and the stop codons respectively. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 169 MSH6 (mutS homolog 6 (E. Coli)) Banerjee S S.cerevisiae: MSH6 (Mismatch repair protein). A.thaliana: MSH6 (MSH6). Pseudogene No pseudogene has been reported for the MSH6 gene. Mutations Protein Note: The MSH6 gene plays a role in the development of inherited cancers, especially the colorectum and endometrial cancers. Note: Eukaryotic MutSalpha is a heterodimer of the 100-kDa MSH2 and the 160-kDa MSH6 that participates in the mismatch repair pathway. The proteins are required for single base and frameshift mispair specific binding, a result consistent with the finding that tumour-derived cell lines devoid of either protein have a mutator phenotype. Germinal MSH6 germline mutations have variable penetration. Atypical hereditary non polyposis colorectal cancer (HNPCC) can result from germline mutations in MSH6; however, disease-causing germline mutations of MSH6 are rare in HNPCC and HNPCC-like families. Other studies have indicated that germline MSH6 mutations may contribute to a subset of earlyonset colorectal cancer. Description The MSH6 protein maps to NP_000170 and has 1360 amino acids. The molecular weight is 152786 Da. The protein contains a highly conserved helix-turn-helix domain associated with a Walker-A motif (an adenine nucleotide and magnesium binding motif) with ATPase activity. The breast cancer 1 gene (BRCA1) product is part of a large multisubunit protein complex of tumor suppressors, DNA damage sensors, and signal transducers. This complex is called BASC, for 'BRCA1-associated genome surveillance complex and the mismatch repair protein MSH6 was found to be a part of this complex. Somatic The involvement of somatic or epigenetic inactivation of hMSH6 is rare in colorectal cancer and missense mutations in MSH6 are often clinically innocuous or have a low penetrance. However, somatic mutations of MSH6 have been shown to confer resistance to alkylating agents such as temozolomide in malignant gliomas in vivo. This concurrently results in accelerated mutagenesis in resistant clones as a consequence of continued exposure to alkylating agents in the presence of defective mismatch repair. Therefore, when MSH6 is inactivated in gliomas, there is a change in status of the alkylating agents from induction of tumour cell death to promotion of neoplastic progression. Localisation The subcellular localisation of MSH6 is the nucleus. Function hMSH6 gene product with hMSH2, hMSH3 gene products play role in strand specific repair of DNA replication errors. Studies show that hMSH2-hMSH6 complex functions in the recognition step of the repair of base-base mismatches or single frameshifts. The ADP/ATP binding domain of the heterodimer and the associated ATPase activity function to regulate mismatch binding as a molecular switch. Both MSH2 and MSH6 can simultaneously bind ATP. The MSH6 subunit contains the high-affinity ATP binding site and MSH2 contains a high-affinity ADP binding site. Stable binding of ATP to MSH6 results in a decreased affinity of MSH2 for ADP, and binding to mispaired DNA stabilizes the binding of ATP to MSH6. Mispair binding encourages a dual-occupancy state with ATP bound to Msh6 and Msh2; following which there is a hydrolysis-independent sliding along DNA. Subsequent steps result in the excision of the mispaired region followed by DNA synthesis and ligation. Implicated in Hereditary non polyposis colorectal cancer Disease Mutations in the mismatch repair genes MSH2, MSH6, MLH1 and PMS2 results in hereditary non polyposis colorectal cancer (HNPCC, Lynch syndrome). Individuals predisposed to this syndrome have increased lifetime risk of developing colorectal, endometrial and other cancers. The resulting mismatch repair deficiency leads to microsatellite instability which is the hallmark of tumors arising within this syndrome, as well as a variable proportion of sporadic tumors. Clinically, HNPCC can be divided into two subgroups: Type I: a young onset age for hereditary colorectal cancer, and carcinoma of the proximal colon. Type II: patients are susceptible to cancers in tissues such as the colon, uterus, ovary, breast, stomach, small intestine and skin. Diagnosis of classical HNPCC is based on the Amsterdam criteria: Homology H.sapiens: MSH6 (mutS homolog 6 (E. coli)). C.familiaris: LOC474585 (similar to mutS homolog 6). M.musculus: Msh6 (mutS homolog 6 (E. coli)). C.elegans: msh-6 (MSH (MutS Homolog) family). S.pombe: SPCC285.16c (hypothetical protein). Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 170 MSH6 (mutS homolog 6 (E. Coli)) Banerjee S - 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; - 2 or more generation affected; - 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. References Palombo, F.; Gallinari, P.; Iaccarino, I.; Lettieri, T.; Hughes, M.; D'Arrigo, A.; Truong, O.; Hsuan, J. J.; Jiricny, J. GTBP, a 160kilodalton protein essential for mismatch-binding activity in human cells. Science 1995;268:1912-1914. Papadopoulos N, Nicolaides NC, Liu B, Parsons R, Lengauer C, Palombo F, D'Arrigo A, Markowitz S, Willson JK, Kinzler KW, et al. Mutations of GTBP in genetically unstable cells. Science 1995;268(5219):1915-1917. Turcot Syndrome Disease Turcot syndrome is a condition whereby central nervous system malignant tumours are associated with familial colorectal cancer. A homozygous mutation in MSH6 has been reported in a family with childhoodonset brain tumour, lymphoma, colorectal cancer, and neurofibromatosis type 1 phenotype. Acharya S, Wilson T, Gradia S, Kane MF, Guerrette S, Marsischky GT, Kolodner R, Fishel R. hMSH2 forms specific mispair-binding complexes with hMSH3 and hMSH6. Proc Natl Acad Sci USA 1996;93(24):13629-13634. Gradia, S.; Acharya, S.; Fishel, R. The human mismatch recognition complex hMSH2-hMSH6 functions as a novel molecular switch. Cell 1997;91(7):995-1005. Gradia S, Subramanian D, Wilson T, Acharya S, Makhov A, Griffith J, Fishel R. hMSH2-hMSH6 forms a hydrolysisindependent sliding clamp on mismatched DNA. Mol Cell 1999;3(2):255-261. Colorectal cancer Disease Mutations in four mismatch repair genes MSH2, MLH1, MSH6, and PMS2, have been convincingly linked to susceptibility of hereditary nonpolyposis colorectal cancer (HNPCC)/Lynch syndrome. Of the 500 different HNPCC-associated MMR gene mutations known, approximately 10% are associated with mutations in the MSH6 gene. Charames GS, Millar AL, Pal T, Narod S, Bapat B. Do MSH6 mutations contribute to double primary cancers of the colorectum and endometrium?. Hum Genet 2000;107(6):623629. Wang Y, Cortez D, Yazdi P, Neff N, Elledge SJ, Qin J. BASC, a super complex of BRCA1-associated proteins involved in the recognition and repair of aberrant DNA structures. Genes Dev 2000;14(8):927-939. Endometrial cancer Plaschke J, Krüger S, Pistorius S, Theissig F, Saeger HD, Schackert HK. Involvement of hMSH6 in the development of hereditary and sporadic colorectal cancer revealed by immunostaining is based on germline mutations, but rarely on somatic inactivation. Int J Cancer 2002;97(5):643-648. Disease Germline mutations in the MSH6 gene are often observed in HNPCC-like families with an increased frequency of endometrial cancer. Sequence analysis of the MSH6 coding region revealed the presence of three putative missense mutations in patients with atypical family histories that do not meet HNPCC criteria. MSH6 mutations may contribute to the etiology of double primary carcinomas of the colorectum and endometrium. Suchy J, Kurzawski G, Jakubowska A, Lubiński J. Ovarian cancer of endometrioid type as part of the MSH6 gene mutation phenotype. J Hum Genet 2002;47(10):529-531. Szadkowski M, Jiricny J. Identification and functional characterization of the promoter region of the human MSH6 gene. Genes Chromosomes Cancer 2002;33(1):36-46. Ovarian cancer Gazzoli I, Kolodner RD. Regulation of the human MSH6 gene by the Sp1 transcription factor and alteration of promoter activity and expression by polymorphisms. Mol Cell Biol 2003;23(22):7992-8007. Disease Late-onset endometrioid type of ovarian cancer can be linked to MSH6 germline mutations. Peterlongo P, Nafa K, Lerman GS, Glogowski E, Shia J, Ye TZ, Markowitz AJ, Guillem JG, Kolachana P, Boyd JA, Offit K, Ellis NA. MSH6 germline mutations are rare in colorectal cancer families. Int J Cancer 2003;107(4):571-579. Lung cancer Kariola R, Hampel H, Frankel WL, Raevaara TE, de la Chapelle A, Nystrom-Lahti M. MSH6 missense mutations are often associated with no or low cancer susceptibility. Br J Cancer 2004;91(7):1287-1292. Disease Early onset lung cancer (before age 50) has been associated with polymorphisms in the MSH6 gene. Cadmium, an environmental and occupational carcinogen associated with lung cancer development was shown to inhibit the ATPase activity of MSH2MSH6 heterodimer. Banerjee S, Flores-Rozas H. Cadmium inhibits mismatch repair by blocking the ATPase activity of the MSH2-MSH6 complex. Nucleic Acids Res 2005;33(4):1410-1419. Hegde MR, Chong B, Blazo ME, Chin LH, Ward PA, Chintagumpala MM, Kim JY, Plon SE, Richards CS. A homozygous mutation in MSH6 causes Turcot syndrome. Clin Cancer Res 2005;11(13):4689-4693. Breast cancer Peltomäki P. Lynch 2005;4(3):227-232. Disease Mutations in the MSH6 gene are not usually connected with breast cancer, even when associated with endometrial or colorectal cancer. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) syndrome genes. Fam Cancer Rowley PT. Inherited susceptibility to colorectal cancer. Annu Rev Med 2005;56:539-554. Sánchez de Abajo A, de la Hoya M, Tosar A, Godino J, Fernández JM, Asenjo JL, Villamil BP, Segura PP, Diaz-Rubio 171 MSH6 (mutS homolog 6 (E. Coli)) Banerjee S E, Caldes T. Low prevalence of germline hMSH6 mutations in colorectal cancer families from Spain. World J Gastroenterol 2005;11(37):5770-5776. Jiricny J. The multifaceted mismatch-repair system. Nat Rev Mol Cell Biol 2006;7(5):335-346. Landi S, Gemignani F, Canzian F, Gaborieau V, Barale R, Landi D, Szeszenia-Dabrowska N, Zaridze D, Lissowska J, Rudnai P, Fabianova E, Mates D, Foretova L, Janout V, Bencko V, Gioia-Patricola L, Hall J, Boffetta P, Hung RJ, Brennan P. DNA repair and cell cycle control genes and the risk of young-onset lung cancer. Cancer Res 2006;66(22):11062-11069. Vahteristo P, Ojala S, Tamminen A, Tommiska J, Sammalkorpi H, Kiuru-Kuhlefelt S, Eerola H, Aaltonen LA, Aittomäki K, Nevanlinna H. No MSH6 germline mutations in breast cancer families with colorectal and/or endometrial cancer. J Med Genet 2005;42(4):e22. Abdel-Rahman WM, Mecklin JP, Peltomäki P. The genetics of HNPCC: application to diagnosis and screening. Crit Rev Oncol Hematol 2006;58(3):208-220. Mazur DJ, Mendillo ML, Kolodner RD. Inhibition of Msh6 ATPase activity by mispaired DNA induces a Msh2(ATP)Msh6(ATP) state capable of hydrolysis-independent movement along DNA. Mol Cell 2006;22(1):39-49. Barnetson RA, Tenesa A, Farrington SM, Nicholl ID, Cetnarskyj R, Porteous ME, Campbell H, Dunlop MG. Identification and survival of carriers of mutations in DNA mismatch-repair genes in colon cancer. N Engl J Med 2006;354(26):2751-2763. Pinto C, Veiga I, Pinheiro M, Mesquita B, Jeronimo C, Sousa O, Fragoso M, Santos L, Moreira-Dias L, Baptista M, Lopes C, Castedo S, Teixeira MR. MSH6 germline mutations in earlyonset colorectal cancer patients without family history of the disease. Br J Cancer 2006;95(6):752-756. Hunter C, Smith R, Cahill DP, Stephens P, Stevens C, Teague J, Greenman C, Edkins S, Bignell G, Davies H, et al. A hypermutation phenotype and somatic MSH6 mutations in recurrent human malignant gliomas after alkylator chemotherapy. Cancer Res 2006;66(8):3987-3991. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) This article should be referenced as such: Banerjee S. MSH6 (mutS homolog 6 (E. Coli)). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):169-172. 172 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review BARD1 (BRCA1 associated RING domain 1) Irmgard Irminger-Finger Biology of Aging Laboratory, Dept of Geriatrics and Dept of Gynecology and Obstetrics, Geneva University and University Hospitals, 30, Bloulevard de la Cluse, CH-1211 Geneva, Switzerland Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/BARD1ID756ch2q35.html DOI: 10.4267/2042/38431 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 BARD1beta (rat testis); BARD1delta (rat ovarian cancer cells); BARD1delta (HeLa); BARD1delta (rat ovarian cancer cells). Identity Hugo: BARD1 Other names: BRCA1-associated RING domain protein 1 Location: 2q35 Local order: Antiparallel. Transcription Transcription start is 100 bp upstream of first ATG of the BARD1 ORF. There a two 3’ends reported and possibly two alternative polyadenylation sites. BARD1 is expressed in most proliferative tissues. Highest expression in testis and spleen. No expression the central nervous system. DNA/RNA Description The gene spans 81 kb, composed of 11 exons. Alternatively spliced isoforms are identified. Insert known isoforms: Pseudogene No pseudogenes reported. BARD1 structure is presented with RING finger (green) ankyrin repeats (ANK, blue) and BRCT domains (red). Positions of introns (in) are indicated. Structures of splice variants are shown for BARD1beta from the rat (Feki et al., 2004), BARD1delta (Feki et al., 2005; Tsuzuki et al., 2006). Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 173 BARD1 (BRCA1 associated RING domain 1) Irminger-Finger I Mouse and human BARD1 protein sequences are shown schematically. RING finger domains (gren), Ankyrin repeats (ANK, blue), BRCT domains (red), nulear localization signals (light blue). Homology between human and mouse BARD1 is indicated in perentage of identical amino acids for structural regions. Description response kinase DNA-PK, facilitating p53 phosphorylation and stabilization. Thus BARD1 acts as signaling molecule from genotoxic stress towards p53dependent apoptosis. Human BARD1 777 amino acids; Structural motifs: RING, 5 Ankyrin repeats, 2 BRCT domains. Homology Protein BARD1 is homologous to BRCA1, regarding the Nterminal RING finger and the C-terminal BRCT domains. Weak homology between BARD1 and BRCA1 can be found throughout exon 1 to exon 4. and from exon 7 through exon 11, with conserved intronexon junctions. Expression In the mouse BARD1 is expressed in most proliferative tissues. Highest expression in testis and spleen, no expression in nervous system. During mouse development BARD1 is expressed in early embryogenesis and declines after day 9. Mutations Localisation During S-phase BARD1 localizes to nuclear dots. Partially, BARD1 is also localized to the cytoplasm in response to stress. Note: Several mutations of BARD1 have been identified in breast and ovarian cancers. Three mutations have been reported associated with inherited predisposition to breast and ovarian cancer. Function Germinal BARD1 functions as heterodimer with BRCA1 as ubiquitin ligase. Several targets of the BARD1-BRCA1 ubiquitin ligase have been identified and suggest its implication in DNA repair, polyadenylation, cell cycle control, and mitosis. BARD1 acts as inducer of apoptosis, independently of BRCA1, by binding to p53, and by binding to the stress Germline mutations were reported for C557S and Q564H. Somatic Several somatic mutation were reported in addition to C557S and Q564H. BARD1 mutations associated with cancer. Small mutations are not unambiguously identified as cancer causing mutations, long arrows red labeled mutations are accepted as cancer associated. Blue indication maps germ line mutations. Q406R, might be cancer associated. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 174 BARD1 (BRCA1 associated RING domain 1) Irminger-Finger I Irminger-Finger I, Soriano JV, Vaudan G, Montesano R, Sappino AP. In vitro repression of Brca1-associated RING domain gene, Bard1, induces phenotypic changes in mammary epithelial cells. J Cell Biol 1998;143(5):1329-1339. Implicated in Breast and/or ovarian cancer Thai TH, Du F, Tsan JT, Jin Y, Phung A, Spillman MA, Massa HF, Muller CY, Ashfaq R, Mathis JM, Miller DS, Trask BJ, Baer R, Bowcock AM. Mutations in the BRCA1-associated RING domain (BARD1) gene in primary breast, ovarian and uterine cancers. Hum Mol Genet 1998;7(2):195-202. Note: Upregulated expression of truncated BARD1 in epithelial cancers. Prognosis Upregulated BARD1 is correlated with poor prognosis in breast and ovarian cancer. Cytogenetics No determined. Hybrid/Mutated Gene Not determined. Abnormal Protein No fusion proteins reported. Dechend R, Hirano F, Lehmann K, Heissmeyer V, Ansieau S, Wulczyn FG, Scheidereit C, Leutz A. The Bcl-3 oncoprotein acts as a bridging factor between NF-kappaB/Rel and nuclear co-regulators. Oncogene 1999;18(22):3316-3323. Kleiman FE, Manley JL. Functional interaction of BRCA1associated BARD1 with polyadenylation factor CstF-50. Science 1999;285(5433):1576-1579. Gautier F, Irminger-Finger I, Grégoire M, Meflah K, Harb J. Identification of an apoptotic cleavage product of BARD1 as an autoantigen: a potential factor in the antitumoral response mediated by apoptotic bodies. Cancer Res 2000;60(24):68956900. Ovarian cancer Brzovic PS, Rajagopal P, Hoyt DW, King MC, Klevit RE. Structure of a BRCA1-BARD1 heterodimeric RING-RING complex. Nat Struct Biol 2001;8(10):833-837. Prognosis Upregulated BARD1 is correlated with poor prognosis in breast and ovarian cancer. Hybrid/Mutated Gene No. Abnormal Protein No fusion proteins reported. Hashizume R, Fukuda M, Maeda I, Nishikawa H, Oyake D, Yabuki Y, Ogata H, Ohta T. The RING heterodimer BRCA1BARD1 is a ubiquitin ligase inactivated by a breast cancerderived mutation. J Biol Chem 2001;276(18):14537-14540. Kleiman FE, Manley JL. The BARD1-CstF-50 interaction links mRNA 3' end formation to DNA damage and tumor suppression. Cell 2001;104(5):743-53. Irminger-Finger I, Leung WC, Li J, Dubois-Dauphin M, Harb J, Feki A, Jefford CE, Soriano JV, Jaconi M, Montesano R, Krause KH. Identification of BARD1 as mediator between proapoptotic stress and p53-dependent apoptosis. Mol Cell 2001;8(6):1255-1266. Lung cancer Prognosis Upregulated BARD1 is correlated with poor prognosis in breast and ovarian cancer. Hybrid/Mutated Gene No. Abnormal Protein No fusion proteins reported. Chen A, Kleiman FE, Manley JL, Ouchi T, Pan ZQ. Autoubiquitination of the BRCA1*BARD1 RING ubiquitin ligase. J Biol Chem 2002;277(24):22085-22092. Chiba N, Parvin JD. The BRCA1 and BARD1 association with the RNA polymerase II holoenzyme. Cancer Res 2002;62(15):4222-4228. Fabbro M, Rodriguez JA, Baer R, Henderson BR. BARD1 induces BRCA1 intranuclear foci formation by increasing RING-dependent BRCA1 nuclear import and inhibiting BRCA1 nuclear export. J Biol Chem 2002;277(24):21315-21324. References Wu LC, Wang ZW, Tsan JT, Spillman MA, Phung A, Xu XL, Yang MC, Hwang LY, Bowcock AM, Baer R. Identification of a RING protein that can interact in vivo with the BRCA1 gene product. Nat Genet 1996;14(4):430-440. Ghimenti C, Sensi E, Presciuttini S, Brunetti IM, Conte P, Bevilacqua G, Caligo MA. Germline mutations of the BRCA1associated ring domain (BARD1) gene in breast and breast/ovarian families negative for BRCA1 and BRCA2 alterations. Genes Chromosomes Cancer 2002;33(3):235-242. Scully R, Anderson SF, Chao DM, Wei W, Ye L, Young RA, Livingston DM, Parvin JD. BRCA1 is a component of the RNA polymerase II holoenzyme. Proc Natl Acad Sci USA 1997;94(11):5605-5610. Irminger-Finger I, Leung WC. BRCA1-dependent and independent functions of BARD1. Int J Biochem Cell Biol 2002;34(6):582-587. Scully R, Chen J, Ochs RL, Keegan K, Hoekstra M, Feunteun J, Livingston DM. Dynamic changes of BRCA1 subnuclear location and phosphorylation state are initiated by DNA damage. Cell 1997;90(3):425-435. Mallery DL, Vandenberg CJ, Hiom K. Activation of the E3 ligase function of the BRCA1/BARD1 complex by polyubiquitin chains. EMBO J 2002;21(24):6755-6762. Morris JR, Keep NH, Solomon E. Identification of residues required for the interaction of BARD1 with BRCA1. J Biol Chem 2002;277(11):9382-9386. Ayi TC, Tsan JT, Hwang LY, Bowcock AM, Baer R. Conservation of function and primary structure in the BRCA1associated RING domain (BARD1) protein. Oncogene 1998;17(16):2143-2148. Ren B, Cam H, Takahashi Y, Volkert T, Terragni J, Young RA, Dynlacht BD. E2F integrates cell cycle progression with DNA repair, replication, and G(2)/M checkpoints. Genes Dev 2002;16(2):245-256. Chen J, Silver DP, Walpita D, Cantor SB, Gazdar AF, Tomlinson G, Couch FJ, Weber BL, Ashley T, Livingston DM, Scully R. Stable interaction between the products of the BRCA1 and BRCA2 tumor suppressor genes in mitotic and meiotic cells. Mol Cell 1998;2(3):317-328. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Spahn L, Petermann R, Siligan C, Schmid JA, Aryee DN, Kovar H. Interaction of the EWS NH2 terminus with BARD1 175 BARD1 (BRCA1 associated RING domain 1) Irminger-Finger I links the Ewing's sarcoma gene to a common tumor suppressor pathway. Cancer Res 2002;62(16):4583-4587. development and tumorigenesis. Nature 2005;437(7055):147153. Ishitobi M, Miyoshi Y, Hasegawa S, Egawa C, Tamaki Y, Monden M, Noguchi S. Mutational analysis of BARD1 in familial breast cancer patients in Japan. Cancer Lett 2003;200(1):1-7. Hayami R, Sato K, Wu W, Nishikawa T, Hiroi J, Ohtani-Kaneko R, Fukuda M, Ohta T. Down-regulation of BRCA1-BARD1 ubiquitin ligase by CDK2. Cancer Res 2005;65(1):6-10. Kleiman FE, Wu-Baer F, Fonseca D, Kaneko S, Baer R, Manley JL. BRCA1/BARD1 inhibition of mRNA 3' processing involves targeted degradation of RNA polymerase II. Genes Dev 2005;19(10):1227-1237. McCarthy EE, Celebi JT, Baer R, Ludwig T. Loss of Bard1, the heterodimeric partner of the Brca1 tumor suppressor, results in early embryonic lethality and chromosomal instability. Mol Cell Biol 2003;23(14):5056-5063. Schüchner S, Tembe V, Rodriguez JA, Henderson BR. Nuclear targeting and cell cycle regulatory function of human BARD1. J Biol Chem 2005;280(10):8855-8861. Westermark UK, Reyngold M, Olshen AB, Baer R, Jasin M, Moynahan ME. BARD1 participates with BRCA1 in homologydirected repair of chromosome breaks. Mol Cell Biol 2003;23(21):7926-7936. Starita LM, Horwitz AA, Keogh MC, Ishioka C, Parvin JD, Chiba N. BRCA1/BARD1 ubiquitinate phosphorylated RNA polymerase II. J Biol Chem 2005;280(26):24498-24505. Choudhury AD, Xu H, Baer R. Ubiquitination and proteasomal degradation of the BRCA1 tumor suppressor is regulated during cell cycle progression. J Biol Chem 2004;279(32):33909-33918. Irminger-Finger I, Busquets S, Calabrio F, Loópez-Soriano FJ, Argilés JM. BARD1 content correlates with increased DNA fragmentation associated with muscle wasting in tumourbearing rats. Oncol Rep 2006;15(6):1425-1458. Fabbro M, Savage K, Hobson K, Deans AJ, Powell SN, McArthur GA, Khanna KK. BRCA1-BARD1 complexes are required for p53Ser-15 phosphorylation and a G1/S arrest following ionizing radiation-induced DNA damage. J Biol Chem 2004;279(30):31251-31258. Irminger-Finger I, Jefford CE. Is there more to BARD1 than BRCA1?. Nat Rev Cancer 2006;6(5):382-391. Joukov V, Groen AC, Prokhorova T, Gerson R, White E, Rodriguez A, Walter JC, Livingston DM. The BRCA1/BARD1 heterodimer modulates ran-dependent mitotic spindle assembly. Cell 2006;127(3):539-552. Fabbro M, Schuechner S, Au WW, Henderson BR. BARD1 regulates BRCA1 apoptotic function by a mechanism involving nuclear retention. Exp Cell Res 2004;298(2):661-673. Karppinen SM, Barkardottir RB, Backenhorn K, Sydenham T, Syrjäkoski K, Schleutker J, Ikonen T, Pylkäs K, Rapakko K, Erkko H, Johannesdottir G, Gerdes AM, Thomassen M, Agnarsson BA, Grip M, Kallioniemi A, Kere J, Aaltonen LA, Arason A, Møller P, Kruse TA, Borg A, Winqvist R. Nordic collaborative study of the BARD1 Cys557Ser allele in 3956 patients with cancer: enrichment in familial BRCA1/BRCA2 mutation-negative breast cancer but not in other malignancies. J Med Genet 2006;43(11):856-862. Feki A, Jefford CE, Durand P, Harb J, Lucas H, Krause KH, Irminger-Finger I. BARD1 expression during spermatogenesis is associated with apoptosis and hormonally regulated. Biol Reprod 2004;71(5):1614-1624. Jefford CE, Feki A, Harb J, Krause KH, Irminger-Finger I. Nuclear-cytoplasmic translocation of BARD1 is linked to its apoptotic activity. Oncogene 2004;23(20):3509-3520. Karppinen SM, Heikkinen K, Rapakko K, Winqvist R. Mutation screening of the BARD1 gene: evidence for involvement of the Cys557Ser allele in hereditary susceptibility to breast cancer. J Med Genet 2004;41(9):e114. Morris JR, Solomon E. BRCA1 : BARD1 induces the formation of conjugated ubiquitin structures, dependent on K6 of ubiquitin, in cells during DNA replication and repair. Hum Mol Genet 2004;13(8):807-817. Stacey SN, Sulem P, Johannsson OT, Helgason A, Gudmundsson J, Kostic JP, Kristjansson K, Jonsdottir T, Sigurdsson H, Hrafnkelsson J, Johannsson J, Sveinsson T, Myrdal G, Grimsson HN, Bergthorsson JT, Amundadottir LT, Gulcher JR, Thorsteinsdottir U, Kong A, Stefansson K. The BARD1 Cys557Ser variant and breast cancer risk in Iceland. PLoS Med 2006;3(7):e217. Rodriguez JA, Schüchner S, Au WW, Fabbro M, Henderson BR. Nuclear-cytoplasmic shuttling of BARD1 contributes to its proapoptotic activity and is regulated by dimerization with BRCA1. Oncogene 2004;23(10):1809-1820. Tsuzuki M, Wu W, Nishikawa H, Hayami R, Oyake D, Yabuki Y, Fukuda M, Ohta T. A truncated splice variant of human BARD1 that lacks the RING finger and ankyrin repeats. Cancer Lett 2006;233(1):108-116. Sato K, Hayami R, Wu W, Nishikawa T, Nishikawa H, Okuda Y, Ogata H, Fukuda M, Ohta T. Nucleophosmin/B23 is a candidate substrate for the BRCA1-BARD1 ubiquitin ligase. J Biol Chem 2004;279(30):30919-30922. Vahteristo P, Syrjäkoski K, Heikkinen T, Eerola H, Aittomäki K, von Smitten K, Holli K, Blomqvist C, Kallioniemi OP, Nevanlinna H. BARD1 variants Cys557Ser and Val507Met in breast cancer predisposition. Eur J Hum Genet 2006;14(2):167-172. Starita LM, Machida Y, Sankaran S, Elias JE, Griffin K, Schlegel BP, Gygi SP, Parvin JD. BRCA1-dependent ubiquitination of gamma-tubulin regulates centrosome number. Mol Cell Biol 2004;24(19):8457-8466. Wu JY, Vlastos AT, Pelte MF, Caligo MA, Bianco A, Krause KH, Laurent GJ, Irminger-Finger I. Aberrant expression of BARD1 in breast and ovarian cancers with poor prognosis. Int J Cancer 2006;118(5):1215-1226. Stark JM, Pierce AJ, Oh J, Pastink A, Jasin M. Genetic steps of mammalian homologous repair with distinct mutagenic consequences. Mol Cell Biol 2004;24(21):9305-9316. Lu Y, Amleh A, Sun J, Jin X, McCullough SD, Baer R, Ren D, Li R, Hu Y. Ubiquitination and Proteasome-Mediated Degradation of BRCA1 and BARD1 During steroidogenesis in Human Ovarian Granulosa Cells. Mol Endocrinol 2007;21(3):651-663. Choudhury AD, Xu H, Modi AP, Zhang W, Ludwig T, Baer R. Hyperphosphorylation of the BARD1 tumor suppressor in mitotic cells. J Biol Chem 2005;280(26):24669-24679. Feki A, Jefford CE, Berardi P, Wu JY, Cartier L, Krause KH, Irminger-Finger I. BARD1 induces apoptosis by catalysing phosphorylation of p53 by DNA-damage response kinase. Oncogene 2005;24(23):3726-3736. This article should be referenced as such: Irminger-Finger I. BARD1 (BRCA1 associated RING domain 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):173176. Grisendi S, Bernardi R, Rossi M, Cheng K, Khandker L, Manova K, Pandolfi PP. Role of nucleophosmin in embryonic Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 176 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review BCL6 (B-Cell Lymphoma 6) Stevan Knezevich BC Cancer Research Centre (BCCRC), Vancouver, British Columbia, Canada Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/BCL6ID20.html DOI: 10.4267/2042/38432 This article is an update of: Kerkaert JP. LAZ3 (lymphoma associated zinc finger on chromosome 3). Atlas Genet Cytogenet Oncol Haematol.1999;3(1):1-2. 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 Transcription Hugo: BCL6 Other names: LAZ3 ( Lymphoma Associated Zinc finger on chromosome 3); ZNF51 (Zinc Finger Protein 51) Location: 3q27 Local order: gene orientation: telomere - 5' LAZ3 3' centromere. 3.8 kb mRNA. Protein Description The protein product is 706 amino acids with an estimated molecular weight of 78.8 kDa. Expression Normally expressed in germinal center B and T cells, other lymphoid tissues, in skeletal muscle cells and in keratinocytes. Localisation Nuclear paraspeckles/dots. Function The protein can bind to sequence specific DNA and repress its transcription in addition to recruiting other protein repressors. The DNA binding is mediated through the consensus sequence: TTCCT(A/C)GAA while the protein-protein interactions are mediated through the BTB/POZ domain and it has been shown to interact with other zinc finger proteins and corepressors (including Histone Deacetylase 1 (HDAC1) and Silencing Mediator of Retinoid and Thryoid Receptor 1 (SMRT1)). The carboxy terminus, on the other hand, is responsible for sequence specific DNA binding through its 6 zinc fingers. BCL6 (3q27) - Courtesy Mariano Rocchi, Resources for Molecular Cytogenetics. Laboratories willing to validate the probes are welcome : contact [email protected]. DNA/RNA Description The gene is encoded by 11 exons that are located on Chromosome 3q27 and is 24.3 kb. The 5’ portion encodes for the BTB/POZ domain (broadcomplex/tramtrack/bric-a-brac/pox virus/zinc finger), while the 3’ end encodes for 6 DNA binding zinc fingers. The first ATG occurs in exon 3. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Homology BTB/POZ - Zinc Finger proteins (PLZF, HIC1, KUP, BAZF, ttk (drosophila), BrC (drosophila)...). 177 BCL6 (B-Cell Lymphoma 6) Knezevich S Implicated in normal BCL6 exon 2 splice acceptor site. In some cases reciprocal chimeric transcripts driven by the 5' regulatory region of BCL6 fused to the partner gene coding region, have been characterised. t(2;3)(p12;q27) the gene in 2p12 is IGK t(3;3)(q25;q27) the gene in 3q25 is MBNL1 t(3;3)(q27;q27) the gene in 3q27 is ST6GAL1 t(3;3)(q27;q27) the gene in 3q27 is EIF4A2 t(3;3)(q27;q29) the gene in 3q29 is TFRC t(3;4)(q27;p13) the gene in 4p13 is RHOH t(3;6)(q27;p22) the gene in 6p22 is HIST1H4I t(3;6)(q27;p21) the gene in 6p21 is PIM1 t(3;6)(q27;p21) the gene in 6p21 is SFRS3 t(3;6)(q27;p21) the gene in 6p21 is Histone H4 t(3;6)(q27;p12) the gene in 6p12 is HSP90AB1 t(3;6)(q27;q15) the gene in 6q15 is SNHG5 t(3;7)(q27;p12) the gene in 7p12 is IKZF1 t(3;8)(q27;q24.1) the gene in 8q24.1 is MYC t(3;9)(q27;p11) the gene in 9p11 is GRHPR t(3;11)(q27;q23) the gene in 11q23 is POU2AF1 t(3;12)(q27;p13) the gene in 12p13 is GAPDH t(3;12)(q27;q12) the gene in 12q12 is LRMP t(3;12)(q27;q23) the gene in 12q23 is NACA t(3;13)(q27;q14) the gene in 13q14 is LCP1 t(3;14)(q27;q32) the gene in 14q32 is IGH t(3;14)(q27;q32) the gene in 14q32 is HSP90AA1 t(3;16)(q27;p13) the gene in 16p13 is CIITA t(3;16)(q27;p11) the gene in 16p11 is IL21R t(3;19)(q27;q13) the gene in 19q13 is NAPA t(3;22)(q27;q11) the gene in 22q11 is IGL Abnormal Protein No fusion protein. 3q27 rearrangements /NHL (non Hodgkin lymphomas) Disease B cell non-Hodgkin Lymphoma (B-NHL) carry the greatest number of translocations involving the BCL6 gene locus. Translocations are most commonly detected within 15-40% of Diffuse Large B-Cell Lymphomas (DLBCL), 6-15% of Follicular Lymphomas (FL), and 50% of nodular lymphocyte predominant Hodgkin Lymphomas. Prognosis Generally considered to be a better prognosis if there is increased expression of BCL6. The mechanism by which its expression is increased does not seem to matter (ie different translocation partners increasing its expression results in the same prognosis). Cytogenetics 3q27 rearrangements/aberrations are diverse and include: translocations, micro-deletions, point mutations and hypermutation. Approximately 50% of 3q27 translocations involves Ig genes at 14q32 (IgH), 2p12 (IgK) and 22q12 (IgL) (e.g. t(3;14)(q27;q32). Less than half (~40%) include a variety of other chromosomal regions (1q21, 2q21, 4p11, 5q31, 6p21, 7p12, 8q24, 9p13, 11q13, 11q23, 12q11, 13q14-21, 14q11, 15q21, 16p11...). In addition, there are frequent bi-allelic alterations (translocation and deletion or mutation on the non-translocated allele). Hybrid/Mutated Gene Hybrid gene and transcripts are formed following promoter substitution between BCL6 and its different partners. Chimeric transcripts are generally detected containing the 5' part of the gene partner fused to the Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Breakpoints Note: Clustered in a 3,3kb EcoRI fragment (MTC) includind exon 1A and intron 1. 178 BCL6 (B-Cell Lymphoma 6) Knezevich S 2p12 (IgK) 22q11 (IgL) 3q25 (MBNL1) 19q13 (NAPA) 3q27 (ST6GAL1) 16p13 (CIITA) 3q28 (EIF4A2) 3q29 (TFRC) 16p11 (IL21R) 4p13 (RHOH) 14q32 (HSP90AA1) 3q27 (BCL6) 14q32 (IgH) 6p22 (HIST1H4I) 13q14 (LCP1) 6p21 (HSP90AB1) 12q23 (NACA) 6p21 (PIM1) 12p13 (GAPDH) 12p12 (LRMP) 6p21 (SFRS3) 11q23 (POU2AF1) 6q15 (SNHG5) 9q12 (GRHPR) ? 8q24 (? MY C) 7p12 (IKZF1) BCL6 and 25 partners and/or recurrent translocations. Editor 09/2001; last update 03/2007 Note: HSP89A, f ound in Xu et al. 2000, is possibly HSPCA, but may be another heat shock protein. References Niitsu N, Okamoto M, Nakamura N, Nakamine H, Aoki S, Hirano M, Miura I. Prognostic impact of chromosomal alteration of 3q27 on nodal B-cell lymphoma: Correlation with histology, immunophenotype, karyotype, and clinical outcome in 329 consecutive patients. Leuk Res 2006;. Kerckaert JP, Deweindt C, Tilly H, Quief S, Lecocq G, Bastard C. LAZ3, a novel zinc-finger encoding gene, is disrupted by recurring chromosome 3q27 translocations in human lymphomas. Nat Genet 1993;5(1):66-70. Ohno H. Pathogenetic and clinical implications of nonimmunoglobulin ; BCL6 translocations in B-cell non-Hodgkin's lymphoma. J Clin Exp Hematop 2006;46(2):43-53. (Review). Ye BH, Lista F, Lo Coco F, Knowles DM, Offit K, Chaganti RS, Dalla-Favera R. Alterations of a zinc finger-encoding gene, BCL-6, in diffuse large-cell lymphoma. Science 1993;262(5134):747-750. Tapinassi C, Micucci C, Lahortiga I, Malazzi O, Gasparini P, Gorosquieta A, Odero MD, Belloni E. A novel t(2;3)(p11;q27) in a case of follicular lymphoma. Cancer Genet Cytogenet 2007;172(1):70-73. Miki T, Kawamata N, Hirosawa S, Aoki N. Gene involved in the 3q27 translocation associated with B-cell lymphoma, BCL5, encodes a Krüppel-like zinc-finger protein. Blood 1994;83(1):26-32. Wang HY, Bossler AD, Schaffer A, Tomczak E, DiPatri D, Frank DM, Nowell PC, Bagg A. A novel t(3;8)(q27;q24.1) simultaneously involving both the BCL6 and MYC genes in a diffuse large B-cell lymphoma. Cancer Genet Cytogenet 2007;172(1):45-53. Chen YW, Hu XT, Liang AC, Au WY, So CC, Wong ML, Shen L, Tao Q, Chu KM, Kwong YL, Liang RH, Srivastava G. High BCL6 expression predicts better prognosis, independent of BCL6 translocation status, translocation partner, or BCL6 deregulating mutations, in gastric lymphoma. Blood 2006;108 (7):2373-2383. This article should be referenced as such: Knezevich S. BCL6 (B-Cell Lymphoma 6). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):177-179. Keller CE, Nandula S, Vakiani E, Alobeid B, Murty VV, Bhagat G. Intrachromosomal rearrangement of chromosome 3q27: an under recognized mechanism of BCL6 translocation in B-cell non-Hodgkin lymphoma. Hum Pathol 2006;37(8):1093-1099. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 179 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review BRD4 (bromodomain containing 4) Anna Collin Department of Clinical Genetics, Lund University Hospital, 221 85 Lund, Sweden Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/BRD4ID837ch19p13.html DOI: 10.4267/2042/38433 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 Function Identity A striking feature of BRD4 is its association with euchromatic regions of mitotic chromosomes. By this association, the protein exerts its function as regulator of cell cycle progression from G2 to M but also in the G1 to S transition. It has also been suggested that the association of BRD4 to chromatin is important for the transmission of a transcriptional memory during cell division. Hugo: BRD4 Other names: HUNK1; MCAP Location: 19p13 Location_base_pair: position 15252262-15209302 on the chromosome 19 genomic sequence. DNA/RNA Description Implicated in The gene consists of 20 exons that span approximately 43 kb of genomic DNA in the centromere-to-telomere orientation. The translation initiation codon and stop codon are located to exon 2 and exon 20, respectively. Carcinoma with t(15;19)(q14;p13) translocation. Prognosis Carcinoma with t(15;19) translocation is invariably fatal with a rapid clinical course when located to the midline thoracic, head and neck structures. One tumor, displaying the cytogenetic and molecular cytogenetic features of carcinoma with t(15;19) translocation, but located to the iliac bone, has been reported as successfully cured. Cytogenetics t(15;19)(q14;p13) [reported breakpoints: t(15;19)(q1115;p13)]. Hybrid/Mutated Gene The t(15;19)(q14;p13) results in a BRD4-NUT chimeric gene where exon 10 of BRD4 is fused to exon 2 of NUT. Abnormal Protein The BRD4-NUT fusion protein is composed of the Nterminal of BRD4 (amino acids 1-720 out of 1372) and almost the entire protein sequence of NUT (amino acids 6-1127). The N-terminal of BRD4 includes bromodomains 1 and 2 and other, less well characterized functional domains. Transcription Two isoforms of BRD4 have been reported. The 'BRD4 long isoform' corresponds to the ordinary full length transcript while the 'BRD4 short isoform' corresponds to an alternative splicing variant lacking exons 12-20. The 'BRD4 long variant' encodes a 6.0 kb transcript and the 'BRD4 short variant' encodes a 4.4 kb transcript. Protein Description BRD4 belongs to the BET subgroup of the bromodomain superfamily and contains 2 bromodomains and a conserved ET-domain. The open reading frame encodes a 1362 amino acid protein with a molecular weight of 200 kDa. Expression Northen blot analysis has shown an ubiquitous normal expression of both BRD4 isoforms. Localisation Nuclear. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 180 BRD4 (bromodomain containing 4) Collin A replication factor C and inhibits progression to S phase. Mol Cell Biol 2002;22:6509-6520. Oncogenesis It has been suggested that the oncogenic effect of the NUT-BRD4 fusion is caused not only by the abnormal regulation of NUT by BRD4 promoter elements but also by the consequent ectopic expression of NUT in non-germinal tissues. Dey A, Chitsaz F, Abbasi A, Misteli T, Ozato K. The double bromodomain protein Brd4 binds to acetylated chromatin during interphase and mitois. Proc Natl Acad Sci USA 2003;100:8758-8763. French CA, Miyoshi I, Kubonishi I, Grier HE, Perez-Atayde AR, Fletcher JA. BRD4-NUT fusion oncogene: a novel mechanism in aggressive carcinoma. Cancer Res 2003;63:304-307. Breakpoints French CA, Kutok JL, Faquin WC, Toretsky JA, Antonescu CR, Griffin CA, Nose V, Vargas SO, Moschovi M, TzortzatouStathopoulo F, Miyoshi I, Perez-Atayde AR, Aster JC, Fletcher JA. Midline carcinoma of children and young adults with NUT rearrangement. J Clin Oncol 2004;22:4135-4139. Note: The vast majority of reported 19p breakpoints were assigned to band 19p13, the exception being the cytogenetic interpretation of a 19q13 breakpoint reported once. The reported breakpoints on chromosome 15 have varied (15q11-q15). Marx A, French CA, Fletcher JA. Carcinoma with t(15;19) translocation. In:World Health Organization classification of tumours. Pathology and genetics of tumours of the lung, thymus, pleura and heart. Travis WD, Brambilla E, MullerHermelink K, Harris CC, editors. Oxford University Press 2004. pp185-186. References Kees UR, Mulcahy MT, Willoughby MLN. Intrathoracic carcinoma in an 11-year-old girl showing a translocation t(15;19). Am J Pediatr Hematol Oncol 1991;13:459-464. You J, Croyle JL, Nishimura A, Ozato K, Howley P. Interaction of the bovine papillomavirus E2 protein with Brd4 tethers the viral DNA to host mitotic chromosomes. Cell 2004;117:349360. Dey A, Ellenberg J, Farina A, Coleman AE, Maruyama T, Sciortino S, Lippincott-Schwartz J, Ozato K. A bromodomain protein MCAP, associates with mitotic chromosomes and affects G2-to-M transition. Mol Cell Biol 2000;20:6537-6549. Engleson J, Soller M, Panagopoulos I, Dahlén A, Dictor M, Jerkeman M. Midline carcinoma with t(15;19) and BRD4-NUT fusion oncogene in a 30-year-old female with response to docetaxel and radiotherapy. BMC Cancer 2006;6:69. Florence B, Faller DV. You bet-cha: a novel family of transcriptional regulators. Front Biosci 2001;6:D1008-1018. French CA, Miyoshi I, Aster JC, Kubonishi I, Kroll TG, Dal Cin P, Vargas SO, Perez-Atayde AR, Fletcher JA. BRD4 bromodomain gene rearrangement in aggressive carcinoma with translocation t(15;19). Am J Pathol 2001;159:1987-1992. Mertens F, Wiebe T, Adlercreutz C, Mandahl N, French CA. Successful treatment of a child with t(15;19)-positive tumor. Pediatr Blood Cancer 2006. Maruyama T, Farina A, dey A, Cheong JH, Bermudez VP, Tamura T, Sciortino S, Shuman J, Hurwitz J, Ozato K. A mammalian bromodomein protein, Brd4, interacts with This article should be referenced as such: Collin A. BRD4 (bromodomain containing 4). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):180-181. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 181 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2) Mary L Stracke, Timothy Clair Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bldg 10, Rm 2A33, MSC 1500, 9000 Rockville Pike, Bethesda, MD 20892 Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/ENPP2ID40455ch8q24.html DOI: 10.4267/2042/38434 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 exon 26; however, there is a 152 bp exon (exon 12) that is alternatively spliced and is included primarily in neurally derived tissues. Identity Hugo: ENPP2 Other names: Autotaxin; ATX; NPP2; PD1alpha; lysophospholipase D; PDNP2 Location: 8q24.12 Local order: Telomeric to NOV (nephroblastoma overxpressed gene), centromeric to TAF2; colocalized with pseudogene CYCSP23. Transcription The mRNA for ENPP2 is 3276 bp with exon 12 and 3120 bp without it. The ENPP2 promoter is reported to have four SP1 sites as well as binding sites for NFAT and NF-kappaB but no TATA or CAAT boxes. The only transcription factor that has been proven to increase ENPP2 protein expression is NFATC2/NFAT1, after release of alpha6beta4 from hemidesmosomes in a breast cancer cell line. A number of growth factors have been found to stimulate ENPP2 protein expression, while several inflammatory cytokines have been reported to inhibit expression. DNA/RNA Note: mRNA length 3276 or 3120 bp, depending upon alternate splicing. Description The ENPP2 gene is 81,754 bp in length and is composed of 26 exons. Part of exon 1 and 26 are untranslated (UTR); translation extends from the remainder of exon 1 through the proximal portion of Pseudogene CYCSP23 ENPP2 Gene: Intron-exon organization of ENPP2. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 182 ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2) Stracke ML, Clair T ENPP2 Protein (NPP2/ATX): Organization of domains and other critical elements within ENPP2. plasma lysophospholipase D activity, hydrolyzing lysophosphatidylcholine into lysophosphatidic acid as well as cyclic phosphatidic acid. NPP2 also hydrolyzes sphingosylphosphorylcholine into sphingosine-1phosphate; however, NPP2 is not a major source of sphingosine-1-phosphate in plasma. The production of lysophosphatidic acid is thought to account for many of the physiological and pathological roles of ENPP2. Both enzymatic activities of NPP2 share a common catalytic domain. Like other members of the NPP family, NPP2 is a metallo-enzyme with binding sites for 2 metal atoms coordinated by three critical histidines (H316, H360, and H475) and associated aspartates (D172, D312, and D359). T210 is nucleotidylated during the nucleotide pyrophosphatase/phosphodiesterase reaction and is essential for hydrolysis of substrate during the lysophospholipase D reaction as well. Protein Description The ENPP2 protein, NPP2 or ATX, is an Nglycolsylated member of the ecto-nucleotide pyrophosphatase and phosphodiesterase (NPP) family of proteins. The NPP2 precursor contains 915 amino acids, 105.2 KDa; and an alternately spliced variant is 863 amino acids, 99.0 KDa. The amino terminal signal peptide sequence is cleaved at a signal peptidase site between G27 and F28 to yield a secreted protein that contains 888/836 amino acids, 102.3/96.9 KDa. NPP2 contains up to 3 ASN-linked glycosylation sites that appear to be required for secretion as well as for stabilization of its active conformation. Expression NPP2 is expressed in many tissues during development, but it is critical for blood vessel maturation and neurogenesis. Certain inflammatory cytokines and the tumor suppressor CST6 downregulate ENPP2 expression, and some of the NPP2 products exert a negative feedback on its expression. Conversely, a number of growth factors as well as EBV infection (in Hodgkin's lymphoma) upregulate ENPP2 expression. Disruption of hemidesmosomes in breast cancer cells releases alpha6beta4, which initiates a signaling cascade that culminates in the activation of the transcription factor NFAT1, which binds to the ENPP2 promoter to upregulate protein expression. Upregulation of ENPP2 has been reported in a number of aggressive tumors, including glioblastoma, undifferentiated anaplastic thyroid carcinoma, invasive breast carcinoma, and metastatic hepatocellular carcinoma. In adults, NPP2 is the major source of serum and plasma lysophospholipase D activity. It is also highly expressed in brain, kidney, liver, ovary, small intestine, and placenta, and is present in many other tissues. Homology NPP2 is a member of the nucleotide pyrophosphatase and phosphodiesterase family, which includes ENPP1 (PC1) and ENPP3 (B10). Although the catalytic domain is highly conserved within this family of proteins, only NPP2 possesses lysophospholipase D activity. Mutations Note: There are a number of single nucleotide polymorphisms (SNPs) that have been reported within the ENPP2 gene but none are yet reported to be associated with altered phenotype. However, knockout of ENPP2 is lethal in mice (approximately E12), therefore mutations associated with loss of function might be lethal. Implicated in Various cancers Disease Overexpression of the ENPP2 protein has been associated with tumor cell motility and invasion, tumor growth and metastasis, and blood vessel formation. Function NPP2 is a Type 2 nucleotide pyrophosphatase and phosphodiesterase that also has ATPase activity. In addition, NPP2 is the major source of serum and Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 183 ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2) Stracke ML, Clair T Prognosis ENPP2 is over-expressed in poorly differentiated nonsmall cell lung carcinomas and invasive and metastatic hepatocellular carcinoma. In thyroid carcinomas, ENPP2 expression was found to be higher in undifferentiated anaplastic thyroid carcinoma cell lines and tissues than in follicular thyroid carcinomas or goiters. When glioblastoma multiforme cells were collected from tumor cores vs. areas of white matter invasion, ENPP2 was found to be overexpressed predominantly at the invasive front. Oncogenesis Upregulation of NPP2 expression appears to be associated with cancer progression rather than with oncogenesis. Transfection of ENPP2 cDNA into mouse fibroblast cell lines (NIH3T3 clone7) did not result in tumorigenic cell lines, but transfection into Rastransformed fibroblasts resulted in rapidly growing, hematogenous, highly metastatic tumors. NPP2 expression was found in Hodgkin's lymphoma cells as well as in CD30+ anaplastic large-cell lymphomas. In the Hodgkin's lymphomas, EBV infection was correlated to induction of ENPP2 expression (P = 0.006). Transfection of the tumor suppressor CST6 into MDAMB-435 cells resulted in down-regulation of ENPP2. In contrast, down regulation of ENPP2 by specific siRNAs resulted in down-regulation of the tumor suppressors, thrombospondin-1 and thrombospondin-2 (THBS1 and THBS2, respectively). linked to phosphodiesterase catalytic site of autotaxin. J Biol Chem 1996;271:24408-24412. Diabetes Nam SW, Clair T, Kim YS, McMarlin A, Schiffmann E, Liotta LA, Stracke ML. Autotaxin (NPP-2), a metastasis-enhancing motogen, is an angiogenic factor. Cancer Res 2001;61:69386944. Lee HY, Murata J, Clair T, Polymeropoulos MH, Torres R, Manrow RE, Liotta LA, Stracke ML. Cloning, chromosomal localization, and tissue expression of autotaxin from human teratocarcinoma cells. Biochem Biophys Res Commun 1996;218:714-719. Clair T, Lee HY, Liotta LA, Stracke ML. Autotaxin is an exoenzyme possessing 5'-nucleotide phosphodiesterase/ATP pyrophosphatase and ATPase activities. J Biol Chem 1997;272:996-1001. Kawagoe H, Stracke ML, Nakamura H, Sano K. Expression and transcriptional regulation of the PD-Ialpha/autotaxin gene in neuroblastoma. Cancer Res 1997;236:449-454. Bächner D, Ahrens M, Schröder D, Hoffmann A, Lauber J, Betat N, Steinert P, Flohé L, Gross G. Bmp-2 downstream targets in mesenchymal development identified by subtractive cloning from recombinant mesenchymal progenitors (C3H10T1/2). Dev Dyn 1998;213:398-411. Bächner D, Ahrens M, Betat N, Schröder D, Gross G. Developmental expression analysis of murine autotaxin (ATX). Mech Dev 1999;84:121-125. Yang Y, Mou Lj, Liu N, Tsao MS. Autotaxin expression in nonsmall-cell lung cancer. Am J Respir Cell Mol Biol 1999;21:216222. Zhang G, Zhao Z, Xu S, Ni L, Wang X. Expression of autotaxin mRNA in human hepatocellular carcinoma. Chin Med J 1999;112:330-332. Nam SW, Clair T, Campo CK, Lee HY, Liotta LA, Stracke ML. Autotaxin (ATX), a potent tumor motogen, augments invasive and metastatic potential of ras-transformed cells. Oncogene 2000;19:241-247. Gijsbers R, Ceulemans H, Stalmans W, Bollen M. Structural and catalytic similarities between nucleotide pyrophosphatases/phosphodiesterases and alkaline phosphatases. J Biol Chem 2001;276:1361-1368. Disease NPP2 expression is highly upregulated during adipocyte differentiation and its product, lysophosphatidic acid, stimulates proliferation in preadipocytes. In genetically obese, diabetic mice, NPP2 expression was increased in adipose tissue compared to their lean siblings. This is a possible model for type 2 diabetes, which has a strong genetic component. Lee HY, Bae GU, Jung ID, Lee JS, Kim YK, Noh SH, Stracke ML, Park CG, Lee HW, Han JW. Autotaxin promotes motility via G protein-coupled phosphoinositide 3-kinase gamma in human melanoma cells. FEBS Lett 2002;515:137-140. Tokumura A, Majima E, Kariya Y, Tominaga K, Kogure K, Yasuda K, Fukuzawa K. Identification of human plasma lysophospholipase D, a lysophosphatidic acid-producing enzyme, as autotaxin, a multifunctional phosphodiesterase. J Biol Chem 2002;277:39436-39442. References Umezu-Goto M, Kishi Y, Taira A, Hama K, Dohmae N, Takio K, Yamori T, Mills GB, Inoue K, Aoki J, Arai H. Autotaxin has lysophospholipase D activity leading to tumor cell growth and motility by lysophosphatidic acid production. J Cell Biol 2002;158:227-233. Stracke ML, Krutzsch HC, Unsworth EJ, Arestad A, Cioce V, Schiffmann E, Liotta LA. Identification, purification, and partial sequence analysis of autotaxin, a novel motility-stimulating protein. J Biol Chem 1992;267:2524-2529. Yang SY, Lee J, Park CG, Kim S, Hong S, Chung HC, Min SK, Han JW, Lee HW, Lee HY. Expression of autotaxin (NPP-2) is closely linked to invasiveness of breast cancer cells. Clin Exp Metastasis 2002;19:603-608. Murata J, Lee HY, Clair T, Krutzsch HC, Arestad AA, Sobel ME, Liotta LA, Stracke ML. cDNA cloning of the human tumor motility-stimulating protein, autotaxin, reveals a homology with phosphodiesterases. J Biol Chem 1994;269:30479-30484. Clair T, Aoki J, Koh E, Bandle RW, Nam SW, Ptaszynska MM, Mills GB, Schiffmann E, Liotta LA, Stracke ML. Autotaxin hydrolyzes sphingosylphosphorylcholine to produce the regulator of migration, sphingosine-1-phosphate. Cancer Res 2003;62:5446-5453. Kawagoe H, Soma O, Goji J, Nishimura N, Narita M, Inazawa J, Nakamura H, Sano K. Molecular cloning and chromosomal assignment of the human brain-type phosphodiesterase I/nucleotide pyrophosphatase gene (PDNP2). Genomics 1995;30:380-384. Ferry G, Tellier E, Try A, Grés S, Naime I, Simon MF, Rodriguez M, Boucher J, Tack I, Gesta S, Chomarat P, Dieu M, Raes M, Galizzi JP, Valet P, Boutin JA, Saulnier-Blache JS. Autotaxin is released from adipocytes, catalyzes Lee HY, Clair T, Mulvaney PT, Woodhouse EC, Aznavoorian S, Liotta LA, Stracke ML. Stimulation of tumor cell motility Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 184 ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2) Stracke ML, Clair T lysophosphatidic acid synthesis, and activates preadipocyte proliferation. Up-regulated expression with adipocyte differentiation and obesity. J Biol Chem 2003;278:1816218169. van Meeteren LA, Ruurs P, Christodoulou E, Goding JW, Takakusa H, Kikuchi K, Perrakis A, Nagano T, Moolenaar WH. Inhibition of autotaxin by lysophosphatidic acid and sphingosine 1-phosphate. J Biol Chem 2005;208:2115521161. Fox MA, Colello RJ, Macklin WB, Fuss B. PhosphodiesteraseIalpha/autotaxin: a counteradhesive protein expressed by oligodendrocytes during onset of myelination. Mol Cell Neurosci 2003;23:507-519. Koike S, Keino-Masu K, Ohto T, Masu M. The N-terminal hydrophobic sequence of autotaxin (ENPP2) functions as a signal peptide. Genes Cells 2006;11:133-142. Gijsbers R, Aoki J, Arai H, Bollen M. The hydrolysis of lysophospholipids and nucleotides by autotaxin (NPP2) involves a single catalytic site. FEBS Lett 2003;538:60-64. Lee J, Duk Jung I, Gyo Park C, Han JW, Young Lee H. Autotaxin stimulates urokinase-type plasminogen activator expression through phosphoinositide 3-kinase-Akt-necrosis factor kappa B signaling cascade in human melanoma cells. Melanoma Res 2006;16:445-452. Koh E, Clair T, Woodhouse EC, Schiffmann E, Liotta L, Stracke M. Site-directed mutations in the tumor-associated cytokine, autotaxin, eliminate nucleotide phosphodiesterase, lysophospholipase D, and motogenic activities. Cancer Res 2003;63:2042-2045. Noh JH, Ryu SY, Eun JW, Song J, Ahn YM, Kim SY, Lee SH, Park WS, Yoo NJ, Lee JY, Lee SN, Nam SW. Identification of large-scale molecular changes of Autotaxin (ENPP2) knockdown by small interfering RNA in breast cancer cells. Mol Cel Biochem 2006;288:91-106. Black EJ, Clair T, Delrow J, Neiman P, Gillespie DA. Microarray analysis identifies Autotaxin, a tumour cell motility and angiogenic factor with lysophospholipase D activity, as a specific target of cell transformation by v-Jun. Oncogene 2004;23:2357-2366. Song J, Jie C, Polk P, Shridhar R, Clair T, Zhang J, Yin L, Keppler D. The candidate tumor suppressor CST6 alters the gene expression profile of human breast carcinoma cells: down-regulation of the potent mitogenic, motogenic, and angiogenic factor autotaxin. Biochem Biophys Res Commun 2006;340:175-182. Brindley DN. Lipid phosphate phosphatases and related proteins: signaling functions in development, cell division, and cancer. J Cell Biochem 2004;92:900-912. (Review). Tanaka M, Okudaira S, Kishi Y, Ohkawa R, Iseki S, Ota M, Noji S, Yatomi Y, Aoki J, Arai H. Autotaxin stabilizes blood vessels and is required for embryonic vasculature by producing lysophosphatidic acid. J Biol Chem 2006;281:25822-25830. Hama K, Aoki J, Fukaya M, Kishi Y, Sakai T, Suzuki R, Ohta H, Yamori T, Watanabe M, Chun J, Arai H. Lysophosphatidic acid and autotaxin stimulate cell motility of neoplastic and nonneoplastic cells through LPA1. J Biol Chem 2004;279:1763417639. Kehlen A, Englert N, Seifert A, Klonisch T, Dralle H, Langner J, Hoang-Vu C. Expression, regulation and function of autotaxin in thyroid carcinomas. Int J Cancer 2004;109:833-839. Tsuda S, Okudaira S, Moriya-Ito K, Shimamoto C, Tanaka M, Aoki J, Arai H, Murakami-Murofushi K, Kobayashi T. Cyclic phosphatidic acid is produced by autotaxin in blood. J Biol Chem 2006;281:26081-26088. Baumforth KR, Flavell JR, Reynolds GM, Davies G, Pettit TR, Wei W, Morgan S, Stankovic T, Kishi Y, Arai H, Nowakova M, Pratt G, Aoki J, Wakelam MJ, Young LS, Murray PG. Induction of autotaxin by the Epstein-Barr virus promotes the growth and survival of Hodgkin lymphoma cells. Blood 2005;106:21382146. van Meeteren LA, Ruurs P, Stortelers C, Bouwman P, van Rooijen MA, Pradère JP, Pettit TR, Wakelam MJ, SaulnierBlache JS, Mummery CL, Moolenaar WH, Jonkers J. Autotaxin, a secreted lysophospholipase D, is essential for blood vessel formation during development. Mol Cell Biol 2006;26:501-522. Boucher J, Quilliot D, Pradères JP, Simon MF, Grès S, Guigné C, Prévot D, Ferry G, Boutin JA, Carpéné C, Valet P, SaulnierBlache JS. Potential involvement of adipocyte insulin resistance in obesity-associated up-regulation of adipocyte lysophospholipase D/autotaxin expression. Diabetologia 2005;48:569-577. Pradère JP, Tarnus E, Gres S, Valet P, Saulnier-Blache JS. Secretion and lysophospholipase D activity of autotaxin by adipocytes are controlled by N-glycosylation and signal peptidase. Biochim Biophys Acta 2007;1771:93-102. Savaskan NE, Rocha L, Kotter MR, Baer A, Lubec G, van Meeteren LA, Kishi Y, Aoki J, Moolenaar WH, Nitsch R, Bräuer AU. Autotaxin (NPP-2) in the brain: cell type-specific expression and regulation during development and after neurotrauma. Cell Mol Life Sci 2007;64:230-243. Chen M, O'Connor KL. Integrin alpha6beta4 promotes expression of autotaxin/ENPP2 autocrine motility factor in breast carcinoma cells. Oncogene 2005;24:5125-5130. Corcoran DL, Feingold E, Dominick J, Wright M, Harnaha J, Trucco M, Giannoukakis N, Benos PV. Footer: a quantitative comparative genomics method for efficient recognition of cisregulatory elements.TER: a web tool for finding mammalian DNA regulatory regions using phylogenetic footprinting. Genome Res 2005;15:840-847. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) This article should be referenced as such: Stracke ML, Clair T. ENPP2 (ectonucleotide pyrophosphatase/phosphodiesterase 2). Atlas Genet Cytogenet Oncol Haematol.2007; 11(3):182-185. 185 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review EPHA7 (EPH receptor A7) Haruhiko Sugimura, Hiroki Mori, Tomoyasu Bunai, Masaya Suzuki First Department of Pathology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka 431-3192, Japan Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/EPHA7ID40466ch6q16.html DOI: 10.4267/2042/38435 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 Transcription Identity rTanscript of 5,229 bp. Hugo: EPHA7 Other names: EHK3; HEK11 Location: 6q16.1 Protein Description EPHA7 encodes 998 amino acids, theoretical pI is 5.58, theoretical molecular weight is 112 KDa, tyrosine kinase, catalytic domain, sterile alpha motif, 2 fibronectin type 3 domains, ephrin receptor ligand binding domain and tumor necrosis factor receptor domain. Probe(s) - Courtesy Mariano Rocchi. DNA/RNA Expression Description In brain, skeletal muscle, colorectum and nerve system. The EPHA7 gene maps on chromosome 6q16.1 spanning 178,134 bp. it contains 17 exons, the orientation of the gene is complement. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Localisation Located in the membrane. 186 lung, kidney, liver, EPHA7 (EPH receptor A7) Sugimura H et al. a solid tumor via aberrant 5'CpG island methylation. It provides the evidence that EphA7 gene is involved in human colorectal carcinogenesis. Function ATP Binding, ephrin receptor activity, nucleotide binding, protein binding, receptor activity, transferase activity. References Homology Holmberg J, DL Clarke, and J Frisén. Regulation of repulsion versus adhesion by different splice forms of an Eph receptor. Nature 2000;408(6809):203-206. Homo sapiens: EPHA5 isoform b [NP_872272] (64%), EPHA5 isoform a [NP_004430] (63%), EPHA4 [NP_004429] (63%), EPHA3 [AAG43576] (63%). Hafner C.,Schmitz G.,Meyer S.,Bataille F.,Hau P.,Langmann T.,Dietmaier W.,Landthaler M.,Vogt T. Differential gene expression of Eph receptors and ephrins in benign human tissues and cancers. Clin Chem 2004;50(3):490-499. Implicated in Wang J,Kataoka H,Suzuki M,Sato N,Nakamura R,Tao H,Maruyama K, Isogaki J,Kanaoka S,Ihara M,Tanaka M,Kanamori M, Nakamura T, Shinmura K, Sugimura H. Downregulation of EphA7 by hypermethylation in colorectal cancer. Oncogene 2005;24(36):5637-5647. Colorectal cancer Note: A significant reduction of EphA7 expression in human colorectal cancers was shown using semiquantitative reverse transcription-polymerase chain reaction analysis in 59 colorectal cancer tissues, compared to corresponding normal mucosas (P=0.008), and five colon cancer cell lines. To investigate the mechanism of EphA7 downregulation in colorectal cancer, we examined the methylation status of the 5'CpG island around the translation start site in five colon cancer cell lines using restriction enzymes, methylation-specific PCR, and bisulfite sequencing and found evidence of aberrant methylation. The expression of EphA7 in colon cancer cell lines was restored after treatment with 5-aza-2'-deoxycytidine. Analysis of methylation status in totally 75 tumors compared to clinicopathological parameters revealed that hypermethylation of colorectal cancers was more frequent in male than in female, and in moderately differentiated than in well-differentiated adenocarcinomas. There was a tendency that hypermethylation in rectal cancers was more frequent than in colon cancers. Hypermethylation was also observed in colorectal adenomas. This is the first report describing the downregulation of an Eph family gene in Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Figueroa JD, Benton RL, Velazquez I, Torrado AI, Ortiz CM, Hernandez CM, Diaz JJ, Magnuson DS, Whittemore SR, Miranda JD. Inhibition of EphA7 up-regulation after spinal cord injury reduces apoptosis and promotes locomotor recovery. J Neurosci Res 2006;84(7):1438-1451. Hafner C.,Becker B.,Landthaler M., Vogt T. Expression profile of Eph receptors and ephrin ligands in human skin and downregulation of EphA1 in nonmelanoma skin cancer. Mod Pathol 2006;19(10):1369-1377. Shao R. X., Kato N., Lin L. J., Muroyama R., Moriyama M., Ikenoue T., Watabe H., Otsuka M., Guleng B., Ohta M., Tanaka Y., Kondo S., Dharel N., Chang J. H., Yoshida H., Kawabe T., Omata M. Absence of tyrosine kinase mutations in Japanese colorectal cancer patients. Oncogene 2006;(Epub ahead of print). Zhao X, Sun M, Zhao J, Leyva JA, Zhu H, Yang W, Zeng X, Ao Y, Liu Q, Liu G, Lo WH, Jabs EW, Amzel LM, Shan X, Zhang X. Mutations in HOXD13 Underlie Syndactyly Type V and a Novel Brachydactyly-Syndactyly Syndrome. Am J Hum Genet 2007;80(2):361-371. This article should be referenced as such: Sugimura H, Mori H, Bunai T, Suzuki M. EPHA7 (EPH receptor A7). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):186187. 187 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review FLCN (folliculin gene) Laura S Schmidt Laboratory of Immunobiology, National Cancer Institute Frederick, Bldg 560, Rm 12-69, Frederick, MD 21702, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/FLCNID789ch17p11.html DOI: 10.4267/2042/38436 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 Protein Hugo: FLCN Other names: BHD; FLCL; Folliculin Location: 17p11.2 Note: Putative tumor suppressor gene. Description DNA/RNA The BHD protein, folliculin (FLCN), consists of 579 amino acids with a central glutamic acid-rich coiledcoil domain, one N-glycosylation site and three myristoylation sites, and an estimated molecular weight of 64.5 kDa. Description Expression The FLCN/BHD gene consists of a 3717 nt mRNA (using NM_144997 derived from BQ423946 and AF517523, the coding sequence extends from nt499 to nt2238) and contains 14 coding exons. The initiation codon is located within exon 4. Expressed in most major adult tissues, including kidney, lung and skin, which are involved in the BHD phenotype. Localisation Epitope-tagged FLCN expressed in HEK293 cells localized in both the nucleus and cytoplasm by fluorescence in situ hybridization. Transcription Northern blot analysis revealed a 3.8 kb FLCN/BHD mRNA transcript expressed in most tissues Alternate splicing of FLCN/BHD results in two transcript variants encoding two different isoforms. Transcript 1 is the full-length isoform. Transcript 2 has a shorter and distinct C-terminus from Transcript 1. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Function FLCN is a novel protein, with no characteristic domains to suggest function. Coimmunoprecipitation studies have identified a novel folliculin-binding partner, FNIP1, which also interacts with 5’AMP- 188 FLCN (folliculin gene) Schmidt LS activated protein kinase (AMPK), a key molecule for energy sensing and a negative regulator of mTOR (mammalian target of rapamycin). FLCN exists in signaling including rapamycin and amino acid starvation, and by an AMPK inhibitor, Compound C. These data suggest that FLCN and its interacting partner, FNIP1, may be involved in energy and nutrient-sensing through the AMPK and mTOR signaling pathways. Using a genetic approach in Drosophila, RNA interference studies to decrease expression of the fly BHD homolog, DBHD, have established a requirement for DBHD in male germline stem cell maintenance in the fly testis. Further genetic studies to examine the interaction between DBHD and the JAK/STAT pathway, which is necessary for germline stem cell self-renewal, suggested that DBHD may regulate maintenance of germline stem cells downstream of or in parallel with the JAK/STAT and Dpp (a TGFbeta family member) signaling pathways. Thus the work with the Drosophila homolog of FLCN/BHD supports a potential role for DBHD in stem cell maintenance and raises the possibility that dysregulation of FLCN in human tumors may result from aberrant modulation of stem cells. with nearly 100% penetrance in family members in which lung blebs or bullae indicated affected status. The PSP-associated mutations, including 2 nonsense and one 4-bp deletion, are predicted to prematurely truncate the protein and are located in exons 9, 12 and 4, respectively. Somatic FLCN/BHD somatic mutations have been found at only a very low frequency (0-10%) in sporadic renal tumors and therefore, may not represent a major mechanism for the development of sporadic renal carcinoma. Loss of 17p DNA including p53 (36%) or partial methylation (28%) of the FLCN/BHD promoter were reported in sporadic renal carcinomas with various histologies. Mutations have been identified in the mutational hot spot in exon 11 of the FLCN/BHD gene in other tumor types exhibiting microsatellite instability, including colorectal carcinoma (20%), endometrial carcinoma (12%) and gastric carcinoma (16%). Implicated in Birt-Hogg-Dubé (BHD) syndrome Disease Birt-Hogg-Dubé (BHD) syndrome is an inherited autosomal dominant genodermatosis characterized by benign tumors of the hair follicle (fibrofolliculoma), lung cysts, spontaneous pneumothorax and renal neoplasia. Colon polyps or colon cancer may be part of the disease manifestations in some BHD cohorts although no statistically significant association was found. BHD syndrome is caused by germline mutations in the FLCN/BHD gene. Any or all of these phenotypic features may develop in a BHD patient; the phenotype is variable within and among BHD families inheriting the identical FLCN/BHD mutation (i.e., Cinsertion/deletion in exon 11). Prognosis BHD is a rare disorder occurring in about 1/200,000 individuals. The BHD skin lesions, which develop after puberty (above 25 years of age) are highly penetrant (above 85%) and may be disfiguring, but they are benign and have no health consequences. Lung cysts detected by thoracic CT scan are very frequent (above 85%) in BHD patients. Episodes of spontaneous pneumothorax in BHD patients occur with a higher frequency before the age of 40, and repeat episodes cease after surgical intervention. The risk for developing renal neoplasia is about 7-fold higher for BHD mutation carriers than for their unaffected siblings. Most commonly, chromophobe renal carcinoma (34%) and oncocytic hybrid tumors (50%), develop in about half of BHD families with an average age at diagnosis of 48-50 and a male/female ratio of 2:1. Tumors may develop bilaterally with multiple foci Homology Folliculin shows no strong homology to any known proteins but is evolutionarily conserved, and orthologs have been identified in chimpanzee, dog, cow, rat, mouse, red jungle fowl, frog, fly, and worm. Mutations Germinal All FLCN/BHD germline mutations identified in BirtHogg-Dubé (BHD) patients are predicted to truncate the mutant protein, including frameshift (insertions/deletions), nonsense and splice-site mutations. To date, no missense germline mutations have been identified. The mutation detection rate in BHD families is about 84%. Mutations are located along the entire length of the coding region, with no genotype-phenotype correlations noted between type of mutation, location within the gene and phenotypic disease manifestations (BHD skin lesions, lung cysts/spontaneous pneumothorax and renal tumors). The most frequent mutation found in the germline of BHD patients is the insertion or deletion of a cytosine in a C8 tract located in exon 11, predicted to cause a frameshift and prematurely truncate the mutant protein. This hot spot mutation occurs in about half of all BHD patients. Among BHD patients with the exon 11 mutation, significantly fewer renal tumors developed in patients with the C-deletion than those with the Cinsertion mutation. Germline FLCN/BHD mutations have been reported in primary spontaneous pneumothorax (PSP) families Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 189 FLCN (folliculin gene) Schmidt LS or unilaterally with a single focus, and variable tumor histology may be seen in a single patient’s kidney and among BHD family members carrying the same FLCN/BHD mutation. Oncogenesis Patients with BHD syndrome are at a higher risk for the development of chromophobe renal carcinoma, oncocytic hybrid renal tumors and clear cell renal carcinoma, which may be aggressive and metastatic. Renal oncocytosis, which are small clusters of cells resembling those found in the larger hybrid tumors, have been found scattered throughout the kidney of a majority of BHD patients, suggesting that the entire renal parenchyma may be at risk for tumor development. Second hit somatic mutations in the remaining wild type copy of the FLCN/BHD gene have been identified in renal tumors from BHD patients with germline mutations and may contribute to the progression of renal oncocytosis to renal neoplasia (see below). second mutation was observed, suggesting that multiple tumors arise from independent, clonal events initiated by the second hit. Haploinsufficiency, however, may be sufficient for the development of the benign hair follicle tumors (fibrofolliculomas), because the wild type copy of the FLCN/BHD gene is retained in microdissected tissue from these skin lesions. References Khoo SK, Bradley M, Wong FK, Hedblad MA, Nordenskjöld M, Teh BT. Birt-Hogg-Dubé syndrome: mapping of a novel hereditary neoplasia gene to chromosome 17p12-q11.2. Oncogene 2001;20:5239-5242. Schmidt LS, Warren MB, Nickerson ML, Weirich G, Matrosova V, Toro JR, Turner ML, Duray P, Merino M, Hewitt S, Pavlovich CP, Glenn G, Greenberg CR, Linehan WM, Zbar B. Birt-HoggDubé syndrome, a genodermatosis associated with spontaneous pneumothorax and kidney neoplasia, maps to chromosome 17p11.2. Am J Hum Genet 2001;69:876-882. Khoo SK, Giraud S, Kahnoski K, Chen J, Motorna O, Nickolov R, Binet O, Lambert D, Friedel J, Lévy R, Ferlicot S, Wolkenstein P, Hammel P. Bergerheim U, Hedblad MA, Bradley M, Teh BT, Nordenskjöld M, Richard S. Clinical and genetic studies of Birt-Hogg-Dubé syndrome. J Med Genet 2002;39:906-912. Primary Spontaneous Pneumothorax (PSP) Disease Primary spontaneous pneumothorax is a condition in which air is present in the pleural space without a precipitating event that results in the secondary partial or complete collapse of the lung. FLCN/BHD mutations have been found associated with inherited autosomal dominant primary spontaneous pneumothorax (PSP) in some PSP families. In these families PSP was the only phenotypic feature and the mutation was 100% penetrant with lung bullae. Nickerson ML, Warren MB, Toro JR, Matrosova V, Glenn G, Turner ML, Duray P, Merino M, Choyke P, Pavlovich CP, Sharma N, Walther M, Munroe D, Hill R, Maher E, Greenberg C, Lerman MI, Linehan WM, Zbar B, Schmidt LS. Mutations in a novel gene lead to kidney tumors, lung wall defects, and benign tumors of the hair follicle in patients with the Birt-HoggDubé syndrome. Cancer Cell 2002;2:157-164. Pavlovich CP, Walther MW, Eyler RA, Hewitt SM, Zbar B, Linehan WM, Merino MJ. Renal tumors in the Birt-Hogg-Dubé syndrome. Am J Surg Path 2002;26:1542-1552. Zbar B, Alvord WG, Glenn G, Turner M, Pavlovich CP, Schmidt L, Walther M, Choyke P, Weirich G, Hewitt SM, Duray P, Gabril F, Greenberg C, Merino MJ, Toro J, Linehan WM. Risk of renal and colonic neoplasms and spontaneous pneumothorax in the Birt-Hogg-Dubé syndrome. Cancer Epidemiol. Biomarkers Prev 2002;11:393-400. To be noted Note: Animal models of BHD: A germline single nucleotide insertion in the first coding exon of the rat Bhd ortholog was found in the Nihon rat, an established animal model of renal carcinoma, which develops renal tumors by 8 weeks of age. A germline mutation in the canine Bhd ortholog, which changes a conserved histidine to arginine (H255R), gives rise to RCND (renal cystadenoma nodular dermatofibroma) in the German Shepherd dog with a renal tumor and skin nodule phenotype. Tumor suppressor role for FLCN/BHD: Somatic mutations in the wild type copy of the FLCN/BHD gene or loss of heterozygosity at 17p11.2 have been identified in a majority of renal tumors from BHD patients who inherit germline mutations, suggesting that FLCN/BHD may act as a tumor suppressor gene. Tumors from a single BHD patient have different second mutations or LOH, but within the same tumor, even within regions with different histologies, the same Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) da Silva NF, Gentle D, Hesson LB, Morton DG, Latif F, Maher ER. Analysis of the Birt-Hogg-Dube (BHD) tumour suppressor gene in sporadic renal cell carcinoma and colorectal cancer. J Med Genet 2003;40:820-824. Kahnoski K, Khoo SK, Nassif NT, Chen J, Lobo GP, Segelov E, Teh BT. Alterations of the Birt-Hogg-Dube gene (BHD) in sporadic colorectal tumours. J Med Genet 2003;40:511-515. Khoo SK, Kahnoski K, Sugimura J, Petillo D, Chen J, Shockley K, Ludlow J, Knapp R, Giraud S, Richard S, Nordenskjöld M, Teh BT. Inactivation of BHD in sporadic renal tumors. Cancer Res 2003;63:4583-4587. Lingaas F, Comstock KE, Kirkness EF, Sørensen A, Aarskaug T, Hitte C, Nickerson ML, Moe L, Schmidt LS, Thomas R, Breen M, Galibert F, Zbar B, Ostrander EA. A mutation in the canine BHD gene is associated with hereditary multifocal renal cystadenocarcinoma and nodular dermatofibrosis in the German Shepherd dog. Hum Mol Genet 2003;12:3043-3053. Shin JH, Shin YK, Ku JL, Jeong SY, Hong SH, Park SY, Kim WH, Park JG. Mutations of the Birt-Hogg-Dube (BHD) gene in sporadic colorectal carcinomas and colorectal carcinoma cell lines with microsatellite instability. J Med Genet 2003;40:364367. 190 FLCN (folliculin gene) Schmidt LS Nagy A, Zoubakov D, Stupar Z, Kovacs G. Lack of mutation of the folliculin gene in sporadic chromophobe renal cell carcinoma and renal oncocytoma. Int J Cancer 2004;109:472475. Baba M, Hong SB, Sharma N, Warren MB, Nickerson ML, Iwamatsu A, Esposito D, Gillette WK, Hopkins RF 3rd, Hartley JL, Furihata M, Oishi S, Zhen W, Burke TR Jr, Linehan WM, Schmidt LS, Zbar B. Folliculin encoded by the BHD gene interacts with a binding protein, FNIP1, and AMPK, and is involved in AMPK and mTOR signaling. Proc Natl Acad Sci USA 2006;103:15552-15557. Okimoto K, Sakurai J, Kobayashi T, Mitani H, Hirayama Y, Nickerson ML, Warren MB, Zbar B, Schmidt LS, Hino O. A germ-line insertion in the Birt-Hogg-Dube (BHD) gene gives rise to the Nihon rat model of inherited renal cancer. Proc Natl Acad Sci USA 2004;101:2023-2027. Bessis D, Giraud S, Richard S. A novel familial germline mutation in the initiator codon of the BHD gene in a patient with Birt-Hogg-Dube syndrome. Br J Dermatol 2006;155:10671069. Schmidt LS. Birt-Hogg-Dube syndrome, a genodermatosis that increases risk for renal carcinoma. Curr Mol Med 2004;4:877885. (Review).). Fujii H, Jiang W, Matsumoto T, Miyai K, Sashara K, Ohtsuji N, Hino O. Birt-Hogg-Dube gene mutations in human endometrial carcinomas with microsatellite instability. J Pathol 2006;209:328-335. Warren MB, Torres-Cabala CA, Turner ML, Merino MJ, Matrosova VY, Nickerson ML, Ma W, Linehan WM, Zbar B, Schmidt LS. Expression of Birt-Hogg-Dubé gene mRNA in normal and neoplastic human tissues. Mod Pathol 2004;17:998-1011. Jiang W, Fujii H, Matsumoto T, Ohtsuji N, Tsurumaru M, Hino O. Birt-Hogg-Dube (BHD) gene mutations in human gastric cancer with high frequency microsatellite instability. Cancer Lett 2006;[Epub ahead of print]. Graham RB, Nolasco M, Peterlin B, Garcia CK. Nonsense mutations in folliculin presenting as isolated familial spontaneous pneumothorax in adults. Am J Respir Crit Care Med 2005;172:39-44. Singh SR, Zhen W, Zheng Z, Wang H, Oh SW, Liu W, Zbar B, Schmidt LS, Hou SX. The Drosophila homolog of the human tumor suppressor gene BHD interacts with the JAK-STAT and Dpp signaling pathways in regulating male germline stem cell maintenance. Oncogene 2006;25:5933-5941. Painter JN, Tapanainen H, Somer M, Tukiainen P, Aittomaki K. A 4-bp deletion in the Birt-Hogg-Dube gene (FLCN) causes dominantly inherited spontaneous pneumothorax. Am J Hum Genet 2005;76:522-527. Gad S, Lefèvre SH, Khoo SK, Giraud S, Vieillefond A, Vasiliu V, Ferlicot S, Molinié V, Denoux Y, Thiounn N, Chrétien Y, Méjean A, Zerbib M, Benoit G, Hervé JM, Allègre G, Bressacde Paillerets B, Teh BT, Richard S. Mutations in BHD and TP53 genes, but not in HNF1beta gene, in a large series of sporadic chromophobe renal cell carcinoma. Br J Cancer 2007;96:336-340. Pavlovich CP, Grubb RL 3rd, Hurley K, Glenn GM, Toro J, Schmidt LS, Torres-Cabala C, Merino MJ, Zbar B, Choyke P, Walther MM, Linehan WM. Evaluation and management of renal tumors in the Birt-Hogg-Dubé syndrome. J Urol 2005;173:1482-1486. Schmidt LS, Nickerson ML, Warren MB, Glenn GM, Toro JR, Merino MJ, Turner ML, Choyke PL, Sharma N, Peterson J, Morrison P, Maher ER, Walther MM, Zbar B, Linehan WM. Germline BHD-mutation spectrum and phenotype analysis of a large cohort of families with Birt-Hogg-Dubé syndrome. Am J Hum Genet 2005;76:1023-1033. van Steensel MA, Verstraeten VL, Frank J, Kelleners-Smeets NW, Poblete-Gutiérrez P, Marcus-Soekarman D, Bladergroen RS, Steijlen PM, van Geel M. Novel mutations in the BHD gene and absence of loss of heterozygosity in fibrofolliculomas of Birt-Hogg-Dube patients. J Invest Dermatol 2007;127:588593. Vocke CD, Yang Y, Pavlovich CP, Schmidt LS, Nickerson ML, Torres-Cabala CA, Merino MJ, Walther MM, Zbar B, Linehan WM. High frequency of somatic frameshift BHD gene mutations in Birt-Hogg-Dube-associated renal tumors. J Natl Cancer Inst 2005;97:931-935. This article should be referenced as such: Schmidt LS. FLCN (folliculin gene). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):188-191. Adley BP, Smith ND, Nayar R, Yang XJ. Birt-Hogg-Dube syndrome: clinicopathologic findings and genetic alterations. Arch Pathol Lab Med 2006;130:1865-1870. (Review). Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 191 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review HIC1 (hypermethylated in cancer 1) Dominique Leprince Institut de Biologie de Lille, Institut Pasteur de Lille, 1 Rue Calmette, BP 447, 59021 Lille Cedex, France Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/HIC1ID40819ch17p13.html DOI: 10.4267/2042/38437 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 Protein Hugo: HIC1 Other names: ZBTB29 Location: 17p13.3. Local order: Close to the D17S5/D17S30/YNZ22 micro satellite marker which is a highly polymorphic variable number of tandem repeats (VNTR) marker. Aberrant hypermethylation in tumours of a cluster of methylation-sensitive NotI restriction sites surrounding this marker allowed the positional cloning of HIC1 in 1995. Telomere, OVCA1/DPH2L1, OVCA2, HIC1, KIAA0732, ....Centromere. Note: OVCA1/DPH2L1 and OVCA2 are two tumour suppressor genes deleted in ovarian cancers. Description 714 amino acids; around 80kDa; Transcription factor belonging to the BTB/POZ and Krüppel C2H2 zinc fingers family. There is no experimental evidence for the existence of a protein initiated by the upstream ATG (e.g. through the use of antipeptide specific antibodies). Expression Based on Northern Blots and RT-PCR experiments, HIC1 is widely expressed in various normal tissues. Localisation Nucleus. Localized on nuclear dots upon overexpression by transient transfection assays in COS7 or HEK293 cells. In human primary fibroblats (WI38), the endogenous HIC1 proteins are localized in discrete nuclear structures called 'HIC1 bodies'. DNA/RNA Description The HIC1 gene extends approximately 15 Kbp and consists of four exons. The first three exons 1a, 1b and 1c are alternative. Note that exon 1a is included in exon 1c. The major transcripts are derived from alternative promoters associated with exon 1a and 1b. Exon 1c is conserved in rodent genomes (rat and mice) but transcripts containing it are very minor. The fourth exon, exon 2, contains the coding region and the 3' untranslated region. An in-frame upstream ATG initiation codon is also found in exon 1b. This upstream reading frame is conserved in mice. Function HIC1 is a transcriptional repressor belonging to the BTB/POZ and Krüppel C2H2 family (44 proteins in the human genome). HIC1 interacts with the corepressor CtBP through a conserved GLDLSKK motif in the central region. This central region also contains a SUMOylation site MK314HEP which is important for the transcriptional repression potential of HIC1. This K314 is also subject to a reversible acetylation/deacetylation implicating CBP/P300 and the NAD+ dependent class III deacetylase SIRT1. Transcription Homology 3.0 Kb mRNA. HIC1 shares distant homology through the conserved BTB/POZ domain and C2H2 zinc fingers domain with several BTB/POZ transcriptional repressors. Pseudogene No known pseudogene. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 192 HIC1 (hypermethylated in cancer 1) Leprince D tumor suppressor gene Hic1 exhibit developmental defects of structures affected in the Miller-Dieker syndrome. Hum. Mol. Genet 2000;9:413-419. Mutations Germinal Deltour S, Pinte S, Guérardel C, Leprince D. Characterization of HRG22, a human homologue of the putative tumor suppressor gene HIC1. Biochem Biophys Res Commun 2001;287:427-434. No germinal coding sequence mutations have been described for HIC1. Somatic Guérardel C, Deltour S, Pinte S, Monte D, Begue A, Godwin AK, Leprince D. Identification in the human candidate tumor suppressor gene HIC-1 of a new major alternative TATA-less promoter positively regulated by p53. J Biol Chem 2001;276:3078-3089. No somatic coding sequence mutations have been described for HIC1 with one exception. During the screening of a panel of 68 medulloblastomas using SSCP analyses, a 12-bp deletion in the second exon of HIC1 has been identified. This results in a deletion of 4 glycine residues in a stretch of 8 located just after the BTB/POZ domain. The other regions of the protein specially the downstream central region and the zinc fingers domain are not affected by this deletion. Deltour S, Pinte S, Guérardel C, Wasylyk B, Leprince D. The human candidate tumor suppressor gene HIC1 recruits CtBP through a degenerate GLDLSKK motif. Mol Cell Biol 2002;22:4890-4901. Epigenetics Chen WY, Zeng X., Carter M., Morrell CN, Chiu-Yen RW, Esteller M, Watkins DN, Herman JG, Mankowski JL, Baylin SB. Heterozygous disruption of Hic1 predisposes mice to a genderdependent spectrum of malignant tumors. Nature Genetics 2003;33:197-202. There are a number of reports highlighting differences in promoter methylation status in primary human tumours (breast, ovaries, prostate, ...) compared to matched normal tissues, hence the name of the gene. Chen W, Cooper TK, Zahnow CA, Overholtzer Ladanyi M, Karp JE, Gokgoz N, Wunder JS, Levine AJ, Mankowski JL, Baylin SB. Epigenetic loss of Hic1 function accentuates the role tumorigenesis. Cancer Cell 2004;6:387-398. Implicated in Pinte S, Guérardel C, Deltour-Balerdi S, Godwin AK, Leprince D. Identification of a second G-C-rich promoter conserved in the human, murine and rat tumor suppressor genes HIC1. Oncogene 2004;23:4023-4031. Medulloblastomas, breast tumours, ovary tumours, prostate tumours Pinte S, Stankovic-Valentin N, Deltour S, Rood BR, Guérardel C, Leprince D. The tumor suppressor gene HIC1 (hypermethylated in cancer 1) is a sequence-specific transcriptional repressor: definition of its consensus binding sequence and analysis of its DNA binding and repressive properties. J Biol Chem 2004;279:38313-38324. Note: (see above). Breakpoints Chen WY, Wang DH, Yen RC, Luo J, Gu W, Baylin SB. HIC1 directly regulates SIRT1 to modulate p53-dependent DNAdamage responses. Cell 2005;123:437-448. Note: No breakpoint in HIC1 identified so far. To be noted Britschgi C, Rizzi M, GrobTJ, Tschan MP, Hügli B, Reddy VA, Andres AC, Torbett BE, Tobler A, Fey MF. Identification of the p53 family-responsive element in the promoter region of the tumor suppressor gene hypermethylated in cancer 1. Oncogene 2006;25:2030-2039. Note: A paralog called HIC2, HRG22 or KIAA1020 is found on human chromosome 22. It is located in 22q11.2 in a region subject to translocations (BCRL-2 for Breakpoint Cluster Region-Like 2). But so far, there is no experimental evidence for a translocation implicating HRG22 or for its aberrant hypermethylation in tumours. Stankovic-Valentin N, Verger A, Deltour-Balerdi S, Quinlan KG, Crossley M, Leprince D. A L225A substitution in the human tumour suppressor HIC1 abolishes its interaction with the corepressor CtBP. Febs J 2006;273:2879-2890. Valenta T, Lukas J, Doubravska L, Fafilek B, Korinek V. HIC1 attenuates Wnt signaling by recruitment of TCF-4 and betacatenin to the nuclear bodies. Embo J 2006;25:2326-2337. References Stankovic-Valentin N, Deltour S, Seeler J, Pinte S, Vergoten G, Guérardel C, Dejean A, Leprince D. An acetylation/deacetylation-SUMOylation switch through a phylogenetically conserved psiKxEP motif in the tumor suppressor HIC1 regulates transcriptional repression activity. Mol Cell Biol 2007;27:in press. Wales MM, Biel MA, el Deiry W, Nelkin BD, Issa JP, Cavenee WK, Kuerbitz SJ, Baylin SB. p53 activates expression of HIC1, a new candidate tumour suppressor gene on 17p13.3. Nature Medicine 1995;1:570-577. Deltour S, Guérardel C, Leprince D. Recruitment of SMRT/NCoR-mSin3A-HDAC-repressing complexes is not a general mechanism for BTB/POZ transcriptional repressors: the case of HIC-1 and gammaFBP-B. Proc Natl Acad Sci (USA) 1999;96:14831-14836. Zhang Q, Wang SH, Fleuriel C, Leprince D, Rocheleau JV, Piston DW, Goodman RH. Metabolic regulation of SIRT1 transcription via a HIC1:CtBP corepressor complex. Proc Natl Acad Sci (USA) 2007;104:829-33. Grimm C, Spörle R,.Schmid TE, Adler ID, Adamski J, Schughart K, Graw J. Isolation and embryonic expression of the novel mouse gene Hic1, the homologue of HIC1, a candidate gene for the Miller-Dieker syndrome. Hum Mol Genet 1999;8:697-710. This article should be referenced as such: Leprince D. HIC1 (hypermethylated in cancer 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):192-193. Carter MG, Johns MA, Zeng X, Zhou L, Zink MC, Mankowski JL, Donovan DM, Baylin SB. Mice deficient in the candidate Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) M, Zhao Z, Andrulis IL, and genetic of p53 in 193 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review HSPD1 (heat shock 60kDa protein 1) Ahmad Faried, Leri S Faried Department of General Surgical Science (Surgery I), Graduate School of Medicine, Gunma University, Maebashi, Japan Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/HSPD1ID40888ch2q33.html DOI: 10.4267/2042/38438 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 HSP60 family have the ring-shape oligomeric protein complex with a large central cavity, and composed of 14 proteins which organized into two 7-protein ring that are stacked on each other like double donut. This structure is reversible dissociate in the presence of Mg2+ and ATP, ATPase activity, and have role in folding and assembly of oligomeric protein structures. Identity Hugo: HSPD1 Other names: HSP60; HSP65; HuCHA60; Chaperonin 60kDa (CPN60); GROEL; SPG13 Location: 2q33.1 DNA/RNA Expression HSP60 expression is ubiquitous in the pre-natal, different organ system, immune system, blood, epithelial tissue and cells. Description The HSP60 gene contains 12 exons and 11 introns and was predicted to span over approximately 13 kb of the genomic DNA. The first exon is non-coding region. Localisation Mainly in the mitochondria, but growing body of evidence showed that there are also extra-mitochondrial such as in the cell surface, peroxisomes and the endoplasmic reticulum. Transcription Two transcript variants encoding the same protein have been identified for HSP60 gene. This variant which was named HSP60s1 and HSP60s2 (s for short) comparing it to the much longer regular HSP60 gene. Function Assisting mitochondrial protein folding, unfolding, and degradation. HSP60 also have anti-apoptosis and pro-apoptosis roles. Pseudogene Twelve pseudogenes located on chromosome 3, 4, 5, 6, 8 and 12 have been associated with HSP60. Protein Homology Up to now more than 150 homologues of HSP60 sequences with pair-wise similarity extending from 40100% at the amino acid level. Among them: in rat (Rattus norvegicus), pufferfish (Fugu rubripes), zebrafish (Danio rerio), the nematode Caenorhabditis elegans and the mouse (Mus musculus). Description The HSP60 consists of 573 amino acids corresponding to a molecular weight of 61.05 kDa. The HSP60 proteins are ubiquitous abundant proteins of eubacterial genomes and also known as the Chaperonin. The Chapenonins divided into 2 subfamilies: Type I (HSP60/GROEL) and type II (TCP-1 ring complex). Type I are present in prokaryotes (eubacteria) and organelles (mitochondria and chloroplast). Type II are presents in archabacteria and in the eukaryotic cytosol. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Mutations Germinal Not known in Homo sapiens. 194 HSPD1 (heat shock 60kDa protein 1) Faried A, Faried LS Somatic References Hereditary spastic paraplegia (SPG13) is associated with a mutation in the HSP60 gene: The amino acid 72 Valine is changed to Isoleucin. In Sudden Death Infant Syndrome (SIDS), there are two mutations reported in the coding region of HSP60: N158S and G573A. Jindal S, Dudani A K, Singh B, Harley C B, Gupta RS. Primary structure of a human mitochondrial protein homologous to the bacterial and plant chaperonins and to the 65-kilodalton mycobacterial antigen. Mol Cell Biol 1989;9:2279-2283. Cheng MY, Hartl FU, Horwich AL. The mitochondrial chaperonin HSP60 is required for its own assembly. Nature 1990;348:455-458. Implicated in Venner TJ, Singh B, Gupta RS. Nucleotide sequences and novel structural features of human and Chinese hamster HSP60 (chaperonin) gene families. DNA Cell Biol 1990;9:545: 52. Various carcinomas Disease HSP60 reported to be over-expressed in exo-cervix cancer, colorectal cancer and prostate carcinoma. But down-regulate its expression in bladder cancer and lung carcinoma. Prognosis Controversy; worse prognosis in bladder cancer and acute myeloid leukemia. Others shows favorable prognosis, such as in ovarian cancer, osteo sarcoma and esophageal cancer. Oncogenesis The discrepancy of HSP60 expression and/or prognosis during carcinogenesis might be due to its pro- and antiapoptotic roles in the cancer cells. The cytosolic and organellar forms of HSP60 might explain the anti- and pro-apoptotic roles. Koll H, Guiard B, Rassow J, Ostermann J, Horwich AL, Neupert W, Hartl FU. Antifolding activity of HSP60 couples protein import into the mitochondrial matrix with export to the intermembrane space. Cell 1992;68:1163-1175. Diseases linked to deficiency of HSP60 Ranford JC, Coates AR, Henderson B. Chaperonins are cellsignaling proteins: the unfolding biology of molecular chaperones. Expert Rev Mol Med 2000;15:1-17. Gupta RS. Evolution of the chaperonin families (HSP60, HSP10 and TCP-1) of proteins and the origin of eukaryotic cells. Mol Microbiol 1995;15:1-11. Pochon NA, Mach B. Genetic complexity of the human HSP60 gene. Int Immunol 1996;8:221-230. Ryan MT, Herd SM, Sberna G, Samuel MM, Hoogenraad NJ, Høj PB. The genes encoding mammalian chaperonin60 and chaperonin10 are linked head-to-head and share a bidirectional promoter. Gene 1997;196:9-17. Bukau B, Horwich AL. The HSP70 and HSP60 chaperone machine. Cell 1998;92:351-366. Fink AL. Chaperone-mediated protein folding. Physiol Rev 1999;70:425-449. Soltys BJ, Gupta RS. Mitochondrial-matrix proteins at unexpected locations: are they exported?. Trends Biochem Sci 1999;24:174-177. Disease There is a few reports on HSP60 deficiency in human. Studies reported a patient with systemic mitochondrial encephalopathy, which had lower HSP60 concentration than normal person. Another HSP60 deficient patient presented with congenital lactic acidemia. In short chain acyl-CoA dehydrogenase, SCAD. HSP deficiency also reported in fibroblast derived from a patient with a fatal systemic mitochondrial disease leading to deficiency of multiple mitochondrial enzyme and mitochondrial abnormality. Bross P., et al. Absence of prevalent sequence variations in the HSP60 and HSP10 chaperonin genes in 65 cases of Sudden Infant Death Syndrome (SIDS). Am J Hum Genet 2001;69 (Suppl):pp2193. Slavotinek AM, Biesecker LG. Unfolding the role of chaperones and chaperonins in human disease. Trends Genet 2001;17:528-535. Srivastava PK, Amato RJ. Heat shock proteins: the 'Swiss Army Knife' vaccines against cancers and infectious agents. Vaccine 2001;19:2590-2597. Thirumalai D, Lorimer GH. Chaperonin-mediated protein folding. Annu Rev Biophys Biomol Struct 2001;30:245-269. Hansen JJ, Dürr A, Cournu-Rebeix I, Georgopoulos C, Ang D, Nielsen MN, Davoine CS, Brice A, Fontaine B, Gregersen N, Bross P. Hereditary Spastic Paraplegia SPG13 is associated with a mutation in the gene encoding the mitochondrial chaperonin HSP60. Am J Hum Genet 2002;70:1328-1332. Autoimmune diseases Note: First clinical trials using HSP60 (peptide 277) has been tested in type-2 diabetes. Disease HSP60 have been implicated in T cell activation and cause inflammatory reaction. It involved in the pathogenesis of a number of autoimmune diseases in inflammatory conditions such as type-1 diabetes, juvenile chronic arthritis, atherosclerosis, Cohn disease, autoimmunity in women, rheumatoid arthritis, systemic lupus erythematodes, Sjogren syndrome and mix connective tissue diseases. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Maguire M, Coates AR, Henderson B. Chaperonin60 unfolds its secrets of cellular communication. Cell Stress Chaperones 2002;7:317-329. Ranford JC, Henderson B. Chaperonins in diseases: mechanisms, models, and treatment. Mol Pathol 2002;55:209213. Teske A., et al. Investigating a possible relation between the amino acid variation N158S of the human heat shock protein HSP60 and increased susceptibility to Sudden Infant Death Syndrome (SIDS). Am J Hum Genet 2002;71 (Suppl):pp503. 195 HSPD1 (heat shock 60kDa protein 1) Faried A, Faried LS Hansen JJ, Bross P, Westergaard M, Nielsen MN, Eiberg H, Børglum AD, Mogensen J, Kristiansen K, Bolund L, Gregersen N. Genomic structure of the human mitochondrial chaperonin genes: HSP60 and HSP10 are localized head to head on chromosome 2 separated by a bidirectional promoter. Hum Genet 2003;112:71-77. Bross P, Li Z, Hansen J, Hansen JJ, Nielsen MN, Corydon TJ, Georgopoulos C, Ang D, Lundemose JB, Niezen-Koning K, Eiberg H, Yang H, Kølvraa S, Bolund L, Gregersen N. Singlenucleotide variations in the genes encoding the mitochondrial Hsp60/Hsp10 chaperone system and their disease-causing potential. J Hum Genet 2007;52:56-65. Czarnecka AM, Campanella C, Zummo G, Cappello F. Mitochondrial chaperones in cancer: from molecular biology to clinical diagnostics. Cancer Biol Ther 2006;5:714-720. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) This article should be referenced as such: Faried A, Faried LS. HSPD1 (heat shock 60kDa protein 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):194-196. 196 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review HSPH1 (heat shock 105kDa/110kDa protein 1) Takumi Hatayama, Nobuyuki Yamagishi Department of Biochemistry, Kyoto Pharmaceutical University, Misasagi, Yamashina, Kyoto 607-8414, Japan Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/HSPH1ID40891ch13q12.html DOI: 10.4267/2042/38439 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 DNA/RNA Hugo: HSPH1 Other names: HSP105alpha; HSP105beta; HSP110; HSP105; KIAA0201; NY-CO-25 Location: 13q12.3 Description 18 exons on 22 kb. Transcription Hsp105alpha is transcribed constitutively and also by a variety of stresses. 4 kb mRNA Hsp105beta is an alternative spliced isoform only produced during heat shock at 42 degree. Genomic organization of the mouse HSP105 gene. The linear map of the exon-intron structure is shown schematically. Exons are represented as numbered boxes. Two alternative splicing patterns gave rise to HSP105alpha and HSP105beta transcripts. ATG and TAG indicate the positions of initiation and termination codons, respectively. (DDBJ/EMBL/GenBank DNA databases with accession Nos. AB005267-AB005282). Shematic structures of HSP105alpha and HSP105beta proteins. Shaded box represents the spliced out region of HSP105alpha which is lacking in HSP105beta. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 197 HSPH1 (heat shock 105kDa/110kDa protein 1) Hatayama T, Yamagishi N Protein References Description Yasuda K, Nakai A, Hatayama T, Nagata K. Cloning and expression of murine high molecular mass heat shock proteins, HSP105. J. Biol. Chem 1995;270:29718-29723. Hsp105alpha: 858 amino acids, 105 kDa; contains an ATP binding domain (residues 1-383), b-sheet domain (residues 384-511), loop domain (residues 512-607) and alpha-helix domain (residues 608-858). Hsp105beta: 814 amino acids, 90 kDa; contains an ATP binding domain (residues 1-383), b-sheet domain (residues 384-511), loop domain (residues 512-563) and alpha-helix domain (residues 564-814). Ishihara K, Yasuda K, Hatayama T. Molecular cloning, expression and localization of human 105 kDa heat shock protein, hsp105. Biochim Biophys Acta 1999;1444:138-142. Yasuda K, Ishihara K, Nakashima K, Hatayama T. Genomic cloning and promoter analysis of mouse 105-kda heat shock protein (HSP105) gene. Biochem Biophys Res Commun 1999;256:7580. Nakatsura T, Senju S, Yamada K, Jotsuka T, Ogawa M, Nishimura Y. Gene cloning of immunogenic antigens overexpressed in pancreatic cancer. Biochem Biophys Res Commun 2001;281:936-944. Expression Wide, highly expressed in brain. Hwang TS, Han HS, Choi HK, Lee YJ, Kim YJ, Han MY, Park YM. Differential, stage-dependent expression of Hsp70, Hsp110 and Bcl-2 in colorectal cancer. J. Gastroenterol. Hepatol 2003;18:690-700. Localisation Hsp105alpha, cytoplasmic; Hsp105beta, nuclear. Function Kai M, Nakatsura T, Egami H, Senju S, Nishimura Y, Ogawa M. Heat shock protein 105 is overexpressed in a variety of human tumors. Oncol Rep 2003;10:1777-1782. Hsp105alpha and Hsp105beta suppress the aggregation of denatured proteins; function as a substitute for Hsp70 family proteins to suppress the aggregation of denatured proteins in cells under severe stress; regulate substrate binding cycle of Hsp70/Hsc70 by inhibiting the ATPase activity of Hsp70/Hsc70. Yamagishi N, Ishihara K, Saito Y, Hatayama T. Hsp105 but not Hsp70 family proteins suppress the aggregation of heatdenatured protein in the presence of ADP. FEBS Lett 2003;555:390-396. Yamagishi, N, Ishihara, K, Hatayama T. Hsp105alpha suppresses Hsc70 chaperone activity by inhibiting Hsc70 ATPase activity. J. Biol. Chem 2004;279:41727-41733. Homology With mouse apg-1, mouse apg-2, sea urchin egg receptor, C. elegans 86.9-kDa protein, A. thaliana hsp91 and S. cerevisiae SSE1, human hsp70 and human hsc70. Miyazaki M, Nakatsura T, Yokomine K, Senju S, Monji M, Hosaka S, Komori H, Yoshitake Y, Motomura Y, Minohara M, Kubo T, Ishihara K, Hatayama T, Ogawa M, Nishimura Y. DNA vaccination of HSP105 leads to tumor rejection of colorectal cancer and melanoma in mice through activation of both CD4+ T cells and CD8+ T cells. Cancer Sci 2005;96:695-705. Implicated in Yamagishi, N, Ishihara, K, Saito, Y, Hatayama T. Hsp105 family proteins suppress staurosporine-induced apoptosis by inhibiting the translocation of Bax to mitochondria in HeLa cells. Exp. Cell Res 2006;312:3215-3223. Lung cancers Prognosis Poor. Oncogenesis Low expression of hsp105 was identified as predictors of survival in lung adenocarcinomas. Hosaka S, Nakatsura T, Tsukamoto H, Hatayama T, Baba H, Nishimura Y. Synthetic small interfering RNA targeting heat shock protein 105 induces apoptosis of various cancer cells both in vitro and in vivo. Cancer Sci 2006;97:623-632. Muchemwa FC, Nakatsura T, Ihn H, Kageshita T. Heat shock protein 105 is overexpressed in squamous cell carcinoma and extramammary Paget disease but not in basal cell carcinoma. Br J Dermatol 2006;155:582-585. Colorectal cancers Prognosis Survival is not much more than 50% after 5 years. Oncogenesis Overexpression of hsp105 is a late event in the colorectal adenoma-carcinoma sequence. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) This article should be referenced as such: Hatayama T, Yamagishi N. HSPH1 (heat shock 105kDa/110kDa protein 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):197-198. 198 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review JAG2 (human jagged2) Pushpankur Ghoshal, Lionel J Coignet Department of Cancer Genetics, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/JAG2ID41030ch14q32.html DOI: 10.4267/2042/38440 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 Expression Identity In human, JAG2 is expressed at high levels in the heart, the skeletal muscle and the pancreas. Hugo: JAG2 Other names: HJ2; Jagged2 Location: Human Jagged2 (jag2), a ligand for Notch receptor, was mapped in the chromosomal region 14q32. Implicated in Multiple Myeloma Disease The NOTCH ligand, JAG2, has been found to be overexpressed in malignant plasma cells from multiple myeloma (MM) patients and cell lines but not in nonmalignant plasma cells from tonsils, bone marrow from healthy individuals, or patients with other malignancies. Since MM cells have been shown to induce IL-6 expression in stromal cells in a largely cell contact-dependent manner, it has been concluded that MM cells induce production of IL-6 in stromal cells through overexpression of JAG2. Once secreted, IL-6 enhances proliferation of myeloma cells in a paracrine fashion. Oncogenesis The induction of IL-6 secretion has been blocked in vitro by interference with anti-Notch-1 monoclonal antibodies raised against the binding sequence of Notch-1 with JAG2. Taken together, these results indicate that JAG2 over expression may be an early event in the pathogenesis of multiple myeloma involving IL-6 production. DNA/RNA Description Human Jagged2 gene contains approximately 5,077 bps including 26 exons and a putative promoter region. In addition to a TATA box and a CAC binding site, the promoter region also contains several transcription factor binding sites like NF-kappaB, E47, E12, E2F etc. JAG2 gene has a structural similarity (overall 62% at nucleotide level) with JAG1, though JAG1 is located at chromosomal region 20p12. Protein Description The predicted JAG2 protein is approximately 1,238amino acid long. It has several recognizable motifs, including a signal peptide, 16 EGF-like repeats, a transmembrane domain, and a short cytoplasmic domain. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 199 JAG2 (human jagged2) Ghoshal P, Coignet LJ Schematic representation of the physiological activation of NOTCH, with Cell 1 (MM plasma cell) expressing JAG2 and Cell 2 (Stromal cell) NOTCH. A: JAG2 binds NOTCH via cell-to-cell contact. B: Binding of JAG2 induces a proteolytic cleavage of the intracellular part of NOTCH (NOTCH-IC). C: Once cleaved, NOTCH-IC is translocated into the nucleus. D: Once in the nucleus, NOTCH-IC will be able to bind to downstream effectors such as CBF1, to activate, for example, the IL-6 gene transcription. and promotes the survival and proliferation of hematopoietic progenitors by direct cell-to-cell contact. Blood 2000;96:950957. References Lan Y, Jiang R, Shawber C, Weinmaster G, Gridley T. The Jagged2 gene maps to chromosome 12 and is a candidate for the lgl and sm mutations. Mammalian Genome 1997;8:875876. Ikeuchi T, Sisodia SS. The notch ligands, delta-1 and jagged-2, are substrates for presenilin-dependent gamma-secretase cleavage. J. Biol. Chem 2003;278:7751-7754. Houde C, Li Y, Song L, Barton K, Zhang Q, Godwin J, Nand S, Toor A, Alkan S, Smadja NV, Avet-Loiseau H, Lima CS, Miele L, Coignet LJ. Overexpression of the NOTCH ligand JAG2 in malignant plasma cells from multiple myeloma patients and cell lines. Blood 2004;104:(12), 3697-3704. Gray GE, Mann RS, Mitsiadis E, Henrique D, Carcangiu ML, Banks A, Leiman J, Ward D, Ish-Horowitz D, ArtavanisTsakonas S. Human ligands of the Notch receptor. Am. J. Path 1999;154:785-794. Deng Y, Madan A, Banta AB, Friedman C, Trask BJ, Hood L, Li L. Characterization, chromosomal localization, and the complete 30-kb DNA sequence of the human Jagged2 (JAG2) gene. Genomics 2000;63:133-138. This article should be referenced as such: Ghoshal P, Coignet LJ. JAG2 (human jagged2). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):199-200. Tsai S, Fero J, Bartelmez S. Mouse Jagged2 is differentially expressed in hematopoietic progenitors and endothelial cells Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 200 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review MUC4 (mucin 4, cell surface associated) Nicolas Moniaux, Pallavi Chaturvedi, Isabelle Van Seuningen, Nicole Porchet, Ajay P Singh, Surinder K Batra Department of Biochemistry and Molecular Biology, College of Medicine, Eppley Cancer Institute, 7052 DRC, University of Nebraska Medical Center, 985870 Nebraska Medical Center, Omaha, NE 68198-5870, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/MUC4ID41459ch3q29.html DOI: 10.4267/2042/38441 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 transcripts have been identified for MUC4 gene, coding for membrane-anchored and secreted forms. Hugo: MUC4 Other names: sv0-MUC4 Location: 3q29 Note: MUC4 belongs to the human mucin family, and more specifically to the subgroup of the membraneanchored mucin. It is an O-glycoprotein that can extend up to 2 micrometer over the cell membrane. It is suggested that MUC4 is translated as a single precursor polypeptide, which is further cleaved at a GDPH site in two subunits, MUC4a and MUC4b. MUC4a is the mucin type subunit and MUC4b is the membranebound growth factor like subunit. Both subunits remain non-covalently associated. MUC4 is also found in several secretions such as in the milk. MUC4 along with other mucins is part of the mucus, the viscous gel that covers, moisturizes, and protects all epithelial surfaces. Description MUC4 gene spans on a 70 kb-long DNA fragment located in 3q29 at the position 196959310-197023545. This position varies from individual to individual due to VNTR polymorphism of several sequences repeated in tandem. The largest domain repeated in tandem is localized in exon 2 and is composed of a motif of 48 bp, repeated up to 400 times. This domain varies from 7 to 19 kb. Three other sequences repeated in tandem with a motif of 15 bp, 26 to 32 bp and 32 bp are positioned in introns 3, 4, and 5 respectively. Theses sequences present also VNTR polymorphism. Various SNPs are reported for MUC4 coding sequence; however, either VNTR or SNP polymorphism have been associated with specific physiological condition or disease. Transcription DNA/RNA MUC4 is transcribed in at least 24 distinct splice variant forms in normal and malignant human tissues. Twenty-two of these variants are generated by alternative splicing of the exons at the 3'-extremity and are referred sv1- to sv21-MUC4. Two splice forms are generated by alternative splicing of exon 2 and are called MUC4/X and MUC4/Y. So far, it is unknown if these splice forms are translated, however their deduced amino acid composition leads to secreted and membrane-anchored proteins. The main isoform of MUC4 (up to 27.5 kb in size), referred to as sv0MUC4, encodes for full-length MUC4 protein. MUC4 5'-flanking region (over 3.7 kb upstream of the first ATG) has been characterized. Note: MUC4 gene is located on the chromosome 3 in the region q29, oriented from telomere to centromere and clustered with another mucin gene MUC20. MUC4 is highly polymorphic, harboring numerous sequences repeated in tandem and presenting variable number of tandem repeat (VNTR) polymorphism. The sequence repeated in tandem is localized in exon 2 and is composed of a 48 bp repetitive unit. Due to this highly variable region 27 distinct alleles have been identified for MUC4. Among these, three alleles represent 78.6% of all alleles detected: the 19 kb, 10.5 kb, and 15 kb that present a prevalence of 47%, 18%, and 13.6 % respectively. In addition, 24 alternatively splice Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 201 MUC4 (mucin 4, cell surface associated) Moniaux N et al. A: Schematic representation of MUC4 gene and mRNA. The representation is not drawn to scale. B: Example of VTNR polymorphism associated with MUC4 gene. The gDNA of 18 healthy individuals was extracted from the PBMCs and digested by ECORI and PstI endonucleases. Southern blot was hybridized with [32] P-radiolabeled probes of each sequence repeated in tandem. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 202 MUC4 (mucin 4, cell surface associated) Moniaux N et al. Two transcriptionally active units drive MUC4 expression. The proximal promoter is TATA-less, possesses a transcription initiation site at -199, and is mainly composed of GC-rich domains that are potential binding sites for Sp1 and the CACCC box binding protein. Furthermore, a very high density of binding sites for factors known to initiate transcription in TATA-less promoters (Sp1, CACCC box, GRE, AP-1, PEA3 and Med-1) was found within that promoter. The distal promoter is flanked by a TATA box located at 2672/-2668 and three transcriptional initiation sites at 2603, -2604 and -2605. Responsive regions and ciselements for transcription factors involved in Protein Kinase A, Protein Kinase C, cAMP signaling pathways, in inflammation (NF-kB) and in intestinal (HNF-1, HNF-3, HNF4A, GATA4, GATA-6, CDX1, CDX2) and respiratory (TITF1, GATA-6, HNF-3b) epithelial cell differentiation have also been identified. Altogether, these results suggest that MUC4 transcription is complex, tightly regulated and involves many signaling pathways. transmembrane sequence, and a small 22 amino acids long cytoplasmic tail. Expression MUC4 expression is developmentally regulated. In normal physiologic conditions, MUC4 is expressed in the epithelium of the respiratory, digestive and urogenital tracts, with level that varies from tissue to tissues. In the respiratory tract, MUC4 is strongly expressed in the trachea and the lung. In the digestive tract, its main pattern of expression is the oesophagus and the colon. However, MUC4 is not expressed by the annex of the digestive tract such as the liver, the pancreas, and the gallbladder. MUC4 is also expressed by the epithelial cells of the ocular and auditory systems. MUC4 is overexpressed or aberrantly expressed in several diseases, such as inflammatory bowel diseases (Crohn or ulcerative colitis) and malignancy. For instance, MUC4 is overexpressed in lung, oesophagus, and colon cancer and is aberrantly expressed in pancreatic cancer. Neoexpression of MUC4 is observed early in precancerous pancreatic intraepithelial neoplastic lesions that further correlates with the disease progression stages. Many studies has been conducted on human pancreatic or other cancer cell lines in order to elucidate molecular mechanisms responsible for aberrant expression of MUC4 in diseased condition. Initial studies about MUC4 transcriptional regulation showed that Sp1 and Sp3 were important regulators of MUC4 basal expression. EGF and TGF-b growth factors and PKC signaling pathway stimulation results in up regulation of the promoter activity. Whereas TNF-a and IFN-g inflammatory cytokines alone had no effect on MUC4 transcriptional activity, a strong synergistic effect between IFN-g and TNF-a or IFN-g and TGF-b was observed. Activation by IFN-g was then showed to be mediated by STAT-1. More recently, Th1 (IL-2) and Th2 (IL-12, IL-10) cytokines were shown to interfere with pancreatic tumorigenic environment and possibly modulate MUC4 expression. Subsequent studies aimed at deciphering MUC4 regulation by TGF-b pathway showed that it could be either Smad4-dependent, Smad4-independent (MAPK, PKA, PKC). Retinoic acid induced MUC4 expression was mediated by TGFb2 and involved RAR-a. TGF-b2 expression in vivo also correlated with that of MUC4 in pancreatic tumors. Interestingly, recent data have shown that MUC4 is negatively regulated by cystic fibrosis transmembrane regulator (CFTR), a chloride channel that is defective in CF. In oesophageal cancer cells, MUC4 is regulated by bile acids via activation of phosphatidylinositol 3-kinase pathway or activation of HNF-1a. Studies in lung adenocarcinoma cell lines focused on cytokines involved in airway inflammation showed that MUC4 is regulated by IL-4 via JAK-3 and IL-9. Protein Note: MUC4 is a high molecular weight Oglycoprotein. Molecular weight for precursor fulllength MUC4 protein may range between 550-930 kDa depending upon the VNTR polymorphism. Classically, the protein moiety represents 20% of the mucin mature molecular weight, leading to a fully glycosylated protein of 4,650 kDa. Description MUC4 is synthesized as a precursor cleaved in two subunits that remain non-covalently link to each other: the mucin type subunit MUC4a of 850 kDa and the membrane-bound growth factor like subunit MUC4b of 80 kDa. MUC4 is a modular protein, composed of very distinct domains. MUC4a is rich in serine, threonine, and proline residues and present a central domain composed of 16 amino acids repeated in tandem up to 400 times. This repetitive domain is the hallmark of the mucin family. The carboxy-extremity of MUC4a harbors a NIDO and an AMOP domain. The NIDO domain is a domain identified in the nidogen protein and present in several proteins such as the tumor endothelial marker TEM7. TEM7 plays a role in angiogenesis via its NIDO domain. The AMOP domain (adhesion-associated domain in MUC4 and other proteins) is suggested to have a role in cell adhesion. In addition to the AMOP and NIDO domains, analysis of the MUC4a sequence reveals a high degree of similarity with a von Willebrand factor (vWF) D domain. However, none of the cysteine residues that characterized a vWF D domain are conserved in the MUC4 sequence. The MUC4b subunit contains two domains rich in Nglycosylation sites, 3 EGF-like domains, a Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 203 MUC4 (mucin 4, cell surface associated) Moniaux N et al. A: Schematic representation of the modular structure of MUC4. B: Schematic representation of MUC4 protein. The representation is not drawn to scale. Identification of the molecular mechanisms governing MUC4 expression will be very informative to assign direct roles to that mucin in carcinogenesis and on the biological properties of the tumor cell and should provide new tools in the future for therapeutic intervention. MUC4 is also the putative ligand of ERBB2 oncogenic receptor and thus may participate in cell signalling, influence cell proliferation, tumor progression, tumor cell morphology, cell polarity and escape to immune surveillance. Moreover, its over-expression in numerous cancers (lung, oesophagus, intestine, pancreas, etc.) is often associated with a poor prognosis. Functional role of MUC4 in pancreatic tumor growth and metastasis has also been recently demonstrated. MUC4 consists of two subunits, the extracellular highly glycosylated mucin subunit (MUC4-a) and a transmembrane subunit containing three EGF-like domains (MUC4-b). These subunits of MUC4 may confer diverse functions to MUC4. The large sized extracellular subunit may provide the anti-adhesive or adhesive functions. The anti-adhesive function of MUC4 may aid in loosening the tumor cell-ECM interactions and facilitating the dissemination of tumor cells. Whereas, the high degree of glycosylation present Localisation In normal physiologic situation, MUC4 is localized in the membrane at the apical region of the cells and in the mucus secretion. During cancer development, MUC4 exhibits diffuse expression in both the membrane and cytoplasm. Furthermore, due to loss of cell polarity, defined apical localization of MUC4 is disrupted. Function MUC4 transmembrane mucin is a highly glycosylated protein with an extended rigid extracellular domain that may confer a role for MUC4 as a molecular sensor between the extracellular milieu and the epithelial cell. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 204 MUC4 (mucin 4, cell surface associated) Moniaux N et al. in tandem repeat domain of MUC4 mucin can help in the adhesion of tumor cells to secondary sites and hence promote metastasis. Another important function provided by MUC4 mucin is modulation of HER-2/ERBB2 mediated signaling. MUC4, an interaction partner of the proto-oncogene HER2, induces its localization at the cell membrane and triggers the signaling pathways downstream to HER-2 activation. The consequences of such interactions and signaling activation lead to malignant transformation. Hence, dysregulation of MUC4 expression, a protective cell surface protein, may have deleterious effects. The association of MUC4 with ERBB2 involves its translocation from the basolateral toward the apical membrane and increasing the membrane stability. Regulation of MUC4 and ERBB2 by PEA3 transcription factor was found to be conversely correlated, stressing the fact that balance between MUC4 and ErbB2 will orientate the tumor cell toward either differentiation or proliferation. Under normal physiological conditions, MUC4 provides protection, lubrication and moisturization to the epithelial surfaces by trapping the foreign particles and preventing their accessibility to the cells. Being expressed in fetus tissue before differentiation, MUC4 is also suggested to play role in morphogenic functions. Oncogenesis In in vivo model, MUC4 was shown to promote tumor progression and metastasis. On clinical sample, patients negative for MUC4 expression has a better prognosis and a longer life time. References Gross MS, Guyonnet-Duperat V, Porchet N, Bernheim A, Aubert JP, Nguyen VC. Mucin 4 (MUC4) gene: regional assignment (3q29) and RFLP analysis. Ann Genet 1992;35:2126. Buisine MP, Devisme L, Savidge TC, Gespach C, Gosselin B, Porchet N, Aubert JP. Mucin gene expression in human embryonic and fetal intestine. Gut 1998;43(4):519-524. Nollet S, Moniaux N, Maury J, Petitprez D, Degand P, Laine A, Porchet N, Aubert JP. Human mucin gene MUC4: organization of its 5'-region and polymorphism of its central tandem repeat array. Biochem J 1998;332:739-748. Buisine MP, Devisme L, Copin MC, Durand-Réville M, Gosselin B, Aubert JP, Porchet N. Developmental mucin gene expression in the human respiratory tract. Am J Respir Cell Mol Biol 1999;20(2):209-218. Gipson IK, Spurr-Michaud S, Moccia R, Zhan Q, Toribara N, Ho SB, Gargiulo AR, Hill JA. MUC4 and MUC5B transcripts are the prevalent mucin messenger ribonucleic acids of the human endocervix. Biol Reprod 1999;60:58-64. Moniaux N, Nollet S, Porchet N, Degand P, Laine A, Aubert JP. Complete sequence of the human mucin MUC4: a putative cell membrane-associated mucin. Biochem J 1999;338:325333. Homology Several orthologues of MUC4 are totally or partially characterized. Mouse (mMuc4) and rat (rMuc4 or SMC for sialomucin complex) are fully identified and present 60 to 70% homology with human MUC4. Mouse mMuc4 is localized on the chromosome 16. Partial cDNA sequences of porcine, chinchilla, monkey, and dog Muc4 were also recently identified. Buisine MP, Devisme L, Degand P, Dieu MC, Gosselin B, Copin MC, Aubert JP, Porchet N. Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. II. Duodenum and liver, gallbladder, and pancreas. J Histochem Cytochem 2000;48(12):1667-1676. Buisine MP, Devisme L, Maunoury V, Deschodt E, Gosselin B, Copin MC, Aubert JP, Porchet N. Developmental mucin gene expression in the gastroduodenal tract and accessory digestive glands. I. Stomach. A relationship to gastric carcinoma. J Histochem Cytochem 2000;48(12):1657-1666. Implicated in Choudhury A, Singh RK, Moniaux N, El-Metwally TH, Aubert JP, Batra SK. Retinoic Acid Dependent Transforming Growth Factor-beta2-Mediated Induction of MUC4 Mucin Expression in Human Pancreatic Tumor Cells Follows Retinoic Acid Receptor-alpha Signaling Pathway. J Biol Chem 2000;275:33929-33936. Pancreatic adenocarcinoma Disease Worldwide, pancreatic cancer is the eleventh most common cancer and the fourth leading cause of cancer related death among men and women. Pancreatic cancer presents a 5-years survival rate of 5%. The incidence and age-adjusted mortality rate are almost equal, underscoring the aggressive nature of the disease. Prognosis The DU-PAN-2 antibody that recognizes a tumorassociated antigen carries by the MUC4 protein is in clinical used in Japan for diagnostic of pancreatic adenocarcinoma. MUC4 is aberrantly expressed by 80% of the adenocarnicoma of the pancreatic gland while not expressed in the normal pancreas or in pancreatitis. In addition, MUC4 is expressed early in the onset of pancreatic cancer, already detected in the pancreatic intraepithelial neoplasia (PanIN) of stage I. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Moniaux N, Escande F, Batra SK, Porchet N, Laine A, Aubert JP. Alternative splicing generates a family of putative secreted and membrane-associated MUC4 mucins. Eur J Biochem 2000;267:4536-4544. Andrianifahanana M, Moniaux N, Schmied BM, Ringel J, Friess H, Hollingsworth MA, Büchler MW, Aubert JP, Batra SK. Mucin (MUC) gene expression in human pancreatic adenocarcinoma and chronic pancreatitis: a potential role of MUC4 as a tumor marker of diagnostic significance. Clin Cancer Res 2001;7:4033-4040. Choudhury A, Moniaux N, Ringel J, King J, Moore E, Aubert JP, Batra SK. Alternate splicing at the 3'-end of the human pancreatic tumor-associated mucin MUC4 cDNA. Teratogenesis,Carcinogenesis, and Mutagenesis 2001;21:8396. Perrais M, Pigny P, Ducourouble MP, Petitprez D, Porchet N, Aubert JP, Van SI. Characterization of human mucin gene MUC4 promoter: importance of growth factors and 205 MUC4 (mucin 4, cell surface associated) Moniaux N et al. proinflammatory cytokines for its regulation in pancreatic cancer cells. J Biol Chem 2001;276:30923-30933. Andrianifahanana M, Agrawal A, Singh AP, Moniaux N, Van S, I, Aubert JP, Meza J, Batra SK. Synergistic induction of the MUC4 mucin gene by interferon-gamma and retinoic acid in human pancreatic tumour cells involves a reprogramming of signalling pathways. Oncogene 2005;24:6143-6154. Carraway KL, Perez A, Idris N, Jepson S, Arango M, Komatsu M, Haq B, Price-Schiavi SA, Zhang J, Carraway CA. Muc4/sialomucin complex, the intramembrane ErbB2 ligand, in cancer and epithelia: to protect and to survive. Prog Nucleic Acid Res Mol Biol 2002;71:149-185. Andrianifahanana M, Chauhan SC, Choudhury A, Moniaux N, Brand RE, Sasson AA, Pour PM, Batra SK. MUC4-expressing pancreatic adenocarcinomas show elevated levels of both T1 and T2 cytokines: potential pathobiologic implications. Am J Gastroenterol 2006;101(10):2319-2329. Escande F, Lemaitre L, Moniaux N, Batra SK, Aubert JP, Buisine MP. Genomic organization of MUC4 mucin gene. Towards the characterization of splice variants. Eur J Biochem 2002;269:3637-3644. Chauhan SC, Singh AP, Ruiz F, Johansson SL, Jain M, Smith LM, Moniaux N, Batra SK. Aberrant expression of MUC4 in ovarian carcinoma: diagnostic significance alone and in combination with MUC1 and MUC16 (CA125). Mod Pathol 2006;19(10):1386-1394. Swart MJ, Batra SK, Varshney GC, Hollingsworth MA, Yeo CJ, Cameron JL, Willentz RE, Hruban RH, Argani P. MUC4 Expression increases progressively in pancreatic intraepithelial neoplasia (PanIN). Am J Clin Pathol 2002;117:791-796. Damera G, Xia B, Ancha HR, Sachdev GP. IL-9 modulated MUC4 gene and glycoprotein expression in airway epithelial cells. Biosci Rep 2006;26(1):55-67. Park HU, Kim JW, Kim GE, Bae HI, Crawley SC, Yang SC, Gum J, Jr., Batra SK, Rousseau K, Swallow DM, Sleisenger MH, Kim YS. Aberrant Expression of MUC3 and MUC4 Membrane-Associated Mucins and Sialyl Lex Antigen in Pancreatic Intraepithelial Neoplasia. Pancreas 2003;26:48-54. Damera G, Xia B, Sachdev GP. IL-4 induced MUC4 enhancement in respiratory epithelial cells in vitro is mediated through JAK-3 selective signaling. Respir Res 2006;7:39. Ramsauer VP, Carraway CA, Salas PJ, Carraway KL. Muc4/sialomucin complex, the intramembrane ErbB2 ligand, translocates ErbB2 to the apical surface in polarized epithelial cells. J Biol Chem 2003;278(32):30142-30147. Funes M, Miller JK, Lai C, Carraway KL 3rd, Sweeney C. The mucin Muc4 potentiates neuregulin signaling by increasing the cell-surface populations of ErbB2 and ErbB3. J Biol Chem 2006;281(28):19310-19319. Bax DA, Haringsma J, Einerhand AW, van DH, Blok P, Siersema PD, Kuipers EJ, Kusters JG. MUC4 is increased in high grade intraepithelial neoplasia in Barrett's oesophagus and is associated with a proapoptotic Bax to Bcl-2 ratio. J Clin Pathol 2004;57:1267-1272. Pino V, Ramsauer VP, Salas P, Carothers Carraway CA, Carraway KL. Membrane mucin Muc4 induces densitydependent changes in ERK activation in mammary epithelial and tumor cells: role in reversal of contact inhibition. J Biol Chem 2006;281(39):29411-29420. Choudhury A, Moniaux N, Ulrich AB, Schmied BM, Standop J, Pour PM, Gendler SJ, Hollingsworth MA, Aubert JP, Batra SK. MUC4 mucin expression in human pancreatic tumours is affected by organ environment: the possible role of TGFbeta2. Br J Cancer 2004;90:657-664. Ramsauer VP, Pino V, Farooq A, Carothers Carraway Salas PJ, Carraway KL. Muc4-ErbB2 complex formation signaling in polarized CACO-2 epithelial cells indicate Muc4 acts as an unorthodox ligand for ErbB2. Mol Biol 2006;17(7):2931-2941. Hollingsworth MA, Swanson BJ. Mucins in cancer: protection and control of the cell surface. Nat Rev Cancer 2004;4(1):4560. Singh AP, Chauhan SC, Bafna S, Johansson SL, Smith LM, Moniaux N, Lin MF, Batra SK. Aberrant expression of transmembrane mucins, MUC1 and MUC4, in human prostate carcinomas. Prostate 2006;66(4):421-429. Jonckheere N, Perrais M, Mariette C, Batra SK, Aubert JP, Pigny P, Van Seuningen I. A role for human MUC4 mucin gene, the ErbB2 ligand, as a target of TGF-beta in pancreatic carcinogenesis. Oncogene 2004;23(34):5729-5738. Singh AP, Chaturvedi P, Batra SK. Emerging roles of MUC4 in cancer: a novel target for diagnosis and therapy. Cancer Res 2007;67(2):433-436. Mariette C, Perrais M, Leteurtre E, Jonckheere N, Hémon B, Pigny P, Batra S, Aubert JP, Triboulet JP, Van Seuningen I. Transcriptional regulation of human mucin MUC4 by bile acids in oesophageal cancer cells is promoter-dependent and involves activation of the phosphatidylinositol 3-kinase signalling pathway. Biochem J 2004;377:701-708. Singh AP, Chauhan SC, Andrianifahanana M, Moniaux N, Meza JL, Copin MC, van Seuningen I, Hollingsworth MA, Aubert JP, Batra SK. MUC4 expression is regulated by cystic fibrosis transmembrane conductance regulator in pancreatic adenocarcinoma cells via transcriptional and post-translational mechanisms. Oncogene 2007;26(1):30-41. Moniaux N, Andrianifahanana M, Brand RE, Batra SK. Multiple roles of mucins in pancreatic cancer, a lethal and challenging malignancy. Br J Cancer 2004;91(9):1633-1638. Piessen G, Jonckheere N, Vincent A, Hémon B, Ducourouble MP, Copin MC, Mariette C, Van Seuningen I. Regulation of the human mucin MUC4 by taurodeoxycholic and taurochenodeoxycholic bile acids in oesophageal cancer cells is mediated by hepatocyte nuclear factor 1alpha. Biochem J 2007;402(1):81-91. Moniaux N, Varshney GC, chauhan SC, Copin MC, jain M, Wittel UA, Andrianifahanana M, Aubert JP, Batra SK. Generation and Characterization of Anti-MUC4 Monoclonal Antibodies Reactive with Normal and Cancer Cells in Humans. J Histochem Cytochem 2004;52:253-261. This article should be referenced as such: Moniaux N, Chaturvedi P, Van Seuningen I, Porchet N, Singh AP, Batra SK. MUC4 (mucin 4, cell surface associated). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):201-206. Singh AP, Moniaux N, chauhan SC, Meza JL, Batra SK. Inhibition of MUC4 Expression Suppresses Pancreatic Tumor Cell Growth and Metastasis. Cancer Res 2004;64:622-630. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) CA, and that Cell 206 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review NUT (nuclear protein in testis) Anna Collin Department of Clinical Genetics, Lund University Hospital, 221 85 Lund, Sweden Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/NUTID41595ch15q14.html DOI: 10.4267/2042/38442 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 Implicated in Hugo: NUT Other names: DKFZp434O192; MGC138683 Location: 15q14 (position 32425358-32437221 on the chromosome 15 genomic sequence). Note: the gene name NUT has not been approved by the HUGO Gene Nomenclature Committee. Carcinoma with t(15;19)(q14;p13) translocation Prognosis Carcinoma with t(15;19) translocation is invariably fatal with a rapid clinical course when located to the midline thoracic, head and neck structures. One tumor, displaying the cytogenetic and molecular cytogenetic features of carcinoma with t(15;19) translocation, but located to the iliac bone has been reported successfully cured. It has been suggested that a critical prognostic difference exists between BRD4-NUT/t(15;19) positive tumors and tumors where NUT is rearranged but fused to an as yet unknown partner. Cytogenetics t(15;19)(q14;p13) [reported breakpoints: t(15;19)(q1115;p13)]. Hybrid/Mutated Gene The t(15;19)(q14;p13) results in an BRD4-NUT chimeric gene where exon 10 of BRD4 is fused to exon 2 of NUT. Abnormal Protein The BRD4-NUT fusion is composed of the N-terminal of BRD4 (amino acids 1-720 out of 1372) and almost the entire protein sequence of NUT (amino acids 61127). The N-terminal of BRD4 includes bromodomains 1 and 2 and other, less well characterized functional domains. Oncogenesis It has been suggested that the oncogenic effect of the NUT-BRD4 fusion is caused not only by the abnormal regulation of NUT by BRD4 promoter elements but also by the consequent ectopic expression of NUT in non-germinal tissues. DNA/RNA Description The gene consists of 7 exons that span approximately 12 kb of genomic DNA in the centromere-to-telomere orientation. The translation initiation codon and the stop codon are predicted to exon 1 and exon 7, respectively. Transcription The corresponding 'wildtype' mRNA transcript is 3.6 kb. Protein Description The open reading frame is predicted to encode an 1127 amino acid protein with an estimated molecular weight of 120 kDa. Expression Northern blot analysis has indicated that the normal expression of the NUT gene is highly restricted to the testis. No investigations have yet been made at the protein level. Localisation Nuclear. Function Unknown. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 207 NUT (nuclear protein in testis) Collin A Breakpoints JA. Midline carcinoma of children and young adults with NUT rearrangement. J Clin Oncol 2004;22:4135-4139. Note: The vast majority of reported breakpoints in carcinoma with t(15;19) translocation were assigned to band 19p13, the exception being the cytogenetic interpretation of a 19q13 breakpoint reported once. The reported breakpoints on chromosome 15 have varied (15q11-q15). Marx A, French CA, Fletcher JA. Carcinoma with t(15;19) translocation. In:World Health Organization classification of tumours. Pathology and genetics of tumours of the lung, thymus, pleura and heart. Travis WD, Brambilla E, M?llerHermelink K, Harris CC, editors. Oxford University Press 2004. pp185-186. Engleson J, Soller M, Panagopoulos I, Dahlén A, Dictor M, Jerkeman M. Midline carcinoma with t(15;19) and BRD4-NUT fusion oncogene in a 30-year-old female with response to docetaxel and radiotherapy. BMC Cancer 2006;6:69. References Mertens F, Wiebe T, Adlercreutz C, Mandahl N, French CA. Successful treatment of a child with t(15;19)-positive tumor. Pediatr Blood Cancer 2006. Kees UR, Mulcahy MT, Willoughby MLN. Intrathoracic carcinoma in an 11-year-old girl showing a translocation t(15;19). Am J Pediatr Hematol Oncol 1991;13:459-464. French CA, Miyoshi I, Kubonishi I, Grier HE, Perez-Atayde AR, Fletcher JA. BRD4-NUT fusion oncogene: a novel mechanism in aggressive carcinoma. Cancer Res 2003;63:304-307. This article should be referenced as such: Collin A. NUT (nuclear protein in testis). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):207-208. French CA, Kutok JL, Faquin WC, Toretsky JA, Antonescu CR, Griffin CA, Nose V, Vargas SO, Moschovi M, TzortzatouStathopoulo F, Miyoshi I, Perez-Atayde AR, Aster JC, Fletcher Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 208 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)) Nora C Heisterkamp Section of Molecular Carcinogenesis, Division of Hematology/Oncology, Saban Research Institute, Childrens Hospital Los Angeles and the Keck School of Medicine, University of Southern California, Los Angeles, California, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/RAC3ID42022ch17q25.html DOI: 10.4267/2042/38443 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 36, exon 3 residues 37-75, exon 4 residues 76-96, exon 5 residues 97-149 and exon 6 residues 150-192. Hugo: RAC3 Other names: Location: 17q25.3 with 5’ end towards the centromere. Nucleotide 203731-2061912 of contig NT_010663 Local order: Located telomeric to the BROV region. Centromeric to LRRC45 - Rac3 - DCXR telomeric Transcription Human Rac3 mRNA is a single species of around 1 kb. No splice variants have been reported. Factors that would regulate gene expression on a transcriptional level have not yet been reported. Pseudogene DNA/RNA No pseudogenes of Rac3 are reported in human. Note: 6 exons, spread out over approximately 2.4 kb Protein Description Note: The Rac3 gene encodes a single protein of 192 amino acid residues. The Rac3 gene encompasses 6 exons on chromosome 17. Exon 1 encodes residues 1-12, exon 2 residues 13- Schematic representation of the Rac3 protein (not to scale). Mutations that generate mutants that are locked in a certain conformation constitutively active or dominant negative - are shown. The C-terminal end contains the CTVM motif that is post-translationally modified the three last amino acid residues are removed and the C residue is geranyl-geranylated. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 209 RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)) Rac2 differ in 22/192 residues (89% identical). Rac belongs to the extended Rho family of small Gproteins. Biochemically, Rac1 and Rac3 are closely related. Description Rac3 is a small 21 kDa GTPase that acts as a molecular switch. In its active form, it is bound to GTP, whereas it is inactive in its GDP-bound form. Racs are controlled by guanidine activating proteins (GEFs) that exchange bound GDP for GTP and by GTPase activating proteins (GAPs) that promote GTP hydrolysis. Because of the hydrophobic isoprenyl moiety at the C-terminal end, it is associated with membranes. In the cytoplasm it associates with the chaperone RhoGDI. Implicated in Breast cancer Note: Using in situ hybridization, Rac3 was reported to lies outside of the BROV region commonly deleted in Breast and Ovarian Cancer. Activated Rac3 protein was reported in MDA-435, T47D and MCF7 breast cancer cell lines and 1 of 3 patient samples using a GST-Pak pull-down assay to detect activated Rac. siRNA against Rac3 inhibits SNB19 glioblastoma and BT549 breast cancer cell line invasion in an in vitro assay. It was showed that introduction of a constitutively active Rac3 into the MDA-MB-435 breast cancer cell line caused increased invasion and motility in vitro. Transgenic mice with tissue specific expression of constitutively active (V12)Rac3 in the mammary gland were generated. Post-lactational female mice had delayed involution. Expression Rac3 mRNA was reported in human cell lines including GM04155 (lymphoblastic leukemia), K562 (CML), 5838 (Ewing sarcoma), HL60 (promyelocytic leukemia) and DU4475 (breast cancer). Rac3 expression was reported using semi-quantitative RT/PCR in gastric tumor and adjacent normal tissue as well as gastric cancer cell lines. Expression of Rac3 using RT/PCR (38 cycles) was reported in human brain, liver, kidney and pancreas poly A RNA and also 19% of brain tumors expressed Rac3 mRNA. Rac3specific polyclonal antibodies were used to show Rac3 protein in the brain (deep cerebellar nuclei and the pons) in 7 day old mice. Low level expression of mouse rac3 has been reported in bone-marrow-derived monocytes and in B-lineage lymphoblasts using standard and RealTime RT/PCR. Gastric cancer Note: Semi-quantitative RT/PCR was used to examine Rac3 mRNA expression in gastric cancer tissues and 7 gastric cell lines. Rac3 expression was detected in the tumor samples but there was no statistically significant difference between the expression levels in gastric cancer and adjacent non-tumorous tissues. The cell lines had a varying but detectable Rac3 expression. Localisation The Rac3 protein is located on endomembranes and cell membranes. Function Brain tumors Rac proteins regulate a variety of functions including cytoskeletal organization, cell cycle, reactive oxygen species production, and vesicle trafficking. In cultured cells they also are involved in cellular transformation. Studies of null mutant Rac3 mice showed that Rac3 regulates cerebellar functions and in a mouse model plays a role in leukemia development caused by the Bcr/Abl oncogene. Point mutations (N26D, F37L, Y40C, N43D) were introduced into different critical residues of the effector domain of Rac3 and the effects of these were investigated on the ability of Rac3 to regulate membrane ruffles, c-jun activation and transformation. Transformation was assayed as the ability to cooperate with activated Raf in focus formation of NIH3T3 cells and the ability to promote growth of these cells in soft agar. Note: RT-PCR was used to evaluate Rac3 mRNA expression in human brain tumor tissues. Expression of rac3 was reported in 3/9 meningiomas, 1/11 astrocytomas, 1/6 pituitary adenomas. The PCR fragments were subcloned and sequenced, and mutations were reported in Rac3 in 12/19 brain tumors including E10V, V14E, D35N, P35S, N43D, V46A, D57V, R57P, L67V, S83F, V85A, E100G, H104L, P109H, R120H, T125P, S158P, P180T, V182E, V182A, H184L and G186E. To be noted Note: There is a second gene that is named RAC3 in some publications. This protein is functionally and structurally unrelated to the small GTPase Rac3. This is the steroid receptor coactivator-3, or nuclear receptor coactivator SRC-3/AIB1/ACTR/pCIP/RAC3/TRAM-1. Probes 1-12 from NM_005052-links-probes 1: ProbeTaqMan gene expression (TaqMan) probe Hs00414037_g1 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP Homology Rac3 is most closely related to Rac1 and Rac2. On a nucleotide level human Rac3 has 77% identity with Rac1, 83% identity with Rac2 and 69% identity with RhoG. On an amino acid level, Rac3 and Rac1 differ in 14/192 residues (92% identical), whereas Rac3 and Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Heisterkamp NC 210 RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)) 12: ProbeResequencing amplicon (RSA) probe RSA001458005 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. 13: Chan et al. (2005) reported TaqMan primers useful in quantifying human Rac3 expression. 14: Pan et al. (2004) reported primers for semiquantitative RT/PCR for human Rac3 that yielded a 249 bp 15: Hwang et al. (2005) reported primers for RT-PCR of human RNA. Fw primer was 5’AATTCATGCAGGCCATCAAGT-3’ and the reverse primer 5’-CTAGAAGACGGTGCACTT-3’. binding protein Rac3) (RAC3). Developed for real time qRT-PCR gene expression profiling. Reagent is available from Applied Biosystems. 2: ProbeSmall interfering RNA (siRNA) probe for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Has been used for RNA interference (RNAi). Reference Chan et al., 2005 3: ProbeSmall interfering RNA (siRNA) probe for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Has been used for RNA interference (RNAi). Reference Chan et al., 2005 4: ProbeResequencing amplicon (RSA) probe RSA001057586 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. 5: ProbeResequencing amplicon (RSA) probe RSA001057592 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. 6: ProbeResequencing amplicon (RSA) probe RSA001229136 for Homo sapiens genes ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3) and leucine rich repeat containing 45 (LRRC45). Developed for SNP discovery. 7. ProbeResequencing amplicon (RSA) probe RSA001400685 for Homo sapiens genes ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3) and leucine rich repeat containing 45 (LRRC45). Developed for SNP discovery. 8: ProbeResequencing amplicon (RSA) probe RSA001401207 for Homo sapiens genes ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3) and leucine rich repeat containing 45 (LRRC45). Developed for SNP discovery. 9: ProbeResequencing amplicon (RSA) probe RSA001457703 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. 10: ProbeResequencing amplicon (RSA) probe RSA001457859 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. 11: ProbeResequencing amplicon (RSA) probe RSA001458006 for Homo sapiens gene ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3) (RAC3). Developed for SNP discovery. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Heisterkamp NC References Courjal F, Chuchana P, Theillet C, Fort P. Structure and chromosomal assignment to 22q12 and 17qter of the rasrelated Rac2 and Rac3 human genes. Genomics 1997;44:242246. Haataja L, Groffen J, Heisterkamp N. Characterization of RAC3, a novel member of the Rho family. J Biol Chem 1997;272:20384-20388. Mira,J.P., Benard,V., Groffen,J., Sanders,L.C. and Knaus, U.G.Proc. Endogenous, hyperactive Rac3 controls proliferation of breast cancer cells by a p21-activated kinase-dependent pathway. Proc. Natl. Acad. Sci. U.S.A 2000;97; 185-189. Morris CM, Haataja L, McDonald M, Gough S, Markie D, Groffen J, Heisterkamp N. The small GTPase RAC3 gene is located within chromosome band 17q25.3 outside and telomeric of a region commonly deleted in breast and ovarian tumours. Cytogenet Cell Genet 2000;89:18-23. Bolis A, Corbetta S, Cioce A, de Curtis I. Differential distribution of Rac1 and Rac3 GTPases in the developing mouse brain: implications for a role of Rac3 in Purkinje cell differentiation. Eur J Neurosci 2003;18:2417-2424. Haeusler LC, Blumenstein L, Stege P, Dvorsky R, Ahmadian MR. Comparative functional analysis of the Rac GTPases. FEBS Lett 2003;555:556-560. Leung K, Nagy A, Gonzalez-Gomez I, Groffen J, Heisterkamp N, Kaartinen V. Targeted expression of activated Rac3 in mammary epithelium leads to defective postlactational involution and benign mammary gland lesions. Cells Tissues Organs 2003;175:72-83. Pan Y, Bi F, Liu N, Xue Y, Yao X, Zheng Y, Fan D. Expression of seven main Rho family members in gastric carcinoma. Biochem Biophys Res Commun 2004;315:686-691. Baugher PJ, Krishnamoorthy L, Price JE, Dharmawardhane SF. Rac1 and Rac3 isoform activation is involved in the invasive and metastatic phenotype of human breast cancer cells. Breast Cancer Res 2005;7:R965-R974. Chan AY, Coniglio SJ, Chuang YY, Michaelson D, Knaus UG, Philips MR, Symons M. Roles of the Rac1 and Rac3 GTPases in human tumor cell invasion. Oncogene 2005;24:7821-7829. Cho YJ, Zhang B, Kaartinen V, Haataja L, de Curtis I, Groffen J, Heisterkamp N. Generation of rac3 null mutant mice: role of Rac3 in Bcr/Abl-caused lymphoblastic leukemia. Mol Cell Biol 2005;25:5777-5785. Corbetta S, Gualdoni S, Albertinazzi C, Paris S, Croci L, Consalez GG, de Curtis I. Generation and characterization of Rac3 knockout mice. Mol Cell Biol 2005;25:5763-5776. 211 RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)) Hwang SL, Chang JH, Cheng TS, Sy WD, Lieu AS, Lin CL, Lee KS, Howng SL, Hong YR. Expression of Rac3 in human brain tumors. J Clin Neurosci 2005;12:571-574. This article should be referenced as such: Heisterkamp NC. RAC3 (ras-related C3 botulinum toxin substrate 3 (rho family, small GTP binding protein Rac3)). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):209-212. Keller PJ, Gable CM, Wing MR, Cox AD. Rac3-mediated transformation requires multiple effector pathways. Cancer Res 2005;65:9883-9890. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Heisterkamp NC 212 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review RBM5 (RNA binding motif protein 5) Mirna Mourtada-Maarabouni School of Life Sciences, Keele University, Keele ST5 5BG, UK Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/RBM5ID42069ch3p21.html DOI: 10.4267/2042/38444 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 Transcription Identity Full length RBM5 has 3.1 Kb, 2448 bp open reading frame. The gene encodes a number of alternative splice variants, identified by reverse transcription polymerase chain reaction. One splice variant lacks exon 6, RBM5delta6. Three other RNA splice variants retain intronic sequences, RBM5+5+6 retains introns 5 and 6, RBM5+6 retains intron 6 and clone 26 which is a partial cDNA containing an open reading frame and terminates within intron 6. A 326 bp antisense cDNA that maps to the intronic region of RBM5, je2, has also been identified. Both, RBM5delta6 and clone 26 cDNAs have been cloned. Hugo: RBM5 Other names: LUCA-15; H37; G15 Location: 3p21.3 Note: 3p21.3 is a putative human lung cancer tumor suppressor region. RBM5/LUCA-15 is a putative tumor suppressor gene. DNA/RNA Description The gene spans about 30.03 Kb. Orientation plus strand. At least 25 exons. RBM5/LUCA-15 splice variants. Boxes represent the exons, intronic sequences are represented by horizontal lines. The arrows point to the STOP codon in the protein coding sequence. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 213 RBM5 (RNA binding motif protein 5) Mourtada-Maarabouni M Function Protein RBM5/LUCA-15 is among the 35 genes located within the 370 kb overlapping lung cancer homozygous deletion region at 3p21.3. RBM5 has been implicated in the control of cell death by apoptosis and cell proliferation. RBM5's involvement in apoptosis and malignancy has been the focus of many recent studies, with all results converging on a role for RBM5/LUCA15 as a Tumor Suppressor Gene (TSG). RBM5 splice variants have been shown to function as regulators of apoptosis. Stable expression of Je2, in human T-cell lines CEM-C7 and Jurkat produced marked inhibition of Fas-mediated apoptosis and conferred protection from apoptosis induced by other stimuli. RBM5delta6 inhibits CD95-mediated apoptosis as well as accelerating cell proliferation. Overexpression of the full length RBM5 in CEM-C7 and Jurkat T-cell lines suppressed cell proliferation both by inducing apoptosis and by inducing cell cycle arrest in G1. Consistently, RBM5/LUCA-15 overexpression also inhibited human lung cancer cell growth (A549 non-small cell lung cancer line) by increasing apoptosis and inducing cell cycle arrest in G1. This inhibition of cell growth was reported to be associated with decreased cyclin A and phosphorylated RB and an increase in the level of the proapototic protein Bax. Introducing RBM5/LUCA-15 into breast cancer cells that had 3p21-22 deletions reduced both anchorage-dependent and anchorage-independent growth. RBM5/LUCA-15 also is reported to suppress anchorage-dependent and anchorage-independent growth in A9 mouse fibrosarcoma cells and to inhibit their tumour forming activity in nude mice. RBM5/LUCA-15 was one of the nine genes downregulated in metastasis and it has been included in the 17 common gene signature associated with metastasis identified in multiple solid tumour types. Solid tumours carrying this gene expression signature had high rates of metastasis and poor clinical outcome. Microarraybased analysis of changes in gene expression caused by the modulation of the level of RBM5/LUCA-15 were carried out. Among 5603 genes on cDNA microarray, 35 genes, well known for their roles in the cell cycle as well as in apoptosis, were found to be differentially expressed as a result of RBM5/LUCA-15 overexpression in CEM-C7 cells. These RBM5/LUCA-15 modulated genes include a number of cyclin-dependent kinase complexes, most notably CDK2 and three putative oncogenes which are down-regulated by RBM5/LUCA-15. These are Pim-1, a serine/threonine kinase, ITPA (inosine triphosphate pyrophosphatase) and Amplified in Breast cancer 1 (AIB1). Other functionally important genes modulated by RBM5/LUCA-15 are well established to play specific anti apoptotic roles such as BIRC4 (AIP3), Description Full length RBM5 encodes a protein with a molecular mass of about 90 kDa (815 amino acids). The protein has two RNA Binding Domains (RBD), also recognized as RNA Recognition Motif (RRM). RBM5 structure also features other functional motifs, which includes two putative zinc-finger DNA binding motifs, two bipartite nuclear localisation signals and a G-patch domain (a conserved domain in eukaryotic RNAprocessing proteins and type D retroviral polyproteins), suggesting a role for RBM5/LUCA-15 in RNA processing. In addition, the C-terminal region of RBM5/LUCA-15 contains several domains including a glutamine rich domain (362-385), which is thought to serve as protein-protein interaction site in certain RNAand DNA- binding proteins. RBM5delta6 encodes a protein of 17 kDa, due to a frameshift mutation caused by the deletion of exon 6. The only functional motif retained by this truncated protein is the arginine/glycine-rich amino terminal region. A putative 21 kDa is reported to be encoded by RBM5+5+6 and clone 26, as revealed by an in vitro transcription/translation study in rabbit reticulocyte lysate. Expression Full length RBM5 and its alternative splice variants RNA are widely expressed in both primary tissue and cell lines. Northern blot analysis revealed higher expression in skeletal and heart muscles and pancreas. The expression of the full length RBM5 mRNA is reported to be high in adult thymus and low in the foetal thymus, suggesting that its expression is developmentally regulated. Full length RBM5/LUCA15 is reported to be down-regulated in breast cancer specimens, in 82% of primary non-small-cell lung carcinoma specimens and in many lung cancer cell lines and in vestibular schwannomas (27 fold reduction). The expression of RBM5delta6 RNA is highest in transformed cells. The full length RBM5 protein is ubiquitously expressed in human tissues. It was found to be downregulated in 73% of primary nonsmall-cell lung carcinoma specimens compared to normal adjacent tissue. RBM5/LUCA-15 was one of the antigens identified by autologous antibody in patients with renal carcinoma. Overexpression of je2, the 326 bp antisense sequence, resulted in the downregulation of the RBM5 protein (95 kDa) and the upregulation of the 17 kDa protein (RBM5delta6). Localisation RBM5 protein includes bipartite nuclear localisation signals suggesting its localisation to the nucleus. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 214 RBM5 (RNA binding motif protein 5) Mourtada-Maarabouni M BIRC3 (cIAP2, MIHC), Mcl-1, a member of the Bcl-2 family of apoptosis suppressors, and TRAF1, supporting a role for RBM5/LUCA-15 in apoptosis. Other genes upregulated by RBM5/LUCA-15 include Stat5b, Annexin I and Bone Morphogenetic Protein 5 (BMP5), implicated in apoptosis, immunosuppression and organ development respectively. References Daly MC, Xiang RH, Buchhagen D, Hensel CH, Garcia DK, Killary AM, Minna JD, Naylor SL. A homozygous deletion on chromosome 3 in a small cell lung cancer cell line correlates with a region of tumour suppressor activity. Oncogene 1993;8:1721-1729. Burd C.G. and Dreyfuss G. Conserved structures and diversity of functions of RNA-binding proteins. Science 1994;265(5172):615-621. Homology RBM5 shares 30% amino acid sequence homology with its immediate telomeric neighbor, the putative tumor suppressor gene RBM6. Another RNA Binding Motif protein that shares high homology with RBM5 (53% at the amino acid level) is RBM10. The RBM10 gene is located on the X chromosome at p11.23. No function has yet been determined for RBM10. The mouse RBM5 gene is 90% identical on cDNA level and 97% on protein level. The fly proteome contain three similar proteins, of which CG4887 gene product shows 43% similarity. The rat binding protein S1-1 has similar domain structure and is close in amino acid sequence to RBM5. Kashuba VI, Szeles A, Allikmets R, Nilsson AS, Bergerheim US, Modi W, Grafodatsky A, Dean M, Stanbridge EJ, Winberg G, klein G., Zabarovsky E.R., and Kisselev L. A group of NotI jumping and linking clones cover 2.5 Mb in the 3p21-p22 region suspected to contain a tumour suppressor gene. Cancer Genet Cytogenet 1995;81(2):144-150. Daigo Y., Nishiwaki T., Kawasoe T., Tamari M., Suchiya E., and Nakamura Y. Molecular cloning of a candidate tumour suppressor gene, DLC1, from chromosome 3p21.3. Cancer Res 1996;59:1966-1972. Wei MH, Latif F, Bader S, Kashuba V, Chen JY, Duh FM, Sekido Y, Lee C.C, Geil L, Kuzmin I, Zabarovsky E, Klein G, Zbar B, Minna JD, and Lerman MI. Construction of a 600kilobase cosmid clone contig and generation of a transcriptional map surrounding the lung cancer tumour suppressor gene (TSG) locus on human chromosome 3p21.3: progress toward the isolation of a lung cancer TSG. Cancer Res 1996;56:1487-1492. Mutations Imreh S, Kost-Alimova M, Kholodnyuk I, Yang Y,Szeles A, Kiss H, Liu F, Foster K, Zabarovsky E, Stanbridge E, and Klein G. Differential elimination of 3p and retention of 3q segments in human/mouse microcell hybrids during tumour growth. Genes Chrom. Cancer 1997;20:224-233. Note: Mutations in the RMB5 gene have not been found in lung cancer. RBM5 is reported to be downregulated in RAS-transformed Rat-1 cells, in samples from breast cancer, in human schwannomas and in about 75% of primary lung cancers specimens. RBM5 was one of the nine genes down-regulated in metastasis in primary tumors and it has been included in the 17 common gene signature associated with metastasis identified in multiple solid tumour types. Solid tumours carrying this gene expression signature had high rates of metastasis and poor clinical outcomes. Kok K, Naylor SL, Buys CH. Deletion of the short arm of chromosome 3 in solid tumours and the search for suppressor genes. Adv Cancer Res 1997;71:27-92. Güre AO, Altorki NK, Stockert E, Scanlan MJ, Old LJ, Chen YT. Human lung cancer antigens recognized by autologous antibodies: definition of a novel cDNA derived from the tumour suppressor gene locus on chromosome 3p21.3. Cancer Res 1998;58(5):1034-1041. Aravind L and Koonin EV. G-patch: a new conserved domain in eukaryotic RNA-processing proteins and type D retroviral polyproteins. Trends Biochem. Sci 1999;24:342-344. Implicated in Drabkin HA, West JD, Hotfilder M, Heng YM, Erickson P, Calvo R, Dalmau J, Gemmill RM, Sablitzky F. DEF-3(g16/NYLU-12), an RNA binding protein from the 3p21.3 homozygous deletion region in SCLC. Oncogene 1999;18(16):2589-2597. Lung cancer and many other cancers Disease RBM5 is located at the human chromosomal locus 3p21.3, which is strongly associated with lung cancer and many other cancers, including head and neck, renal, breast and female genital tract. More than 90% of freshly microdissected primary lung cancers display loss of heterozygosity (LOH) of 3p21.3. RBM5 is implicated in apoptosis and in cell cycle regulation. Oncogenesis The ability of RBM5/LUCA-15 to inhibit the growth of transformed cells fulfils one of the criteria for a tumor suppressor. The simultaneous changes in proliferation and inhibition of apoptosis brought about by dysregulation of the RBM5/LUCA-15 locus are likely to be of major significance in oncogenesis. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Hotfilder M, Baxendale S, Cross MA, and Sablitzky F. Def-2, 3, -6 and -8, novel mouse genes differentially expressed in the haemopoietic system. Br. J. Haematol 1999;106:335-344. Scanlan MJ, Gordan JD, Williamson B, Stockert E, Bander NH, Jongeneel V, Güre AO, Jäger D, Jäger E, Knuth A, Chen YT, Old LJ. Antigens recognized by autologous antibody in patients with renal-cell carcinoma. Int J Cancer 1999;83(4):456-464. Timmer T, Terpstra P, van den Berg A, Veldhuis PM, Ter Elst A, Voutsinas G, Hulsbeek MM, Draaijers TG, Looman MW, Kok K, Naylor SL, Buys CH. A comparison of genomic structures and expression patterns of two closely related flanking genes in a critical lung cancer region at 3p21.3. Eur J Hum Genet 1999;7(4):478-486. Edamatsu H, Kaziro Y, Itoh H. LUCA15, a putative tumour suppressor gene encoding an RNA-binding nuclear protein, is down-regulated in ras-transformed Rat-1 cells. Genes Cells 2000;5:849-858. 215 RBM5 (RNA binding motif protein 5) Mourtada-Maarabouni M Lerman MI, Minna JD. The 630-kb lung cancer homozygous deletion region on human chromosome 3p21.3: identification and evaluation of the resident candidate tumour suppressor genes. Cancer Res 2000;60:6116-6133. Ramaswamy S, Ross KN, Lander ES, Golub TR. A molecular signature of metastasis in primary solid tumours. Nat Genet 2003;33(1):49-53. Sutherland LC, Rintala-Maki ND, White RD, Morin CD. RNA Binding Motif (RBM) proteins: A novel family of apoptosis modulators?. J Cell Biochem 2005;94(1):5-24. (Review). Sutherland LC, Edwards SE, Cable HC, Poirier GG, Miller BA, Cooper CS, Williams GT. LUCA-15-encoded sequence variants regulate CD95-mediated apoptosis. Oncogene 2000;19(33):3774-3781. Mourtada-Maarabouni M, Keen J, Clark J, Cooper CS, Williams GT. Candidate tumor suppressor LUCA15/RBM5/H37 modulates expression of apoptosis and cell cycle genes. Exp Cell Res 2006;312(10):1745-1752. Mourtada-Maarabouni M, Sutherland LC, Williams GT. Candidate tumour suppressor LUCA-15 can regulate multiple apoptosis pathways. Apoptosis 2002;7:421-432. Maarabouni MM, Williams GT. The antiapoptotic RBM5/LUCA15/H37 gene and its role in apoptosis and human cancer research update. ScientificWorldJournal 2006;6:1705-1712. (Review). Mourtada-Maarabouni M and Willimas GT. RBM5/LUCA-15-tumour suppression by control of apoptosis and the cell cycle?. ScientificWorldJournal 2002;4(2):1885-1890. (Review). Oh JJ, West AR, Fishbein MC, Slamon DJ. A candidate tumour suppressor gene, H37, from the human lung cancer tumour suppressor locus 3p21.3. Cancer Res 2002;62(11):3207-3213. Oh JJ, Razfar A, Delgado I, Reed RA, Malkina A, Boctor B, Slamon DJ. 3p21.3 Tumour suppressor gene H37/Luca15/RBM5 inhibits growth of human lung cancer cells through cell cycle arrest and apoptosis. Cancer Res 2006;66(7):3419-3427. Welling DB, Lasak JM, Akhmametyeva E, Ghaheri B, Chang LS. cDNA microarray analysis of vestibular schwannomas. Otol Neurotol 2002;23(5):736-748. This article should be referenced as such: Mourtada-Maarabouni M. RBM5 (RNA binding motif protein 5). Atlas Genet Cytogenet Oncol Haematol.2007; 11(3):213-216. Mourtada-Maarabouni M, Sutherland LC, Meredith JM, Williams GT. Simultaneous acceleration of the cell cycle and suppression of apoptosis by splice variant delta-6 of the candidate tumour suppressor LUCA-15/RBM5. Genes Cells 2003;8(2):109-119. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 216 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review RHOB (ras homolog gene family, member B) Minzhou Huang, Lisa D Laury-Kleintop, George Prendergast Lankenau Institute for Medical Research, 100 Lancaster Avenue, Wynnewood PA 19096, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/RHOBID42108ch2p24.html DOI: 10.4267/2042/38445 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 Function Identity Regulator of protein signaling and trafficking: Plays a pivotal role in the dynamic regulation of the actin cytoskeleton. Involved in intracellular protein trafficking of a number of proteins. Targets PRK1 to endosomes and is involved in trafficking of the EGF receptor from late endosomes to lysosomes. Also required for stability and nuclear trafficking of Akt which promotes endothelial cell survival during vascular development. Identified as a component of outside-in signaling pathways that coordinate Src activation with its translocation to transmembrane receptors. Negative modifier of cancer progression: Affects cell adhesion and growth factor signaling in transformed cells. Plays a negative role in tumorigenesis as RhoB deletion increases tumor formation initiated by Ras mutation. Limits the proliferation of transformed cells by facilitating turnover of oncogene c-Myc. Expression levels are dramatically decreased in lung, head and neck, and brain cancer, when tumors become more aggressive. Modulator of cancer cell apoptosis: Promotes proapoptotic signaling of regulators involved in cell cycle checkpoints, cell adhesion, vesicle trafficking, MAPK signaling, transcription, and immunity. Mediates apoptosis in neoplastically transformed cells after DNA damage. Is essential for apoptosis and antineoplastic activity of farnesyltransferase inhibitors in a mouse model. Is one of the targets of farnesyltransferase inhibitors which are currently under investigation as cancer therapeutics. Hugo: RHOB Other names: ARH6; ARHB; H6; RHOH6 Location: 2p24.1 DNA/RNA Description The gene encompasses 2,366 bps (chr2:20,510,31620,512,681); 1 exon. Transcription The coding sequence (CDS) region is 395.983 bp (588 bp) encoding a protein of 196 aa long. Protein Description Length 196 aa, molecular weight 22123 Da (unprocessed precursor). RhoB protein exists in different geranylgeranylated (RhoB-GG) or farnesylated (RhoB-F) isoforms in cells. Expression Widely expressed. Localisation Endosome; Late endosome; late endosomal membrane; cell membrane; Also detected at the nuclear margin and in the nucleus. Prenylation specifies the subcellular location of RHOB. In general, the farnesylated form is localized to the plasma membrane while the geranylgeranylated form is localized to the endosome. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Homology Member of the ras gene superfamily; rho family; GTPbinding proteins. The RhoA, RhoB, and RhoC proteins form a closely related subgroup that are about 90% identical in amino acid sequence. The sequences of RHOB are highly-conserved between species (from 217 RHOB (ras homolog gene family, member B) Huang M et al. Prendergast GC. Actin' up: RhoB in cancer and apoptosis. Nat Rev Cancer 2001;1(2):162-168. (Review). human to fly). Amino acid sequences of human, mouse and rat are 100% identical while sequence homology between human and chicken is 97% identical. Adnane J, Muro-Cacho C, Mathews L, Sebti SM, MuñozAntonia T. Suppression of rho B expression in invasive carcinoma from head and neck cancer patients. Clin Cancer Res 2002;8(7):2225-2232. Implicated in Adini I, Rabinovitz I, Sun JF, Prendergast GC, Benjamin LE. RhoB controls Akt trafficking and stage-specific survival of endothelial cells during vascular development. Genes Dev 2003;17(21):2721-2732. Lung cancer Note: RhoB expression is frequently downregulated in lung cancer by multiple mechanisms. Low or no expression of RhoB is more frequently observed in poorly- or moderately-differentiated adenocarcinomas, and indicative of poor patient prognosis. Jiang K, Delarue FL, Sebti SM. EGFR, ErbB2 and Ras but not Src suppress RhoB expression while ectopic expression of RhoB antagonizes oncogene-mediated transformation. Oncogene 2004;23(5):1136-1145. Jiang K, Sun J, Cheng J, Djeu JY, Wei S, Sebti S. Akt mediates Ras downregulation of RhoB, a suppressor of transformation, invasion, and metastasis. Mol Cell Biol 2004;24(12):5565-5576. Head and neck cancer Note: RhoB expression decreases to undetectable level as tumors become more invasive and poorly differentiated. In contrast, Ki67 (proliferation marker) and RhoA protein levels increase with tumor progression. Wherlock M, Gampel A, Futter C, Mellor H. Farnesyltransferase inhibitors disrupt EGF receptor traffic through modulation of the RhoB GTPase. J Cell Sci 2004;117(Pt 15):3221-3231. Mazieres J, Antonia T, Daste G, Muro-Cacho C, Berchery D, Tillement V, Pradines A, Sebti S, Favre G. Loss of RhoB expression in human lung cancer progression. Clin Cancer Res 2004;10(8):2742-2750. References Madaule P, Axel R. A novel ras-related gene family. Cell 1985;41(1):31-40. Sandilands E, Cans C, Fincham VJ, Brunton VG, Mellor H, Prendergast GC, Norman JC, Superti-Furga G, Frame MC. RhoB and actin polymerization coordinate Src activation with endosome-mediated delivery to the membrane. Dev Cell 2004;7(6):855-869. Chardin P, Madaule P, Tavitian A. Coding sequence of human rho cDNAs clone 6 and clone 9. Nucleic Acids Res 1988;25;16(6):2717. Cannizzaro LA, Madaule P, Hecht F, Axel R, Croce CM, Huebner K. Chromosome localization of human ARH genes, a ras-related gene family. Genomics 1990;6(2):197-203. Huang M, Kamasani U, Prendergast GC. RhoB facilitates cMyc turnover by supporting efficient nuclear accumulation of GSK-3. Oncogene 2006;25(9):1281-1289. Adamson P, Marshall CJ, Hall A, Tilbrook PA. Posttranslational modifications of p21rho proteins. J Biol Chem 1992;267(28):20033-20038. Huang M, Prendergast GC. RhoB in cancer suppression. Histol Histopathol 2006;21(2):213-218. (Review). Armstrong SA, Hannah VC, Goldstein JL, Brown MS. CAAX geranylgeranyl transferase transfers farnesyl as efficiently as geranylgeranyl to RhoB. J Biol Chem 1995;270(14):7864-7868. ISato N, Fukui T, Taniguchi T, Yokoyama T, Kondo M, Nagasaka T, Goto Y, Gao W, Ueda Y, Yokoi K, Minna JD, Osada H, Kondo Y, Sekido Y. RhoB is frequently downregulated in non-small-cell lung cancer and resides in the 2p24 homozygous deletion region of a lung cancer cell line. Int J Cancer 2006;[Epub ahead of print]. Gampel A, Parker PJ, Mellor H. Regulation of epidermal growth factor receptor traffic by the small GTPase rhoB. Curr Biol 1999;9(17):955-958. Liu A, Du W, Liu JP, Jessell TM, Prendergast GC. RhoB alteration is necessary for apoptotic and antineoplastic responses to farnesyltransferase inhibitors. Mol Cell Biol 2000;20(16):6105-6113. This article should be referenced as such: Huang M, Laury-Kleintop LD, Prendergast G. RHOB (ras homolog gene family, member B). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):217-218. Liu Ax, Cerniglia GJ, Bernhard EJ, Prendergast GC. RhoB is required to mediate apoptosis in neoplastically transformed cells after DNA damage. Proc Natl Acad Sci USA 2001;98(11):6192-6197. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 218 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review RNASET2 (ribonuclease T2) Francesco Acquati, Paola Campomenosi Dipartimento di Biotecnologie e Scienze Molecolari, Universita degli Studi dell'Insubria, I-21100 Varese, Italy Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/RNASET2ID518ch6q27.html DOI: 10.4267/2042/38446 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 kb of genomic DNA. The translation initiation codon is located to exon 1 and the stop codon to exon 9. Exons III and VI encode the two CAS motifs (Catalytic Active Sites) responsible for the ribonuclease activity of the RNASET2 protein. Identity Hugo: RNASET2 Other names: RNASE6PL; RP11-514O12.3; bA514O12.3 Location: 6q27 Local order: Telomeric to RPS6KA2, centromeric to FGFR1OP. Note: This gene is the first human member of the Rh/T2/S-glycoprotein family of extracellular ribonucleases. It is a putative class II tumor suppressor gene potentially involved in the pathogenesis of several solid and haematologic human neoplasias such as ovarian cancer, melanoma and non-Hodgkin lymphoma. Transcription The RNASET2 gene is transcribed in the telomere-tocentromere orientation to produce an ubiquitously expressed mRNA approximately 1,4 kb in length. EST clones representing splice variants of the same gene have been described. Pseudogene A processed pseudogene showing 85% identity with RNASET2 mRNA maps to chromosome 7p11.2. The expression pattern of this pseudogene is not known. DNA/RNA Description This gene is split in 9 exons spanning approximatly 27 I-IX: RNASET2 exons. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 219 RNASET2 (ribonuclease T2) Acquati F, Campomenosi P tumorigenicity and metastasis when overexpressed in the same ovarian cancer cell lines. Such results have been recently confirmed in a human melanoma cell line. Protein Description The full-length RNASET2 protein contains 256 aminoacids and displays an apparent MW of 36 kDa in its secreted form. Two 31 and 27 kDa C-terminal proteolytic products have also been observed intracellularly in several human cancer cell lines and localize to the lysosome. Homology The primary sequenze of RNASET2 shows strong homology to the Rh/T2/S family of secreted ribonucleases. Mutations Expression Expression of the RNASET2 protein has been detected in several human ovarian cancer cell lines and in some melanoma, prostate, pancreatic and breast carcinoma cell lines. Germinal A common exon-9 missense C708T germline mutation has been described but no evidence for an association of this allele with human cancer was found. Localisation Somatic The RNASET2 protein can be detected either intracellularly within lysosomes and secretory pathway, or extracellularly in a secreted form (in cell culture supernatants). A few common polymorphisms in exons 1, 8 and 9 have been described. Implicated in Function Human ovarian carcinoma Biochemical function: RNASET2 is an acid ribonuclease with optimal activity at pH 5 and preferential cleavage of poly-A and poly-U homopolyribonucleotides. Biological function: RNASET2 behaves as a class II tumor suppressor gene for ovarian cancer, since experimental overexpression of this gene in human ovarian cancer cell lines is associated with a significant decrease of their tumorigenic and metastasizing potential in vivo. Strikingly, the ribonuclease catalytic activity is apparently dispensable for RNASET2 to play such antioncogenic role. Indeed, a double CAS mutant cDNA construct encoding an almost inactive RNASET2 protein is still able to suppress Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Disease Loss of expression of RNASET2 occurs in a significant fraction of human ovarian cancer cell lines and primary ovarian tumours. When overexpressed by gene transfer experiments in human ovarian cancer cell lines displaying a low level of endogenous mRNA, RNASET2 strongly suppresses the tumorigenic and metastatic potential of these cell lines in vivo. Cytogenetics The RNASET2 genes maps in a genomic region (6q27) which is frequently deleted or otherwise rearranged in a wide range of human neoplasias, including ovarian cancer. 220 RNASET2 (ribonuclease T2) Acquati F, Campomenosi P References localization of the human homolog of the R2/Th/Stylar ribonuclease gene family. Methods Mol Biol 2001;160:87-101. Trubia M, Sessa L, Taramelli R. Mammalian Rh/T2/Sglycoprotein ribonuclease family genes: cloning of a human member located in a region of chromosome 6 (6q27) frequently deleted in human malignancies. Genomics 1997;42:342-344. Acquati F, Possati L, Ferrante L, Campomenosi P, Talevi S, Bardelli S, Margiotta C, Russo A, Bortoletto E, Rocchetti R, Calza R, Cinquetti R, Monti L, Salis S, Barbanti-Brodano G, Taramelli R. Tumor and metastasis suppression by the human RNASET2 gene. Int J Oncol 2005;26:1159-1168. Acquati F, Morelli C, Cinquetti R, Bianchi MG, Porrini D, Varesco L, Gismondi V, Rocchetti R, Talevi S, Possati L, Magnanini C, Tibiletti MG, Bernasconi B, Daidone MG, Shridhar V, Smith DI, Negrini M, Barbanti-Brodano G, Taramelli R. Cloning and characterization of a senescence inducing and class II tumor suppressor gene in ovarian carcinoma at chromosome region 6q27. Oncogene 2001;20:980-988. Campomenosi P, Salis S, Lindqvist C, Mariani D, Nordström T, Acquati F, Taramelli R. Characterization of RNASET2, the first human member of the Rh/T2/S family of glycoproteins. Arch Biochem Biophys 2006;449:17-26. This article should be referenced as such: Acquati F, Campomenosi P. RNASET2 (ribonuclease T2). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):219-221. Acquati F, Nucci C, Bianchi MG, Gorletta T, Taramelli R. Molecular cloning, tissue distribution, and chromosomal Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 221 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens Sreeparna Banerjee, Asli Erdog Department of Biology, Middle East Technical University, Ankara 06531, Turkey (SB); Department of Biotechnology, Middle East Technical University, Ankara 06531 Turkey (AE) Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/ALOX12ID620ch17p13.html DOI: 10.4267/2042/38447 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 genes, including ALOX12, are clustered on the short arm of chromosome 17 within a few megabases of each other. ALOX15, which has 86% sequence homology to ALOX12, is in closest proximity (17p13.2). Since chromosome 17 is known for gene duplications, the multiple LOX genes on the same chromosome may be as a result of such duplications. Identity Hugo: ALOX12 Other names: 12-LOX; 12S-type; 12(S)-lipoxygenase; EC 1.13.11.31; LOG12 Location: 17p13.1 Local order: According to NCBI Map Viewer, genes flanking ALOX15 in centromere to telomere direction on 17p13 are: GABARAP 17p13.1 GABA(A) receptorassociated protein, ASGR2 asialoglycoprotein receptor 2, ALOX12 17p13.1 arachidonate 12-lipoxygenase (Homo sapiens), ALOX12P2 17p13 arachidonate 12lipoxygenase pseudogene 2, TEKT1 tektin 1, FBXO39 F-box protein 39. Note: Arachidonate 12-Lipoxygenase (12-LOX) is one of several LOX isoforms that has iron as a cofactor and oxygenates polyunsaturated fatty acids. This particular isoform was also the first documented LOX in the animal kingdom. Description According to Entrez-Gene, ALOX12 gene maps to NC_000017.9 and spans a region of 16.1 kilo bases. According to Spidey (mRNA to genomic sequence alignment tool), ALOX15 has 14 exons, the sizes being 168, 202, 82, 123, 104, 161, 144, 210, 87, 170, 122, 101, 171 and 490 bp. Transcription ALOX12 mRNA NM_000697 has 2335bp. Characterization of the 5' flanking region of the human ALOX12 in epidermoid carcinoma A431 cells indicated the presence of two Sp1 recognition motifs residing at -158 to -150 bp and -123 to -114 bp which are essential for gene expression. DNA/RNA Note: With the exception of ALOX5, all human LOX Diagram of the ALOX12 gene. Exons are represented by grey boxes (in scale) untranscribed sequences in black, with exon numbers on the bottom. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 222 ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens Banerjee S, Erdog A The proposed mechanism of action is as follows: epidermal growth factor induces MAPK activation in cells, followed by the activation of JUN/AP1. The biosynthesis of c-Jun is thereby increased. Sp1 recruits HDAC1 together with c-Jun to the gene promoter. When Sp1 is deacetylated it interacts with acetylate histone 3, following which p300 is recruited to the gene promoter leading to the enhancement of the expression of 12(S)-lipoxygenase. Function 12-LOX is a member of the inflammatory leukotriene biosynthesis pathway where, in presence of molecular oxygen, it converts arachidonic acid to 12hydroxyeicosatetraenoic acid (12-HETE). The leukocyte type 12-LOX can, in addition, effectively oxygenate linoleic acid and phospholipids. This isoform can also generate significant amounts of the 15-LOX product in addition to 12-HETE. Pseudogene Homology According to Entrez Gene the arachidonate 12lipoxygenase pseudogene (ALOX12P2) (HGNC: 13742) is located on 17p13.1. This is the 'epidermal type' 12-LOX (e-12LO) that was cloned using a murine e-LO12 probe. Humans express this functional pseudogene in the skin and hair follicles. C. familiaris: LOC479476 similar to arachidonate 12lipoxygenase, P. troglodytes: ALOX12, R. norvegicus: Alox12 (predicted), M. musculus: Alox12 arachidonate 12-lipoxygenase (12/15LOX), D. rerio: wufb72a11. Implicated in Protein Inflammation and cancer Note: End product of arachidonic acid metabolism by the platelet-type 12-LOX 12(S)-Hydroxy eicosatetraenoic acid (12(S)-HETE) is shown to induce invasion, motility, and angiogenesis and protect tumour cells from apoptosis. Great many biological activities of 12(S)-HETE appear to be partly mediated by the activation of NF-kappaB. NF-kappaB is a family of five DNA binding proteins that regulate the expression of a variety of genes involved in host immune responses and inflammation. A direct relationship between platelet-type 12-LOX overexpression and NFkappaB activation is reported in prostate cancer cells. Note: 12S-lipoxygenases has three isoforms, named after their site of initial identification: platelet, leukocyte and epidermis. The leukocyte-type enzyme is expressed widely, while the platelet and epidermal enzymes are present in only a relatively limited number of cell types. Owing to the similarities in their genetic location, sequence and biological activities, leukocyte 12-LOX and 15-LOX-1 are often referred to as 12/15 lipoxygenase. Description 12-LOX protein consists of 662 amino acids, with a molecular weight of 75536 Da and contains non heme iron as a cofactor. According to the NCBI conserved domain search, the presence of a polycystin/lipoxygenase/alpha-toxin (PLAT) domain in the 12-LOX protein allows it access and enables it to catalyze enzymatic lipid peroxidation in complex biological structures via direct dioxygenation of phospholipids and cholesterol esters of biomembranes and plasma lipoproteins. The same conserved domain in 15-LOX-1 also enables it to oxidize complex lipids. Although cytosolic, both types of enzymes need this domain to access their sequestered membrane or micelle bound substrates. Polymorphisms associated with diseases Note: Aberrant arachidonic acid metabolism by 12lipoxygenase (12-LOX) is implicated in carcinogenesis. Genetic polymorphisms 12-LOX is therefore thought to influence its function and/or expression and may modify the risk for colorectal adenoma. One of the single nucleotide polymorphisms (SNPs) reported in the 12-LOX gene located in exon 6 resulting in an Arg to Gln substitution at amino acid 261 of 12-LOX is in a highly conserved region of the lipoxygenase domain. Data from a community-based, case-control study of incident, sporadic colorectal adenoma that included 162 cases and 211 controls have shown an inverse association between the Arg261Gln polymorphism in 12-LOX and colorectal adenoma (OR, 0.63; 95% CI, 0.40-1.00). A significant interaction also is observed between the 12-LOX polymorphism (Arg261Gln) and the use of nonsteroidal anti-inflammatory drugs. Another study argues that Gln261Arg in ALOX12 does not appear to be associated with colon cancer risk. Studies have shown higher urinary excretion of the arachidonic acid-derived metabolite 12(S)hydroxyeicosatetraenoic acid (12(S)-HETE) in essential hypertension. For analysis of the association Expression The platelet type 12-LOX is expressed in the platelets and skin in humans. Based on structural and enzymatic properties, 15-LOX-1 is said to be a homolog of leukocyte type 12-LOX and are both expressed in mast cells, eosinophils, activated monocytes or dendritic cells, and bronchial epithelial cells. Localisation All 12-LOX isoforms have been localized to the cytoplasm. In addition, the platelet-type 12Slipoxygenase was found in both cytosol and microsomal fractions of epidermal cells of human skin. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 223 ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens Banerjee S, Erdog A of polymorphisms in ALOX12 with hypertension and urinary levels of 12(S)-HETE, a study with 200 patients with essential hypertension and 166 matched controls is performed and as a result, the distribution of genotypes of the R261Q (Arg to Gln) polymorphism is found to be significantly different between patients and controls. These results indicate that a nonsynonymous polymorphism in ALOX12 is associated to essential hypertension and to urinary levels of 12(S)-HETE. Peak BMD is a major determinant of osteoporosis which is a complex disease with both genetic and environmental risk factors. In a population - and family - based association study of ALOX15 and ALOX12, SNPs distributed across the two genes are genotyped. Moderate evidence of association is found between spine BMD and six SNPs in the ALOX12 gene in both men and women. These data conclude that polymorphisms in the ALOX12 gene may contribute to normal variation in spine BMD. increase in PI3-kinase activity in 12-LOX-transfected PC-3 cells. The expression of 12-LOX is detected to be low in benign prostatic hyperplasia and normal prostate tissues, whereas marked expression of 12-lipoxygenase is detected in prostatic intraepithelial neoplasia and prostate cancer tissues. The LOX inhibitors cause marked cellular death through apoptosis in prostate cancer cells in a concentration and time-dependent manner. Another effect of 12-LOX in prostate cancer cells is that increase in 12-LOX expression enhances the metastatic potential of human prostate cancer cells. 12LOX transfected PC-3 cells show a significant change in cell adhesiveness, spreading, motility, and invasiveness. Breast cancer Note: Total cellular RNA extraction from 64 frozen tissue samples of breast carcinoma and their corresponding normal adjacent tissues is performed for expression analysis of cyclooxygenase-2 and 12lipooxygenase using RT-PCR. 62.5% of carcinoma samples showed over-expression of 12-lipooxygenase as compared to normal breast tissues. Results also reveal that and 12-lipooxygenase mRNA expressions are associated with TNM staging in human breast cancer. A second study indicates that levels of 12lipoxygenases together with 5-lipoxygenase are also particularly high in tumours from patients who died of breast cancer. Therefore raised level of 12lipoxygenase might have prognostic value in patients with breast cancer. Alzheimer's disease Note: Alzheimer's disease (AD) is a chronic neurodegenerative disorder that impairs cognition and behavior. Although the initiating molecular events are not known, increasing evidence suggests that 12/15LOX is a major source of oxidative stress which could play a functional role in pathogenesis. Quantitative Western blot analysis confirmed by immunohistochemical studies demonstrate that in affected frontal and temporal regions of AD brains, the amount of 12/15-LOX is higher compared to controls. Also metabolic products of 12/15-LOX are markedly elevated in AD brains compared to controls. Bladder cancer Note: 12-LOX expression is shown to be induced in bladder cancer tissues by an immunohistochemistry analysis. Also lipoxygenase inhibitors cause marked inhibition of bladder cancer cells in a concentration and time dependent manner. Cells treated with lipoxygenase inhibitors show chromatin condensation, cellular shrinkage, small membrane bound bodies (apoptotic bodies) and cytoplasmic condensation. References Testicular cancer Liu YW, Arakawa T, Yamamoto S, Chang WC. Transcriptional activation of human 12-lipoxygenase gene promoter is mediated through Sp1 consensus sites in A431 cells. Biochem J 1997;324 (1):133-140. Takahashi Y, Glasgow WC, Suzuki H, Taketani Y, Yamamoto S, Anton M, Kühn H, Brash AR. Investigation of the oxygenation of phospholipids by the porcine leukocyte and human platelet arachidonate 12-lipoxygenases. Eur J Biochem 1993;218:165-171. Yoshimoto T, Yamamoto S. Arachidonate 12-lipoxygenase. J Lipid Mediat Cell Signal 1995;12(2-3):195-212. Note: 12-LOX is only slightly expressed in normal testis tissues, however, 12-LOX expression is found to be significant in testicular cancer tissues by immunohistochemistry studies. Specific LOX inhibitors have also been shown to inhibit the growth of testicular cancer in cell lines. Sun D, Elsea SH, Patel PI, Funk CD. Cloning of a human epidermal-type 12-lipoxygenase-related gene and chromosomal localization to 17p13. Cytogenet Cell Genet 1998;81(1):79-82. McDonnell M, Li H, Funk CD. Characterization of epidermal 12(S) and 12(R) lipoxygenases. Adv Exp Med Biol 2002;507:147-153. Prostate cancer Note: Research focusing on mechanisms of action of 12-lipoxygenase in prostate cancer cells revealed that overexpression of 12-lipoxygenase in PC-3 cells results in a 3-fold increase in VEGF protein level when compared with vector control cells and there is an Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Jiang WG, Douglas-Jones A, Mansel RE. Levels of expression of lipoxygenases and cyclooxygenase-2 in human breast cancer. Prostaglandins Leukot Essent Fatty Acids 2003;69:275-281. Kandouz M, Nie D, Pidgeon GP, Krishnamoorthy S, Maddipati KR, Honn KV. Platelet-type 12-lipoxygenase activates NF- 224 ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens Banerjee S, Erdog A kappaB in prostate cancer cells. Prostaglandins Other Lipid Mediat 2003;71:189-204. Ichikawa S, Koller DL, Johnson ML, Lai D, Xuei X, Edenberg HJ, Klein RF, Orwoll ES, Hui SL, Foroud TM, Peacock M, Econs MJ. Human ALOX12, but not ALOX15, is associated with BMD in white men and women. J Bone Miner Res 2006;21:556-564. Nie D, Nemeth J, Qiao Y, Zacharek A, Li L, Hanna K, Tang K, Hillman GG, Cher ML, Grignon DJ, Honn KV. Increased metastatic potential in human prostate carcinoma cells by overexpression of arachidonate 12-lipoxygenase. Clin Exp Metastasis 2003;20:657-663. Mohammad AM, Abdel HA, Abdel W, Ahmed AM, Wael T, Eiman G. Expression of cyclooxygenase-2 and 12lipoxygenase in human breast cancer and their relationship with HER-2/neu and hormonal receptors: impact on prognosis and therapy. Indian J Cancer 2006;43:163-168. Yoshimura R, Matsuyama M, Tsuchida K, Kawahito Y, Sano H, Nakatani T. Expression of lipoxygenase in human bladder carcinoma and growth inhibition by its inhibitors. J Urol 2003;170:1994-1999. Goodman JE, Bowman ED, Chanock SJ, Alberg AJ, Harris CC. Arachidonate lipoxygenase (ALOX) and cyclooxygenase (COX) polymorphisms and colon cancer risk. Carcinogenesis 2004;25:2467-2472. Nie D, Krishnamoorthy S, Jin R, Tang K, Chen Y, Qiao Y, Zacharek A, Guo Y, Milanini J, Pages G, Honn KV. Mechanisms regulating tumor angiogenesis by 12lipoxygenase in prostate cancer cells. J Biol Chem 2006 ;281:18601-18609. Matsuyama M, Yoshimura R, Mitsuhashi M, Hase T, Tsuchida K, Takemoto Y, Kawahito Y, Sano H, Nakatani T. Expression of lipoxygenase in human prostate cancer and growth reduction by its inhibitors. Int J Oncol 2004;24:821-827. Quintana LF, Guzmán B, Collado S, Clària J, Poch E. A coding polymorphism in the 12-lipoxygenase gene is associated to essential hypertension and urinary 12(S)-HETE. Kidney Int 2006;69:526-530. Praticò D, Zhukareva V, Yao Y, Uryu K, Funk CD, Lawson JA, Trojanowski JQ, Lee VM. 12/15-lipoxygenase is increased in Alzheimer's disease: possible involvement in brain oxidative stress. Am J Pathol 2004;164:1655-1662. Tan W, Wu J, Zhang X, Guo Y, Liu J, Sun T, Zhang B, Zhao D, Yang M, Yu D, Lin D. Associations of functional polymorphisms in cyclooxygenase-2 and platelet 12-lipoxygenase with risk of occurrence and advanced disease status of colorectal cancer. Carcinogenesis 2006 Dec 6. Yoshimura R, Matsuyama M, Mitsuhashi M, Takemoto Y, Tsuchida K, Kawahito Y, Sano H, Nakatani T. Relationship between lipoxygenase and human testicular cancer. Int J Mol Med 2004;13:389-393. Gong Z, Hebert JR, Bostick RM, Deng Z, Hurley TG, Dixon DA, Nitcheva D, Xie D. Common polymorphisms in 5lipoxygenase and 12-lipoxygenase genes and the risk of incident, sporadic colorectal adenoma. Cancer 2007;109:849857. Chang WC, Chen BK. Transcription factor Sp1 functions as an anchor protein in gene transcription of human 12(S)lipoxygenase. Biochem Biophys Res Commun 2005;338(1):117-121. This article should be referenced as such: Banerjee S, Erdog A. ALOX12 (arachidonate 12-lipoxygenase) Homo sapiens. Atlas Genet Cytogenet Oncol Haematol.2007; 11(3):222-225. Hung JJ, Wang YT, Chang WC. Sp1 deacetylation induced by phorbol ester recruits p300 to activate 12(S)-lipoxygenase gene transcription. Mol Cell Biol 2006;26(5):1770-1785. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 225 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review IL6 (interleukin 6 (interferon beta 2)) Stefan Nagel, Roderick AF MacLeod DSMZ - Deutsche Sammlung von Mikroorganismen und Zellkulturen, Mascheroder Weg 1b 38124, Braunschweig, Germany Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/IL6ID519ch7p15.html DOI: 10.4267/2042/38448 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 Homology Identity IL6 shares sequence homology with IL23 (IL23A) and G-CSF (CSF3). Hugo: IL6 Other names: interleukin 6; interferon beta 2; IL-6; HSF; HGF; CDF; BSF2; IFNB2 Location: 7p15.3 Local order: cen. - RAPGEF5- LOC221838 - IL6 TOMM7 - DRCTNNB1A - tel. Mutations Note: G/C polymorphism at nucleotide -174 (promoter region) Breast cancer prognosis differs between populations. Despite its lower incidence in Blacks when compared to Caucasians, mortality among the former is higher. Genetic factors involved in the molecular pathways regulating tumor development have been adduced to explain these differences, and it has been suggested that the IL-6 gene is a susceptibility factor underlying ethnic differences in breast cancer survival. Reports of a G/C polymorphism at nucleotide -174 within the promoter region of the IL-6 gene support this contention. This polymorphism modulates IL-6 expression and allele/genotype frequencies at the -174 site differ significantly between ethnic groups. DNA/RNA The gene for IL6 is shown in light blue and comprizes 6 exons (with 375 bp, 103 bp, 191 bp, 114 bp, 147 bp and 542 bp in length) and 5 introns (with 920 bp, 162 bp, 1058 bp, 707 bp and 1745 bp in length). The coding part is shown in dark blue. Description 6 exons. Transcription Implicated in 1472 bp transcript with a 639 bp of coding sequence. Various cancers Protein Note: Although IL6 necessary to support growth of multiple myeloma cells, and is upregulated in certain tumor types, notably lung (squamous), bladder and prostate carcinomas, no recurrent chromosome rearrangements at 7p21 or IL6 rearrangements have been observed in these neoplasms. Breast cancer Cytogenetics No rearrangements reported. Oncogenesis Some cytokines, including IL-6, stimulate breast cancer proliferation or invasion and serve as negative The IL6 protein (shown in light green) shares C-terminal a homologous region (shown in dark green) also found in IL23A and CSF3. Description 212 amino acids, 23.7 kd, containing 4 alpha-helices. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 226 IL6 (interleukin 6 (interferon beta 2)) Nagel S, MacLeod RAF prognostic indicators. Hitherto IL-2, IFNalpha, IFNbeta IFNgamma, IL-6, IL-12 have been used for anti tumour treatment of advanced breast cancer either to induce or increase hormone sensitivity and/or to stimulate cellular immunity. Cytokines, such as IL-6 play a key role in regulating estrogen synthesis in normal and malignant breast tissues. The activities of estradiol 17beta-hydroxysteroid dehydrogenase and estrone sulfatase are all increased by IL-6. Prostaglandin E2 may also be an important regulator of estradiol activity in breast tumors while invading macrophages and lymphocytes may also stimulate estrogen synthesis in breast cancers. Prostate cancer Cytogenetics No rearrangements reported. Oncogenesis IL-6 induces divergent proliferative responses in prostate cells. IL-6 is expressed in benign and malignant prostate tissue and levels of both IL-6 and IL-6R increase during prostate carcinogenesis. Serum levels of IL-6 are elevated in patients with treatmentrefractory prostate carcinoma.IL-6 has also been shown to promote prostate cell growth, except in LNCaP cells, in which arrest and differentiation are produced. IL-6 induces activation of the androgen receptor (AR) in the absence of androgen. IL-6 also modulates vascular endothelial growth factor expression and neuroendocrine differentiation in prostate cells. AntiIL-6 antibodies showed an inhibitory effect on PC-3 xenografts. Hence, IL-6 is widely considered a promising potential therapeutic target in prostate cancer. Androgen receptor (AR), which is generally expressed in prostate cancers, promotes tumor progression in various ways, including ligand-independent activation. IL-6 is among the most important nonsteroidal regulators of AR activity reaching about half the maximum levels achieved by AR alone. At low concentrations of androgen, IL-6 and androgen operate synergistically to activate AR. In prostate carcinoma cells homeodomain protein GBX2 was identified to contribute directly to IL6 expression by binding within the promoter region containing the consensus sequence for GBX2. Multiple myeloma Cytogenetics No rearrangements reported. Oncogenesis Although interleukin-6 (IL-6) is considered as a key growth factor for myeloma cells, only a few subpopulations of tumor cells, such as CD45(+) immature cells, proliferate in response to IL-6. However, increasing numbers of cytokines, chemokines and cell-to-cell contacts been support growth of MM cells. It has repeatedly shown that oncogenic mutations as well as the bone marrow matrix (BMM) stimulate IL-6-independent signalling pathways that protect MM cells from apoptosis.Hyperdiploid MM tumors contain multiple trisomies involving chromosomes 3, 5, 7, 9, 11, 15, 19, and 21, but rarely have IgH translocations, although CCND-1/CCND-2/CCND-3 dysregulation appears to occur as an early event. This may sensitize these cells to proliferative stimuli, resulting in selective expansion as a result of interaction with BMM that produce IL-6 and other cytokines. Three types of growth factors have been identified in plasma cells: - The IL-6 family cytokines, which activate the Janus kinase-signal transducer and activator of transcription (JAK/STAT) and mitogen-activated protein (MAP) kinase pathways; - Growth factors activating the phosphatidylinositol (PI)-3 kinase/AKT and MAP kinase pathways, and - B-cell-activating factor (BAFF) or proliferationinducing ligand (APRIL). These growth factors may operate synergetically being co-localized together with cytoplasmic transduction elements in membrane caveolae. Proteasome inhibitors are emerging as a promising class of anti-cancer therapeutic agents in MM, e.g. bortezomib which inhibits NF-kappaB translocation/transcription and critical signalling pathways, notably IL-6-induced proliferation and/or survival. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Hodgkin lymphoma Cytogenetics No rearrangements detected. Oncogenesis Hodgkin lymphoma (HL) cells express multiple cytokines, notably IL6, which contributes to the immunoreactive phenotype and of which high levels are associated with bad prognosis. Both transcription factors, NFkB and AP1 are constitutively activated in in HL cells driving expression of IL6 and also disturbing the pro/anti-apoptotic balance. Additionally, homeodomain protein HLXB9 contributes to the IL6 expression. HLXB9 is closely related to homeodomain protein GBX2 contributing to IL6 expression in prostate carcinoma cells. So, tumor type specific homeobox genes are involved in high level expression of IL6. Cancer cachexia Cytogenetics No rearrangements reported. 227 IL6 (interleukin 6 (interferon beta 2)) Nagel S, MacLeod RAF kinases in myeloma cell proliferation. Leuk Lymphoma 2003;44(9):1477-1481. (Review). Oncogenesis Unlike acute inflammation which is a defense response, chronic inflammation may promote cancer. Several pro-inflammatory gene products modulate apoptosis, proliferation, angiogenesis, invasion, and metastasis, including IL-6, which is subject to regulation by NFkB, which is constitutively active in most tumors. About one-in-three cancer deaths are due to cachexia (wasting) following the hypercatabolism of the body's carbon sources. Tumor-inflammatory responses encompass synthesis of cytokines, including IL-6 which induces cachexia by altering lipids and protein metabolism. IL-6-like cytokines inhibit lipid biosynthesis by adipocytes and cause the atrophy and increased catabolism of muscle protein. Reduced serum IL-6 levels induced by medroxyprogesterone acetate has been reported to exert an anti-cachectic effect in advanced breast cancer. Klein B, Tarte K, Jourdan M, Mathouk K, Moreaux J, Jourdan E, Legouffe E, De Vos J, Rossi JF. Survival and proliferation factors of normal and malignant plasma cells. Int J Hematol 2003;78(2):106-113. (Review). Otsuki T, Sakaguchi H, Hatayama T, Wu P, Takata A, Hyodoh F. Effects of all-trans retinoic acid (ATRA) on human myeloma cells. Leuk Lymphoma 2003;44(10):1651-1656. (Review). Trikha M, Corringham R, Klein B, Rossi JF. Targeted antiinterleukin-6 monoclonal antibody therapy for cancer: a review of the rationale and clinical evidence. Clin Cancer Res 2003;9(13):4653-4665. (Review). Berger FG. The interleukin-6 gene: a susceptibility factor that may contribute to racial and ethnic disparities in breast cancer mortality. Breast Cancer Res Treat 2004;88(3):281-285. (Review). Hideshima T, Bergsagel PL, Kuehl WM, Anderson KC. Advances in biology of multiple myeloma: clinical applications. Blood 2004;104(3):607-618. (Review). Tohnya TM, Figg WD. Immunomodulation of multiple myeloma. Cancer Biol Ther 2004;3(11):1060-1061. (Review). References Atreya R, Neurath MF. Involvement of IL-6 in the pathogenesis of inflammatory bowel disease and colon cancer. Clin Rev Allergy Immunol 2005;28(3):187-196. (Review). Van Damme J, Opdenakker G, Simpson RJ, Rubira MR, Cayphas S, Vink A, Billiau A, Van Snick J. Identification of the human 26-kD protein, interferon beta 2 (IFN-beta 2), as a B cell hybridoma/plasmacytoma growth factor induced by interleukin 1 and tumor necrosis factor. J Exp Med 1987;165(3):914-919. Culig Z, Steiner H, Bartsch G, Hobisch A. Interleukin-6 regulation of prostate cancer cell growth. J Cell Biochem 2005;95(3):497-505. (Review). Goranov SE, Goranova-Marinova VS. Bortezomib (Velcade)--a new therapeutic strategy for patients with refractory multiple myeloma. Folia Med (Plovdiv) 2005;47(3-4):11-9. (Review). Bazan JF. Haemopoietic receptors and helical cytokines. Immunol. Today 1990;11:350-354. (Review). Hodge DR, Hurt EM, Farrar WL. The role of IL-6 and STAT3 in inflammation and cancer. Eur J Cancer 2005;41(16):25022512. (Review). Akira S. IL-6-regulated transcription factors. Int J Biochem Cell Biol 1997;29(12):1401-1418. (Review). Simpson RJ, Hammacher A, Smith DK, Matthews JM, Ward LD. Interleukin-6: structure-function relationships. Protein Sci 1997;6(5):929-955. (Review). Kishimoto T. Interleukin-6: from basic science to medicine--40 years in immunology. Annu Rev Immunol 2005;23:1-21. (Review). Gao AC, Lou W, Isaacs JT. Enhanced GBX2 expression stimulates growth of human prostate cancer cells via transcriptional up-regulation of the interleukin 6 gene. Clin Cancer Res 2000;6(2):493-497. Nagel S, Scherr M, Quentmeier H, Kaufmann M, Zaborski M, Drexler HG, MacLeod RA. HLXB9 activates IL6 in Hodgkin lymphoma cell lines and is regulated by PI3K signalling involving E2F3. Leukemia 2005;19(5):841-846. Kurebayashi J. Regulation of interleukin-6 secretion from breast cancer cells and its clinical implications. Breast Cancer 2000;7(2):124-129. (Review). Bommert K, Bargou RC, Stühmer T. Signalling and survival pathways in multiple myeloma. Eur J Cancer 2006;42(11):1574-1580. (Review). Barton BE. IL-6-like cytokines and cancer cachexia: consequences of chronic inflammation. Immunol Res 2001;23(1):41-58. (Review). Culig Z, Bartsch G. Androgen axis in prostate cancer. J Cell Biochem 2006;99(2):373-381. (Review). Culig Z, Bartsch G, Hobisch A. Interleukin-6 regulates androgen receptor activity and prostate cancer cell growth. Mol Cell Endocrinol 2002;197(1-2):231-238. (Review). Ishikawa H, Tsuyama N, Obata M, Kawano M. Related Mitogenic signals initiated via interleukin-6 receptor complexes in cooperation with other transmembrane molecules in myelomas. J Clin Exp Hematop 2006;46(2):55-66. (Review). Dalton WS. Drug resistance and drug development in multiple myeloma. Semin Oncol 2002;29(6 Suppl 17):21-25. (Review). Nicolini A, Carpi A, Rossi G. Cytokines in breast cancer. Cytokine Growth Factor Rev 2006;17(5):325-337. (Review). Purohit A, Newman SP, Reed MJ. The role of cytokines in regulating estrogen synthesis: implications for the etiology of breast cancer. Breast Cancer Res 2002;4(2):65-69. (Review). Scheller J, Ohnesorge N, Rose-John S. Interleukin-6 transsignalling in chronic inflammation and cancer. Scand J Immunol 2006;63(5):321-329. (Review). Culig Z. Role of the androgen receptor axis in prostate cancer. Urology 2003;62(5 Suppl 1):21-26. (Review). Scheller J, Rose-John S. Interleukin-6 and its receptor: from bench to bedside. Med Microbiol Immunol (Berl) 2006;195(4):173-183. (Review). Heinrich PC, Behrmann I, Haan S, Hermanns HM, MüllerNewen G, Schaper F. Principles of interleukin (IL)-6-type cytokine signalling and its regulation. Biochem J 2003;374(Pt 1):1-20. This article should be referenced as such: Nagel S, MacLeod RAF. IL6 (interleukin 6 (interferon beta 2)). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):226-228. Ishikawa H, Tsuyama N, Abroun S, Liu S, Li FJ, Otsuyama K, Zheng X, Kawano MM. Interleukin-6, CD45 and the src- Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 228 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review KLF6 (Krüppel like factor 6) Scott L Friedman, Goutham Narla, John A Martignetti Division of Liver Diseases, Box 1123, Mount Sinai School of Medicine, 1425 Madison Ave., Room 11-70C, New York, NY 10029-6574, USA Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/KLF6ID44002ch10p15.html DOI: 10.4267/2042/38449 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 Localisation Hugo: KLF6 Other names: BCD1; COPEB (Core promoter binding protein); CPBP; GBF; PAC1; ST12; Zf9 Location: 10p15.1 Found in both nucleus and cytoplasm, but predominantly nuclear. Splice variants SV1 and SV2 primarily cytoplasmic and believed to be the result of loss of nuclear localization signal (NLS). Splice variant 3 retains the NLS. DNA/RNA Function Description Tumor suppressor gene, immediate early gene in tissue injury and fibrosis, during adenoviral and pseudomonas infections and during ischemic reperfusion in kidney. Transactivator of multiple target genes including p21, TGFbeta1, TGFbeta receptors type II and TGFbeta receptors type III, human keratin 4 and 12 genes: inducible nitric oxide synthase, endoglin, insulin-like growth factor receptor 1, multi-drug resistance transporters, E-cadherin, leukotriene C(4)(LTC4S), laminin 111, acid ceramidase, alpha 1 proteinase inhibitor. Suppresses growth by inducing p21, sequestering cyclin D1 and/or inhibiting c-jun oncogene. Promotes differentiation of preadipocytes to adipocytes in culture and hepatocytes in vivo. Contributes to fetal development of mouse cornea and lens; and immune and hematopoietic systems by contributing to hemangioblast phenotype. Interacts with the core promoter element of a TATA box-less gene. Induces apoptosis of lung cancer cells. Spans 11 kb; five exons; 4 CDS exons. Transcription Full length transcript of 4.1 kb, open reading frame 849 bp. There are at least three alternative splice transcripts. Protein Description Full length transcript encodes a 283 amino acids protein, 42 kDa, with a 201 amino acids transactivation domain and an 82 amino acids DNA binding domain with 3 C2H2 zinc fingers. There is at least one putative nuclear localization signal immediately 5' to the DNA binding domain. There are at least three alternative splice transcripts encoding proteins of 195 (KLF6-SV1), 237 (KLF6SV3), and 241 amino acids (KLF6-SV2). Several post-translational modifications including phosphorylation, ubiquitinylation, acetylation are suggested based on encoded protein sequence motifs. Homology The 47 N-terminal amino acids are identical to KLF7, and the 82 amino acids DNA binding domain highly homologous to other members of the KLF family. Also homologous to the Drosophila Luna gene. Expression Ubiquitously expressed in adult tissues, restricted during embryogenesis but includes placenta, neural and non-neural tissues, and cornea. Full-length KLF6 downregulated in many human cancers (see below). Expression pattern of KLF6 splice variants may be upregulated. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 229 KLF6 (Kruppel like factor 6) Friedman SL et al. Mutations between Sp1 and KLF6: their potential role in the response to vascular injury. Blood 2002;100(12):4001-4010. Germinal Chiambaretta F, Blanchon L, Rabier B, Kao WW, Liu JJ, Dastugue B, Rigal D, Sapin V. Regulation of corneal keratin-12 gene expression by the human Krüppel-like transcription factor 6. Invest Ophthalmol Vis Sci 2002;43(11):3422-3429. None identified to date. However, a germline single nucleotide intronic polymorphism (IVS1-27 G > A) has been identified that creates a novel SRp40 DNA binding site, therby increasing the generation of three alternatively spliced mRNAs, and which is associated with an increased risk of prostate cancer. Other low frequency coding and non-coding SNPs have been identified. Yasuda K, Hirayoshi K, Hirata H, Kubota H, Hosokawa N, Nagata K. The Krüppel-like factor Zf9 and proteins in the Sp1 family regulate the expression of HSP47, a collagen-specific molecular chaperone. J Biol Chem 2002;277(47):44613-44622. Chen C, Hyytinen ER, Sun X, Helin HJ, Koivisto PA, Frierson HF Jr, Vessella RL, Dong JT. Deletion, mutation, and loss of expression of KLF6 in human prostate cancer. Am J Pathol 2003;162(4):1349-1354. Somatic De Graeve F, Smaldone S, Laub F, Mlodzik M, Bhat M, Ramirez F. Identification of the Drosophila progenitor of mammalian Krüppel-like factors 6 and 7 and a determinant of fly development. Gene 2003;314:55-62. A number of somatic mutations were originally identified in prostate cancer and shown to result in loss of function. These include Trp64Arg, Ser116Pro, Ala123Asp and Ser137X. Jeng YM, Hsu HC. KLF6, a putative tumor suppressor gene, is mutated in astrocytic gliomas. Int J Cancer 2003;105(5):625629. References Warke VG, Nambiar MP, Krishnan S, Tenbrock K, Geller DA, Koritschoner NP, Atkins JL, Farber DL, Tsokos GC. Transcriptional activation of the human inducible nitric-oxide synthase promoter by Krüppel-like factor 6. J Biol Chem 2003;278(17):14812-14819. Kim Y, Ratziu V, Choi SG, Lalazar A, Theiss G, Dang Q, Kim SJ, Friedman SL. Transcriptional activation of transforming growth factor beta1 and its receptors by the Krüppel-like factor Zf9/core promoter-binding protein and Sp1. Potential mechanisms for autocrine fibrogenesis in response to injury. J Biol Chem 1998;273(50):33750-33758. Benzeno S, Narla G, Allina J, Cheng GZ, Reeves HL, Banck MS, Odin JA, Diehl JA, Germain D, Friedman SL. Cyclindependent kinase inhibition by the KLF6 tumor suppressor protein through interaction with cyclin D1. Cancer Res 2004;64(11):3885-3891. Ratziu V, Lalazar A, Wong L, Dang Q, Collins C, Shaulian E, Jensen S, Friedman SL. Zf9, a Krüppel-like transcription factor up-regulated in vivo during early hepatic fibrosis. Proc Natl Acad Sci USA 1998;95(16):9500-9505. Ito G, Uchiyama M, Kondo M, Mori S, Usami N, Maeda O, Kawabe T, Hasegawa Y, Shimokata K, Sekido Y. Krüppel-like factor 6 is frequently down-regulated and induces apoptosis in non-small cell lung cancer cells. Cancer Res 2004;64(11):3838-3843. Kojima S, Hayashi S, Shimokado K, Suzuki Y, Shimada J, Crippa MP, Friedman SL. Transcriptional activation of urokinase by the Krüppel-like factor Zf9/COPEB activates latent TGF-beta1 in vascular endothelial cells. Blood 2000;95(4):1309-1316. Kimmelman AC, Qiao RF, Narla G, Banno A, Lau N, Bos PD, Nuñez Rodriguez N, Liang BC, Guha A, Martignetti JA, Friedman SL, Chan AM. Suppression of glioblastoma tumorigenicity by the Krüppel-like transcription factor KLF6. Oncogene 2004;23(29):5077-5083. Okano J, Opitz OG, Nakagawa H, Jenkins TD, Friedman SL, Rustgi AK. Krüppel-like transcriptional factors Zf9 and GKLF coactivate the human keratin 4 promoter and physically interact. FEBS Lett 2000;473(1):95-100. Kremer-Tal S, Reeves HL, Narla G, Thung SN, Schwartz M, Difeo A, Katz A, Bruix J, Bioulac-Sage P, Martignetti JA, Friedman SL. Frequent inactivation of the tumor suppressor Krüppel-like factor 6 (KLF6) in hepatocellular carcinoma. Hepatology 2004;40(5):1047-1052. Zhao JL, Austen KF, Lam BK. Cell-specific transcription of leukotriene C(4) synthase involves a Krüppel-like transcription factor and Sp1. J Biol Chem 2000;275(12):8903-8910. Blanchon L, Bocco JL, Gallot D, Gachon AM, Lémery D, Déchelotte P, Dastugue B, Sapin V. Co-localization of KLF6 and KLF4 with pregnancy-specific glycoproteins during human placenta development. Mech Dev 2001;105(1-2):185-189. Nakamura H, Chiambaretta F, Sugar J, Sapin V, Yue BY. Developmentally regulated expression of KLF6 in the mouse cornea and lens. Invest Ophthalmol Vis Sci 2004;45(12):43274332. Fischer EA, Verpont MC, Garrett-Sinha LA, Ronco PM, Rossert JA. Klf6 is a zinc finger protein expressed in a cellspecific manner during kidney development. J Am Soc Nephrol 2001;12(4):726-735. Reeves HL, Narla G, Ogunbiyi O, Haq AI, Katz A, Benzeno S, Hod E, Harpaz N, Goldberg S, Tal-Kremer S, Eng FJ, Arthur MJ, Martignetti JA, Friedman SL. Krüppel-like factor 6 (KLF6) is a tumor-suppressor gene frequently inactivated in colorectal cancer. Gastroenterology 2004;126(4):1090-1103. Laub F, Aldabe R, Ramirez F, Friedman S. Embryonic expression of Krüppel-like factor 6 in neural and non-neural tissues. Mech Dev 2001;106(1-2):167-170. Rubinstein M, Idelman G, Plymate SR, Narla G, Friedman SL, Werner H. Transcriptional activation of the insulin-like growth factor I receptor gene by the Krüppel-like factor 6 (KLF6) tumor suppressor protein: potential interactions between KLF6 and p53. Endocrinology 2004;145(8):3769-3777. Narla G, Heath KE, Reeves HL, Li D, Giono LE, Kimmelman AC, Glucksman MJ, Narla J, Eng FJ, Chan AM, Ferrari AC, Martignetti JA, Friedman SL. KLF6, a candidate tumor suppressor gene mutated in prostate cancer. Science 2001;294(5551):2563-2566. Slavin DA, Koritschoner NP, Prieto CC, Lopez-Diaz FJ, Chatton B, Bocco JL. A new role for the Krüppel-like transcription factor KLF6 as an inhibitor of c-Jun protooncoprotein function. Oncogene 2004;23(50):8196-8205. Botella LM, Sánchez-Elsner T, Sanz-Rodriguez F, Kojima S, Shimada J, Guerrero-Esteo M, Cooreman MP, Ratziu V, Langa C, Vary CP, Ramirez JR, Friedman S, Bernabeu C. Transcriptional activation of endoglin and transforming growth factor-beta signaling components by cooperative interaction Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Cho YG, Kim CJ, Park CH, Yang YM, Kim SY, Nam SW, Lee SH, Yoo NJ, Lee JY, Park WS. Genetic alterations of the KLF6 gene in gastric cancer. Oncogene 2005;24(28):4588-4590. 230 KLF6 (Kruppel like factor 6) Friedman SL et al. Gehrau RC, D'Astolfo DS, Prieto C, Bocco JL, Koritschoner NP. Genomic organization and functional analysis of the gene encoding the Krüppel-like transcription factor KLF6. Biochim Biophys Acta 2005;1730(2):137-146. DiFeo A, Narla G, Camacho-Vanegas O, Nishio H, Rose SL, Buller RE, Friedman SL, Walsh MJ, Martignetti JA. E-cadherin is a novel transcriptional target of the KLF6 tumor suppressor. Oncogene 2006;25(44):6026-6031. Li D, Yea S, Dolios G, Martignetti JA, Narla G, Wang R, Walsh MJ, Friedman SL. Regulation of Krüppel-like factor 6 tumor suppressor activity by acetylation. Cancer Res 2005;65(20):9216-9225. DiFeo A, Narla G, Hirshfeld J, Camacho-Vanegas O, Narla J, Rose SL, Kalir T, Yao S, Levine A, Birrer MJ, Bonome T, Friedman SL, Buller RE, Martignetti JA. Roles of KLF6 and KLF6-SV1 in ovarian cancer progression and intraperitoneal dissemination. Clin Cancer Res 2006;12(12):3730-3739. Li D, Yea S, Li S, Chen Z, Narla G, Banck M, Laborda J, Tan S, Friedman JM, Friedman SL, Walsh MJ. Krüppel-like factor-6 promotes preadipocyte differentiation through histone deacetylase 3-dependent repression of DLK1. J Biol Chem 2005;280(29):26941-26952. Matsumoto N, Kubo A, Liu H, Akita K, Laub F, Ramirez F, Keller G, Friedman SL. Developmental regulation of yolk sac hematopoiesis by Krüppel-like factor 6. Blood 2006;107(4):1357-1365. Narla G, Difeo A, Reeves HL, Schaid DJ, Hirshfeld J, Hod E, Katz A, Isaacs WB, Hebbring S, Komiya A, McDonnell SK, Wiley KE, Jacobsen SJ, Isaacs SD, Walsh PC, Zheng SL, Chang BL, Friedrichsen DM, Stanford JL, Ostrander EA, Chinnaiyan AM, Rubin MA, Xu J, Thibodeau SN, Friedman SL, Martignetti JA. A germline DNA polymorphism enhances alternative splicing of the KLF6 tumor suppressor gene and is associated with increased prostate cancer risk. Cancer Res 2005;65(4):1213-1222. Spinola M, Leoni VP, Galvan A, Korsching E, Conti B, Pastorino U, Ravagnani F, Columbano A, Skaug V, Haugen A, Dragani TA. Genome-wide single nucleotide polymorphism analysis of lung cancer risk detects the KLF6 gene. Cancer Lett, 2007. Yin D, Komatsu N, Miller CW, Chumakov AM, Marschesky A, McKenna R, Black KL, Koeffler HP. KLF6: mutational analysis and effect on cancer cell proliferation. Int J Oncol 2007;30(1):65-72. Narla G, DiFeo A, Yao S, Banno A, Hod E, Reeves HL, Qiao RF, Camacho-Vanegas O, Levine A, Kirschenbaum A, Chan AM, Friedman SL, Martignetti JA. Targeted inhibition of the KLF6 splice variant, KLF6 SV1, suppresses prostate cancer cell growth and spread. Cancer Res 2005;65(13):5761-5768. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) This article should be referenced as such: Friedman SL, Narla G, Martignetti JA. KLF6 (Krüppel like factor 6). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):229231. 231 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review MIRN21 (microRNA 21) Sadan Duygu Selcuklu, Mustafa Cengiz Yakicier, Ayse Elif Erson Biology Department, Room: 141, Middle East Technical University, Ankara 06531, Turkey Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/MIRN21ID44019ch17q23.html DOI: 10.4267/2042/38450 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 sequences of MIRN21 showed enrichment for Pol II but not Pol III. MIRN21 gene was shown to harbor a 5' promoter element. 1008 bp DNA fragment for MIRN21 gene was cloned (-959 to +49 relative to T1 transcription site, see Figure 1; A). Analysis of the sequence showed a candidate 'CCAAT' box transcription control element located approximately about 200 nt upstream of the T1 site. T1 transcription site was found to be located in a sequence similar to 'TATA' box (ATAAACCAAGGCTCTTACCATAGCTG). To test the activity of the element, about 1kb DNA fragment was inserted into the 5' end of firefly luciferase indicator gene and transfected into 293T cells. The sense orientation insert, unlike antisense, induced luciferase activity. pri-MIRN21 gene was reported to have two transcription sites, T1 and T2. T1 (identified by RACE, +1 start site) was reported as the minor transcription site and T2 (identified by RACE, +27 start site) as the major transcription start site. Based on the data of pmiR-21-luc expression plasmid, the endogenous priMIRN21 was suggested to utilize T1 and T2 sites for initiation of transcription (Figure 1; A). The maturation of miRNA gene involves sequential process. Pri-miRNA The miRNA genes are first transcribed in nucleus as long primary transcripts called pri-miRNA. The primary transcript for MIRN21 is found to be 3433-nt long. For localization of the pri-MIRN21 transcript, total, nuclear and cytoplasmic RNA fractions from HeLa cells were oligo-dT primed and reverse transcribed into cDNA. pri-MIRN21 transcript was found mainly in the nucleus as well as modest levels in the cytoplasm. Sequence: NCBI cDNA clone: BC053563. Length: 3389bp Identity Hugo: MIRN21 Other names: hsa-mir-21; miR-21 Location: 17q23.1 Location base pair: MIRN21 is located on chr17: 55273409-55273480 (+). Local order: Based on Mapviewer, genes flanking MIRN21 oriented from centromere to telomere on 17q23 are: - TMEM49, transmembrane protein 49, 17q23.1. - MIRN21, microRNA 21, 17q23.1. - TUBD1, tubulin, delta 1, 17q23.1. - LOC729565, similar to NADH dehydrogenase (ubiquinone) 1 beta subcomplex, 8, 19 kDa, 17q23.1. - RPS6KB1, ribosomal protein S6 kinase, 7 0kDa, polypeptide 1, 17q23.1. DNA/RNA Description The gene is located in an intergenic region. The length of MIRN21 gene is reported as 3433 nucleotides long. It overlaps with the 3' UTR end of the Transmembrane Protein 49 (TMEM 49) (also known as Human Vacuole Membrane Protein 1, VMP-1). Transcription RNA Pol II is suggested to be the most likely enzyme involved in miRNA transcription. However, current studies also provide evidences for RNA Pol III dependent transcription of few miRNAs interspersed among repetitive Alu elements. For MIRN21, the major RNA polymerase is likely to be RNA Pol II due to the presence of 5' cap and 3' poly (A) tail of the pri-MIRN21. Chromatin immunoprecipitation (ChIP) analysis of upstream Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 232 MIRN21 (microRNA 21) Selcuklu SD et al. Figure 1. A: Characterization of the full-length about 3433 nt pri-MIRN21. Open Reading frame analysis within the 3433 nucleotides identified a potential 124 amino acids long peptide. This uncharacterized ORF is located near the transcription start site (+114). This potential peptide sequence shows homology to a 180-amino-acid human protein. However, it is not clear yet if pri-MIRN21 functions as an mRNA as well. Figure 1. B: Stem-loop structure of MIRN21. incorporated in to a protein complex, RNA induced silencing complex (RISC), targeting a partially complementary target mRNA. MIRN21 is 22 nucleotides long. Sequence: UAGCUUAUCAGACUGAUGUUGA. Pre-miRNA The primary transcripts of microRNAs are processed by enzymatic microprocessor Drosha (RNase III enzyme) and DGCR8 (dsRNA binding protein) from their 3' and 5' cleavage sites into an intermediate stemloop precursor or pre-miRNA in the nucleus. The precursor of MIRN21 is 72 bases long (preMIRN21), forms a secondary structure, and contains the mature miRNA sequence, stem and terminal loop structures with 2-nt 3'overhang (Figure 1; B). The precursor is then transferred from nucleus to cytoplasm by the enzyme Exportin 5. In cytoplasm, a second RNase III enzyme, Dicer, removes terminal loop generating about 20-bp RNA duplex. Length: 72 bases Sequence: UGUCGGGUAGCUUAUCAGACUGAUGUUGACU GUUGAAUCUCAUGGCAACACCAGUCGAUGGG CUGUCUGACA (Figure 1; B). Mature MIRN21 The mature miRNA forms one strand of the RNA duplex. One strand is degraded and other is Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Pseudogene No reported pseudogenes. Protein Note: miRNAs are not translated into amino acids. Mutations Note: In a panel of 91 human cancer cell lines representing several human cancers, sequencing showed no sequence variations in mature miRNAs. In HCT-15 colon cancer cell line, pri-MIRN21 showed a A+29G (A/G) heterozygous variation (Figure 2). It was suggested that sequence variations in primiRNAs may cause structural alterations. However, the variation was not found to be affecting pri-MIRN21 processing when it was compared to the wild type. 233 MIRN21 (microRNA 21) Selcuklu SD et al. Figure 2. Localization of sequence variation in pri-MIRN21 in HTC-15 colon cancer cell line. Implicated in Breast Cancer Human neoplasms Disease RNAs from 76 breast cancer tumors and 14 cell lines were analyzed by using miRNA microarray and Northern blotting (10 normal samples were used for comparison and normalization). MIRN21 was upregulated and the results were confirmed by Northern blotting. Consistent with other studies, MIRN21 overexpression in breast tumors compared to matched normal breast tissues was verified by stem-loop RT real-time PCR and miRNA microarrays containing 157 mature human miRNAs. Oncogenesis Apoptosis: Inhibition of MIRN21 in breast cancer cell line MCF-7 by transfection of anti-mir-21 inhibitors (chemically modified oligonucleotides) showed growth inhibition. Treatment of transfected MCF-7 cell line with anticancer drug topotecan (TPT) caused cell growth inhibition by 40%. The results suggested suppression of MIRN21 gene could sensitize tumor cells to anticancer drugs. Inhibition of MIRN21 in a xenograft carcinoma mouse model verified tumor growth suppression. Transfection results of MCF-7 cells with a general caspase inhibitor suggested MIRN21 role in regulation of bcl-2 gene expression indirectly, possibly controlling expression of genes involved in apoptosis pathways including bcl-2. Note: Overexpression was fist shown in glioblastoma and then in papillary thyroid carcinoma (PTC), breast tumors and other various tumors (e.g. colorectal carcinoma, lung tumors, pancreatic tumors, prostate tumors, stomach tumors cholangiocarcinomas, neuroblastoma, hepatocellular carcinoma and uterine leiomyomas) and cervical adenocarcinoma cell line, HeLa. Relatively low expression was seen in cell lines HL-60 (promyelocytic leukemia), K562 (chronic myelogenous leukemia) and prostatic adenocarcinoma cell line. miRNA microarray data from 540 samples from 6 solid cancers (lung, stomach, prostate, colon, pancreatic and breast) showed overexpression of MIRN21 gene compared to normal cells. Glioblastoma Disease Overexpression of MIRN21 was first shown in malignant human brain tumor cells. When, human glioblastoma tumor tissues, 12 early passage cultures (passage 3) from high grade gliomas and 6 glioblastoma cell lines (A172, U87, U373, LN229, LN428 and LN308) were compared to non-neoplastic glial cells and a variety of mammalian tissues, MIRN21 was found to be strongly overexpressed in the neoplastic samples. Moreover, oligonucleotide microarrays specific for 180 human and mouse miRNAs and Northern blotting methods were used to profile expression of MIRN21. In glioblastoma tissues its expression showed 5 to 100 fold increase compared to non-neoplastic brain sample and 5 to 30 fold increase in cell lines compared to normal. Oncogenesis Apoptosis: Loss-of-function approach was used to identify the biological significance of MIRN21 in glioblastoma cells. Sequence specific inhibitors (2’-Omethyl-oligonucleotides) were used to knock-down MIRN21 transcript and apoptosis activity (caspase-3 and caspase-7 enzymatic activities) was measured. 48 hours post-transfection, caspase activity increased 3folds suggesting that MIRN21 acted as an antiapoptotic factor in glioblastoma cells through blocking expression of key apoptosis-enabling genes. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Pancreatic cancer Disease 16 pancreatic adenocarcinomas and 10 adjacent benign tissues compared to 6 normal pancreas samples were analyzed for MIRN21 precursor expression and compared to mature MIRN21 by using real-time PCR assay. The results were consistent between precursor and mature MIRN21 showing overexpression. Neuroblastoma Disease Neuroblastoma cell line, SH-SY5Y, was treated with a tumor promoting agent (12-O-tetradecanoyl phorbol 13-acetate (TPA)) to induce differentiation into a neuronal phenotype. Following stimulation, microarray analysis of stem-loop precursors was performed and MIRN21 showed 7-8 times higher expression 234 MIRN21 (microRNA 21) Selcuklu SD et al. compared to other up-regulated miRNAs showing 2-4 times relative increase. References Lung cancer Lee Y, Ahn C, Han J, Choi H, Kim J, Yim J, Lee J, Provost P, Rǻdmark O, Kim S, Kim VN. The nuclear Rnase III Drosha initiates microRNA processing. Nature 2003;425:415-418. Disease Analysis of 104 pairs of primary lung cancers and noncancerous lung tissues by microRNA microarray showed differential expression of mature MIRN21 among phenotypical and histological classifications. The results were confirmed by solution hybridization and RT-PCR. The results verified up-regulation of MIRN21 in lung cancer tissues compared to normals. Moreover, real time RT-PCR results for stem-loop precursor of MIRN21 showed at least 2-fold upregulation in 66% of 32 cases. Cai X, Hagedorn CH, Cullen BR. Human microRNAs are processed from capped, polyadenylated transcripts that can also function as mRNAs. RNA 2004;10:1957-1966. Calin GA, Sevignani C, Dumitru CD, Hyslop T, Noch E, Yendamuri S, Shimizu M, Rattan S, Bullrich F, Negrini M, Croce CM. Human microRNA genes are frequently located at fragile sites and genomic regions involved in cancers. PNAS 2004;101:2999-3004. Suh MR, Lee Y, Kim JY, Kim SK, Moon SH, Lee JY, Cha KY, Chung HM, Yoon HS, Moon SY, Kim VN, Kim KS. Human embryonic stem cells express a unique set of microRNAs. Dev Biol 2004;270:488-498. Chan JA, Krichevsky AM, Kosik KS. MicroRNA-21 Is an Antiapoptotic Factor in Human Glioblastoma Cells. Cancer Res 2005;65:(14). Other cancers Disease In other miRNA microarray studies, MIRN21 was found to be overexpressed in papillary thyroid cancer, hepatocellular carcinoma, cholangiocarcinomas and uterine leiomyomas. A study suggested that MIRN21 inhibition in a cervical adenocarcinoma cell line, HeLa, caused increase in cell growth. Prognosis MIRN21 (as well as 7 other miRNAs) expresion was correlated with adenocarcinoma patients¹ survival. Patients that have high expression of MIRN21 were found to have worse prognosis. Thus, in addition to potential role of MIRN21 in lung carcinogenesis through apoptosis pathway, it was suggested that expression profiles could be informative in adenocarcinoma patient survival. Cytogenetics Genomic amplification of chromosome band 17q23.2 in neuroblastoma, breast cancer, colon cancer, lung cancer is known. Oncogenesis Apoptosis: MIRN21 was found to be highly overexpressed in malignant cholangiocytes. In cholangiocarcinoma cells it was shown that one of the targets of MIRN21 was PTEN encoding phosphatase that inhibited the survival and growth promoting activity of PI 3-kinase (phosphoinositole 3-kinase) signaling. In another report, inhibiton of MIRN21 showed increased sensitivity to gemcitabine. The results suggested that MIRN21 regulated gemcitabine-induced apoptosis by PTEN (phosphatase and tensin homolog) dependent activation of PI 3-kinase and AKT/mTOR signaling. These studies suggested anti-apoptotic role for the MIRN21 gene. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Cheng AM, Byrom MW, Shelton J, Ford LP. Antisense inhibition of human miRNAs and indications for an involvement of miRNA in cell growth and apoptosis. Nucleic Acids Res 2005;4:1290-1297. Fukuda Y, Kawasaki H, Taira K. Exploration of human miRNA target genes in neuronal differentiation. Nucleic Acids Symp Ser (Oxf) 2005;49:341-342. He H, Jazdzewski K, Li W, Liyanarachchi S, Nagy R, Volinia S, Calin GA, Liu CG, Franssila K, Suster S, Kloos RT, Croce CM, de la Chapelle A. The role of microRNA genes in papillary thyroid carcinoma. PNAS 2005;102:19075-19080. Iorio MV, Ferracin M, Liu CG, Veronese A, Spizzo R, Sabbioni S, Magri E, Pedriali M, Fabbri M, Campiglio M, Ménard S, Palazzo JP, Rosenberg A, Musiani P, Volinia S, Nenci I, Calin GA, Querzoli P, Negrini M, Croce CM. MicroRNA Gene Expression Deregulation in Human Breast Cancer. Cancer Res 2005;65:7065-7070. Zeng Y, Yi R, Cullen BR. Recognition and cleavage of primary microRNA precursors by the nuclear processing enzyme Drosha. The EMBO Journal 2005;24:138-148. Borchert GM, Lanier W, Davidson BL. RNA polymerase III transcribes human microRNAs. Nat Struct Mol Biol 2006;12:1097-1101. Calin GA, Croce CM. MicroRNAs and chromosomal abnormalities in cancer cells. Oncogene 2006;25:6202-6210. (Review). Diederichs S, Haber DA. Sequence variations of microRNAs in human cancer: alterations in predicted secondary structure do not affect processing. Cancer Res 2006;66:6097-6104. Si ML, Zhu S, Wu H, Lu Z, Wu F, Mo YY. miR-21-mediated tumor growth. Oncogene 2006;1-5. Volinia S, Calin GA, Liu CG, Ambs S, Cimmino A, Petrocca F, Visone R, Iorio M, Roldo C, Ferracin M, Prueitt RL, Yanaihara N, Lanza G, Scarpa A, Vecchione A, Negrini M, Harris CC, Croce CM. A microRNA expression signature of human solid tumors defines cancer gene targets. PNAS 2006;103:22572261. Yanaihara N, Caplen N, Bowman E, Seike M, Kumamoto K, Yi M, Stephens RM, Okamoto A, Yokota J, Tanaka T, Calin GA, Liu CG, Croce CM, Harris CC. Unique microRNA molecular profiles in lung cancer diagnosis and prognosis. Cancer Cell 2006;9:189-198. 235 MIRN21 (microRNA 21) Selcuklu SD et al. Lee EJ, Gusev Y, Jiang J, Nuovo GJ, Lerner MR, Frankel WL, Morgan DL, Postier RG, Brackett DJ, Schmittgen TD. Expression profiling identifies microRNA signature in pancreatic cancer. Int J Cancer 2007;120:1046-1054. This article should be referenced as such: Selcuklu SD, Yakicier MC, Erson AE. MIRN21 (microRNA 21). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):232-236. Wang T, Zhang X, Obijuru L, Laser J, Aris V, Lee P, Mittal K, Soteropoulos P, Wei JJ. A micro-RNA signature associated with race, tumor size, and target gene activity in human uterine leiomyomas. Genes Chromosomes Cancer 2007;46:336-347. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 236 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Short Communication PSIP1 (PC4 and SFRS1 interacting protein 1) Cristina Morerio, Claudio Panarello Dipartimento di Ematologia ed Oncologia Pediatrica, IRCCS Istituto Giannina Gaslini, Largo G. Gaslini 5, 16147 Genova, Italy Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/PSIP1ID405ch9q22.html DOI: 10.4267/2042/38451 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 reveal LEDGF as an oncogenic protein that controls a caspase-independent lysosomal cell death pathway. Identity Hugo: PSIP1 Other names: LEDGF (lens growth factor); p75; p52 Location: 9p22.3 Homology epithelium-derived PSIP1 belongs to the hepatoma-derived growth factor (HDGF) family of proteins that contain a well conserved N-terminal amino acid sequence known as the HATH (homologous to amino terminus of HDGF) region. DNA/RNA Description The gene contains at least 15 exons and 14 introns. Implicated in Transcription t(9;11)(p22;p15) NUP98-PSIP1 Two alternative splice variants: p75 and p52. Note: acute non lymphoblastic leukemia (ANLL), one case of transformed chronic myeloid leukemia (CMLBC). Hybrid/Mutated Gene 5'NUP98 - 3'PSIP1. Abnormal Protein Fuses the GLFG repeat domains of NUP98 to the COOH-terminus of PSIP1. Protein Description 530 amino acids (p75), 333 amino acids (p52); N-term - PWWP (proline - tryptophan - tryptophan proline) domain - NLS (nuclear localization signal) AT-hook-like - Coiled coil - IBD (integrase binding domain) - HTH1 (helix-turn-helix DNA binding motif) - HTH2 - C-term. References Expression Ahuja HG, Hong J, Aplan PD, Tcheurekdjian L, Forman SJ, Slovak ML. t(9;11)(p22;p15) in acute myeloid leukemia results in a fusion between NUP98 and the gene encoding transcriptional coactivators p52 and p75-lens epitheliumderived growth factor (LEDGF). Cancer Res 2000;60:62276229. Expression of PSIP1 has been reported to be increased in human breast and bladder cancer, prostate tumors and benign prostate hyperplasia. Localisation Singh DP, Kimura A, Chylack LT, Shinohara T. Lens epithelium-derived growth factor (LEDGF/p75) and p52 are derived from a single gene by alternative splicing. Gene 2000;242:265-273. Nuclear. Function Hussey DJ, Moore S, Nicola M, Dobrovic A. Fusion of the NUP98 gene with the LEDGF/p52 gene defines a recurrent acute myeloid leukemia translocation. BMC Genet 2001;2:20. Transcriptional regulation of stress-associated genes, mRNA splicing and cell survival. The involvement of PSIP1 (LEDGF) has been reported in human immunodeficiency virus type-1 (HIV-1) integration, autoimmune disorders, and neurogenesis. Recent data Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Wu X, Daniels T, Molinaro C, Lilly MB, Casiano CA. Caspase cleavage of the nuclear autoantigen LEDGF/p75 abrogates its pro-survival function: implications for autoimmunity in atopic disorders. Cell Death Differ 2002;9:915-925. 237 PSIP1 (PC4 and SFRS1 interacting protein 1) Morerio C, Panarello C Cherepanov P, Maertens G, Proost P, Devreese B, Van Beeumen J, Engelborghs Y, De Clercq E, Debyser Z. HIV-1 integrase forms stable tetramers and associates with LEDGF/p75 protein in human cells. J Biol Chem 2003;278:372381. localization signal of LEDGF: contribution of two helix-turnhelix (HTH)-like domains and a stretch of 58 amino acids of the N-terminal to the trans-activation potential of LEDGF. J Mol Biol 2006;355:379-394. Sutherland HG, Newton K, Brownstein DG, Holmes MC, Kress C, Semple CA, Bickmore WA. Disruption of Ledgf/Psip1 results in perinatal mortality and homeotic skeletal transformations. Mol Cell Biol 2006;26:7201-7210. Daniels T, Zhang J, Gutierrez I, Elliot ML, Yamada B, Heeb MJ, Sheets SM, Wu X, Casiano CA. Antinuclear autoantibodies in prostate cancer: immunity to LEDGF/p75, a survival protein highly expressed in prostate tumors and cleaved during apoptosis. Prostate 2005;62:14-26. Daugaard M, Kirkegaard-Sørensen T, Ostenfeld MS, Aaboe M, Høyer-Hansen M, Orntoft TF, Rohde M, Jäättelä M. Lens epithelium-derived growth factor is an Hsp70-2 regulated guardian of lysosomal stability in human cancer. Cancer Res 2007;67:2559-2567. Grand FH, Koduru P, Cross NC, Allen SL. NUP98-LEDGF fusion and t(9;11) in transformed chronic myeloid leukemia. Leuk Res 2005;29:1469-1472. Morerio C, Acquila M, Rosanda C, Rapella A, Tassano E, Micalizzi C, Panarello C. t(9;11)(p22;p15) with NUP98-LEDGF fusion gene in pediatric acute myeloid leukemia. Leuk Res 2005;29:467-470. This article should be referenced as such: Morerio C, Panarello C. PSIP1 (PC4 and SFRS1 interacting protein 1). Atlas Genet Cytogenet Oncol Haematol.2007; 11(3):237-238. Singh DP, Kubo E, Takamura Y, Shinohara T, Kumar A, Chylack LT Jr, Fatma N. DNA binding domains and nuclear Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 238 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Review RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Max Cayo, David Yu Greenblatt, Muthusamy Kunnimalaiyaan, Herbert Chen Endocrine Cancer Disease Group, University of Wisconsin Paul P. Carbone Comprehensive Cancer Center, H4/750 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/RAF1ID42032ch3p25.html DOI: 10.4267/2042/38452 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 encoding for the serine/threonine kinase domain) in the C terminus. The RAF proteins exhibit complex regulation involving numerous phosphorylation sites throughout the proteins. Despite constitutional similarity, the Raf isoforms have been shown to carry out non-redundant functions, implying that they are distinct. RAF-1 (C-RAF-1): 72-74 kDa. Note: A-RAF: about 68 kDa. Note: B-RAF (which undergoes alternate splicing): ranges from 75 to 100 kDa. Identity Hugo: RAF1 Other names: CRAF; Raf-1; c-Raf Location: 3p25 DNA/RNA Note: History and Nomenclature: c-Raf-1 was the first successfully cloned functional human homolog of the v-Raf gene, and thus the gene product of c-Raf-1 has historically been referred to in the literature simply as Raf-1. Subsequently, B-Raf and A-Raf-1 paralogues (BRAF, located in Xq13 and ARAF, located in Xp11) were discovered. A suitable nomenclature is as follows: A-RAF, B-RAF, and CRAF for the functional human proteins and A-RAF, BRAF, and C-RAF for the corresponding genes; a-raf, braf, and c-raf for the murine proteins and A-Raf, B-Raf, and C-Raf for the corresponding genes. Raf-1 (or RAF1) is generally taken to mean C-RAF-1 but could apply to A-RAF-1 equally. Here, RAF-1 will be taken to mean C-RAF-1 (RAF-1 = C-RAF-1, etc.). Expression C-RAF (RAF-1) and A-RAF mRNA is expressed ubiquitously. A-RAF mRNA is highly expressed in urogenital organs. B-RAF is expressed in a wide range of tissues, but most substantially in neuronal tissues. Localisation Cytosolic. Function RAF proteins are part of the conserved MAPK (mitogen-activated protein kinase)/ERK (extracellular signal-regulated kinase) signaling cascade between the cell surface and the nucleus. RAF is regulated by the upstream RAS family of small G proteins. RAS is predominantly located on the inner leaflet of the plasma membrane and is functionally activated by GTPbinding. Binding of various extracellular ligands such as growth factors and hormones activates RAS and subsequently RAF proteins. RAS binds directly to the N-terminal regulatory domain or RAF (the RAS binding domain (RBD)). RAS interacts secondarily with the cysteine-rich domain (CRD) on CR1 of RAF. RAS-RAF binding can be affected by 14-3-3 proteins and other scaffold/adaptor proteins kinase suppressor of Description C-RAF (RAF-1, C-RAF-1) encompasses 80,570 bp of DNA; 17 Exons. Transcription RAF-1 transcribed nucleotides. mRNA contains 3212-3216 Protein Description The RAF proteins share three conserved domains: two (CR1 and CR2) in the N terminus and a third (CR3- Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 239 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Cayo M et al. RAS (KSR), the multidomain protein connectorenhancer of KSR (CNK), and the leucine-rich-repeat protein suppressor of RAS mutations-8 (SUR8), which cause formation of various homo- and heterodimers and subsequently affect signal transduction. RAF activation leads to activation of the protein kinases MEK1 and MEK2 and subsequently the MAPK proteins ERK1 and ERK2. The downstream effects of MEK1/2-ERK1/2 activation are varied, complex, and depend on the cellular context. Resultant effects include activation of transcription factors involved in tumorigenesis, cell growth, survival, differentiation, metabolism, and cytoskeletal rearrangements. RAF-1 (C-RAF-1), A-RAF, and B-RAF are all capable of activating the MEK1/2-ERK1/2 signaling pathway. RAF-1 is capable of activating the NF-kB transcription factor through an unknown mechanism that does not seem to involve direct phosphorylation of NF-kB and is independent of MEK1/2-ERK1/2 signaling. RAF-1 is known to directly affect cell survival through phosphorylation of BAG1 (BCL2-associated athanogene-1), an anti-apoptotic protein that binds to BCL2, a second anti-apoptotic factor, also the prototype for a family of mammalian genes involved in mitochondrial outer membrane permeability (MOMP), thus restoring its function. BCL2 also targets RAF-1 to the mitochondrial membrane, where it is able to more readily phosphorylate substrates. The RAF1/BAG1/BCL2 interaction allows RAF-1 to phosphorylate the pro-apoptotic protein BAD at the mitochondrial membrane, promoting cell survival. Other known substrates of RAF-1 include the phosphatase CDC25C, the apoptosis signal-regulating kinase-1 (ASK1), and the tumor-suppressor protein retinoblastoma (Rb). RAF-1 is tightly regulated by the AKT/PKB pathway through phosphorylation at S259. of all cases. MTC cells secrete hormones and tumor markers such as calcitonin, chromogranin A (CgA), and carcinoembryonic antigen (CEA). Symptoms are related to either direct invasion or metastasis (neck mass, dyspnea, dysphagia, voice changes, pain) or tumor secretion of bioactive amines and peptides (diarrhea, flushing). Prognosis Currently, surgery is the only potentially curative therapy for patients with MTC. The recommended operation is total thyroidectomy with lymph node dissection. However, 50% of patients treated with surgery suffer persistent or recurrent disease. Oncogenesis 20% of patients with medullary thyroid cancer have an autosomal dominant inherited form of the disease, which is the result of well-characterized point mutations in the RET proto-oncogene. RAF-1 is conserved but not expressed at baseline in MTC. Preclinical studies have shown that activation of RAF-1 in MTC (TT) cells by means of RAF-1 gene transfection or RAF-1 activating small molecules (ZM336372) results in tumor cell growth inhibition in vitro and in vivo. Carcinoid Tumors Disease Carcinoids are tumors that arise from the diffuse neuroendocrine cell system of the gut, lungs, and other organs. The incidence is 1-5 per 100,000 individuals. Carcinoids frequently metastasize to the liver and are the second most common source of isolated liver metastases. Carcinoids secrete various bioactive hormones such as 5-HT (5-hydroxy tryptophan, also known as serotonin) and chromogranin A. Prognosis Patients with hepatic metastases suffer debilitating symptoms such as abdominal pain, flushing, bronchoconstriction, and diarrhea. Palliative treatment for these hormone-induced symptoms includes somatostatin analogs (such as octeotride). Conventional anticancer treatments such as chemotherapy and external beam radiation are largely ineffective for carcinoid tumors. Oncogenesis RAF-1 activation is detrimental to tumorigenesis in carcinoid cells. Marked reduction in neuroendocrine phenotypic markers such as human achaete-scute complex like-1 (ASCL-1) and bioactive hormones 5HT, chromogranin A, and synaptophysin has been noted upon RAF-1 activation using an estrogeninducible RAF-1 construct in human GI (BON) and pulmonary carcinoid cell lines (NCI-H727). Treatment of GI carcinoid cells with RAF-1 activator ZM336372 led to a decrease in bioactive hormone levels, a suppression of cellular proliferation, an Mutations Somatic It has been widely established that RAF-1 over activity, typically via ras-activating mutations, is central to tumorigenesis and cell proliferation in numerous cancers (about 30% of all human cancers). However, it has come to the fore that oncogenesis may be due to ras/RAF-1 dysregulation (either increased or decreased expression) rather than increases in ras/RAF-1 activity exclusively. Implicated in Medullary Thyroid Cancer (MTC) Disease A neuroendocrine tumor derived from parafollicular C cells of the thyroid gland, MTC is the third most common form of thyroid cancer, accounting for 3-5% Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 240 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Cayo M et al. increase in cell cycle inhibitors p21 and p18, as well as a decrease in the neuroendocrine phenotypic marker ASCL-1. ZM336372 treatments also led to progressive phosphorylation (activation) of MEK1/2, ERK1/2, and RAF-1. leads to decreased cell proliferation. RAF-1 activation in pheochromocytoma cells using ZM336372 led to cellular differentiation, growth arrest, and a decrease in the neuroendocrine marker chromogranin A. Non-Neuroendocrine Cancers with rasactivating Mutations Small Cell Lung Cancer (SCLC) Disease SCLC tends to present with metastatic and regional spread. Carcinoids rarely metastasize, arise from major bronchi, and express neuron-specific enolase, chromogranin, and synaptophysin. Neuroendocrine carcinoids or atypical carcinoids have a more aggressive course. Oncogenesis Human small-cell lung cancer (SCLC) cell lines rarely harbor ras-activating mutations. In one cell line of SCLC, DMS53, it was shown that by RAF-1 induction using an estrogen-inducible RAF-1 construct SCLC cells underwent differentiation and G1-specific growth arrest in conjunction with MEK/ERK1/2 pathway activation. Oncogenesis About 30% of all human cancers express ras-activating mutations. More than 85% of pancreatic adenocarcinomas and 50% of colonic adenocarcinomas harbor K-ras mutations. K-ras is an upstream effector of RAF-1 in the RAF-1/MEK/ERK1/2 signaling pathway. Ras mutations have also been linked to tumorigenesis of cholangiocarcinoma, adenocarcinoma of the lung, squamous cell cancer, gastric adenocarcinoma, small bowel adenocarcinoma, and malignant melanoma. Colorectal Cancer Oncogenesis RAF-1 is over-activated due to oncogenic ras mutations in about 50% of colon cancers. These mutations are associated with poor prognosis, and are necessary for maintenance of the malignant phenotype. RAF-1 inhibition in response to interaction with RAF kinase inhibitor protein (RKIP) (up-regulated in conjunction with the nuclear factor kappa B signaling pathway) has been linked with overall and disease-free survival in patients with colorectal cancers. RKIP has been identified as potentially useful for identifying early-stage CRC patients at risk for relapse. Non-Small Cell Lung Cancer (NSCLC) Disease Adenocarcinoma is the most common type of NSCLC accounting for about 40% of cases. Lesions are generally located peripherally and develop systemic metastases despite small primary tumors. 25% of NSCLC are squamous cell carcinomas which often remain localized. Oncogenesis RAF-1 is over-expressed due to oncogenic ras mutations in about 35% of NSCLC. The majority of NSCLC exhibits EGFR overexpression leading to upregulation of RAF-1 activity. NSCLC has been shown to be mediated by a TGF-a /EGFR-mediated autocrine loop activated by signaling involving RAF-1 and PI3K-Akt. Pancreatic Carcinoma Oncogenesis RAF-1 is overactivated due to oncogenic ras mutations in about 90% of pancreatic carcinomas (Panc-1 and Mia-PaCa2). It has been shown that malignancy of these cells is reduced using k-ras RNAi. Pharmacological inhibition of the RAF/MEK/ERK pathway in pancreatic cancer cell lines (via MEK inhibition) results in reduction in cellular proliferation and an increase in cell cycle arrest. Pheochromocytoma Disease Pheochromocytomas are neuroectodermal in origin and arise from the chromaffin cells of the adrenal medulla. 10% of tumors are bilateral. Typical symptoms such as hypertension, headaches, diaphoresis, palpitations, diarrhea, and skin rashes, are related to tumor production of catecholamines, especially in patients with metastases. Pheochromocytoma is potentially fatal, but relatively uncommon (2-8 cases per million people annually). Curative therapy is surgery, usually accomplished by laparoscopic adrenalectomy. Oncogenesis Activation of MEK1/2-ERK1/2 is necessary for differentiation of pheochromocytoma (PC12) cells and Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Hepatocellular Carcinoma (HCC) Oncogenesis RAF-1 is over-activated in about 50% of biopsies while the RAF-1 protein is over-expressed in nearly 100% of all HCC's. Angiogenesis and other functions essential to tumorigenesis in HCC have been reported to depend on the RAF/MEK/ERK signaling pathway. RAF-1 inhibitor Sorafenib has been reported (in-vitro and invivo) to inhibit RAF-1 activity, leading to decreased MEK/ERK activity, reduced cellular proliferation, and apoptosis in several HCC cell lines including HepG2 and PLC/PRF/5. 241 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Cayo M et al. Prostate Cancer Renal Cell Carcinoma Oncogenesis RAF kinase inhibitor protein (RKIP) coding mRNAs have been observed to activate interferon-inducible 2',5'-oligoadenylate synthetases (OAS). OAS activity is characteristically increased (via these mRNAs) in prostate cancer cell lines PC3, LNCaP and DU145. RKIP expression is detectable in primary prostate cancer sections but not in metastases. This suggests RKIP's characterization as an anti-metastasis gene using the RAF/MEK/ERK signaling pathway is appropriate. RAF-1 inhibition using systemically delivered novel cationic cardiolipin liposomes (NeoPhectin-AT) containing a small interfering RNA (siRNA) against RAF-1 causes tumor growth inhibition in a xenograft model of human prostate cancer. RAF/MEK/ERK signaling pathway activation via a biologically active peptide called a prosaptide (TX14A) stimulates cell proliferation/survival, migration, and invasion in human prostate cancer cells. NSC 95397 and NSC 672121, cdc25 inhibitors, were shown to activate the RAF/MEK/ERK pathway in prostate cancer cells. RAF-1 activation in LNCaP prostate cancer cells using an estrogen-inducible construct led to growth inhibition. Oncogenesis RAF-1 is overactivated in conjunction with loss of function of the VHL (von Hippel-Lindau) tumorsuppressor gene. Breast Cancer Oncogenesis RAF-1 inactivation using RNAi in gastric cancer cell line SGC7901 led to dramatic reductions in angiogenesis, increased apoptosis, and decreased cellular proliferation. Glioma Oncogenesis RAF-1 inhibitor AAL881 inhibited growth of glioma cell xenografts. Cervical Cancer Oncogenesis Low RAF-1 kinase activity is significantly associated with paclitaxel sensitivity in cervical cancers. Ovarian Cancer Oncogenesis RAF-1 dysregulation is associated with poor prognosis and possibly carcinogenesis. RAF-1 inhibition using RNAi reduces cellular proliferatin and inhibits ovarian tumor cell growth in vitro and in vivo. Similar results were observed using antisense oligonucleotide (ASO) therapy (ISIS 5132 and ISIS 13650). RAF-1 inhibition by the Akt pathway sensitizes human ovarian cancer cells to the drug paclitaxel. Gastric Cancer Oncogenesis Growth hormone releasing hormone (GHRH) has been shown to regulate breast cancer cell proliferation and differentiation. In MDA-231 breast cancer cells, exogenous GHRH stimulated dose-dependent proliferation. RAF-1 inhibition using the agent PD98059 caused prevention of MAPK phosphorylation by GHRH as well as reduced cellular proliferation. Proliferative effects of steroid hormone estradiol on MCF-7 breast cancer cells have been linked with increased expression of RAF-1, possibly due to direct activation of RAF-1 by estradiol. RAF kinase inhibitor protein (RKIP) is associated with metastasis suppression. RKIP expression is lost in lymph node metastases. This suggests RKIP is a metastasis inhibitor gene and that RAF-1 expression enables metastasis. The PTK inhibitor AG 879 inhibits proliferation of human breast cancer cells through inhibition of MAP kinase activation through inhibition of expression of the RAF-1 gene. RAF-1 down-regulation is associated with paclitaxel drug resistance in human breast cancer cell line MCF7/Adr. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Bladder Cancer Oncogenesis RAF-1 gene amplification was detected in 4% of bladder cancer samples. Deletions at the RAF-1 locus were detected in 2.2% of these samples. Both amplifications and deletions were heavily correlated with high tumor grade (P < 0.00001), advanced stage (P < 0.0001), and poor survival (P < 0.05). Lymphoma Oncogenesis RAF-1 is typically over-expressed lymphomas from TCR transgenic mice. in thymic References Bonner TI, Kerby SB, Sutrave P, Gunnell MA, Mark G, Rapp UR. Structure and biological activity of human homologs of the raf/mil oncogene. Mol Cell Biol 1985;5(6):1400-1407. 242 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Cayo M et al. Huebner K, ar-Rushdi A, Griffin CA, Isobe M, Kozak C, Emanuel BS, Nagarajan L, Cleveland JL, Bonner TI, Goldsborough MD, et al. Actively transcribed genes in the raf oncogene group, located on the X chromosome in mouse and human. Proc Natl Acad Sci USA 1986;83(11):3934-3938. transformation. Proc Natl Acad Sci USA 2000;97(9):46154620. Kobzdej M, Matuszyk J, Strzadala L. Overexpression of Ras, Raf and L-myc but not Bcl-2 family proteins is linked with resistance to TCR-mediated apoptosis and tumorigenesis in thymic lymphomas from TCR transgenic mice. Leuk Res 2000;24(1):33-38. Beck TW, Huleihel M, Gunnell M, Bonner TI, Rapp UR. The complete coding sequence of the human A-raf-1 oncogene and transforming activity of a human A-raf carrying retrovirus. Nucleic Acids Res 1987;15(2):595-609. Li W, Han M, Guan KL. The leucine-rich repeat protein SUR-8 enhances MAP kinase activation and forms a complex with Ras and Raf. Genes Dev 2000;14(8):895-900. Storm SM, Cleveland JL, Rapp UR. Expression of raf family proto-oncogenes in normal mouse tissues. Oncogene 1990;5(3):345-351. Luckett JC, Huser MB, Giagtzoglou N, Brown JE, Pritchard CA. Expression of the A-raf proto-oncogene in the normal adult and embryonic mouse. Cell Growth Differ 2000;11(3):163-171. Robbins DJ, Zhen E, Cheng M, Xu S, Ebert D, Cobb MH. MAP kinases ERK1 and ERK2: pleiotropic enzymes in a ubiquitous signaling network. Adv Cancer Res 1994;63:93-116. Chen J, Fujii K, Zhang L, Roberts T, Fu H. Raf-1 promotes cell survival by antagonizing apoptosis signal-regulating kinase 1 through a MEK-ERK independent mechanism. Proc Natl Acad Sci USA 2001;98(14):7783-7788. Barnier J, Papin C, Eychène A, Lecoq O, Calothy G. The mouse B-raf gene encodes multiple protein isoforms with tissue-specific expression. The Journal of Biological Chemistry 1995;270(40):23381-23389. Morrison DK. KSR: a MAPK scaffold of the Ras pathway?. J Cell Sci 2001;114(Pt 9):1609-1612. Galaktionov K, Jessus C, Beach D. Raf1 interaction with Cdc25 phosphatase ties mitogenic signal transduction to cell cycle activation. Genes Dev 1995;9(9):1046-1058. Huser M, Luckett J, Chiloeches A, Mercer K, Iwobi M, Giblett S, Sun XM, Brown J, Marais R, Pritchard C. MEK kinase activity is not necessary for Raf-1 function. EMBO J 2001;20(8):1940-1951. Pritchard CA, Bolin L, Slattery R, Murray R, McMahon M. Postnatal lethality and neurological and gastrointestinal defects in mice with targeted disruption of the A-Raf protein kinase gene. Curr Biol 1996;6(5):614-617. McPhillips F, Mullen P, Monia BP, Ritchie AA, Dorr FA, Smyth JF, Langdon SP. Association of c-Raf expression with survival and its targeting with antisense oligonucleotides in ovarian cancer. Br J Cancer 2001;85(11):1753-1758. Wang HG, Rapp UR, Reed JC. Bcl-2 targets the protein kinase Raf-1 to mitochondria. Cell 1996;87(4):629-638. Mikula M,Schreiber M,Husak Z,Kucerova L,Rüth J,Wieser R,Zatloukal K,Beug H,Wagner EF,Baccarini M. Embryonic lethality and fetal liver apoptosis in mice lacking the c-raf-1 gene. EMBO J 2001;20(8):1952-1962. Wang HG, Takayama S, Rapp UR, Reed JC. Bcl-2 interacting protein, BAG-1, binds to and activates the kinase Raf-1. Proc Natl Acad Sci USA 1996;93(14):7063-7068. Wittinghofer A, Nassar N. How Ras-related proteins talk to their effectors. Trends Biochem Sci 1996;21(12):488-491. Simon R, Richter J, Wagner U, Fijan A, Bruderer J, Schmid U, Ackermann D, Maurer R, Alund G, Knönagel H, Rist M, Wilber K, Anabitarte M, Hering F, Hardmeier T, Schönenberger A, Flury R, Jäger P, Fehr JL, Schraml P, Moch H, Mihatsch MJ, Gasser T, Sauter G. High-throughput tissue microarray analysis of 3p25 (RAF1) and 8p12 (FGFR1) copy number alterations in urinary bladder cancer. Cancer Res 2001;61(11):4514-4519. Wojnowski L, Zimmer AM, Beck TW, Hahn H, Bernal R, Rapp UR, Zimmer A. Endothelial apoptosis in Braf-deficient mice. Nat Genet 1997;16(3):293-297. Britten RA, Perdue S, Opoku J, Craighead P. Paclitaxel is preferentially cytotoxic to human cervical tumor cells with low Raf-1 kinase activity: implications for paclitaxel-based chemoradiation regimens. Radiother Oncol 1998;48(3):329334. Anselmo AN, Bumeister R, Thomas JM, White MA. Critical contribution of linker proteins to Raf kinase activation. J Biol Chem 2002;277(8):5940-5943. Denouel-Galy A, Douville EM, Warne PH, Papin C, Laugier D, Calothy G, Downward J, Eychene A. Murine Ksr interacts with MEK and inhibits Ras-induced transformation. Curr Biol 1998;8(1):46-55. Mabuchi S, Ohmichi M, Kimura A, Hisamoto K, Hayakawa J, Nishio Y, Adachi K, Takahashi K, Arimoto-Ishida E, Nakatsuji Y, Tasaka K, Murata Y. Inhibition of phosphorylation of BAD and Raf-1 by Akt sensitizes human ovarian cancer cells to paclitaxel. J Biol Chem 2002;277(36):33490-33500. Pratt MA, Satkunaratnam A, Novosad DM. Estrogen activates raf-1 kinase and induces expression of Egr-1 in MCF-7 breast cancer cells. Mol Cell Biochem 1998;189(1-2):119-125. Pouysségur J, Volmat V, Lenormand P. Fidelity and spatiotemporal control in MAP kinase (ERKs) signalling. Biochem Pharmacol 2002;64(5-6):755-763. Wojnowski L, Stancato LF, Zimmer AM, Hahn H, Beck TW, Larner AC, Rapp UR, Zimmer A. Craf-1 protein kinase is essential for mouse development. Mech Dev 1998;76(12):141-149. Sippel RS, Chen H. Activation of the ras/raf-1 signal transduction pathway in carcinoid tumor cells results in morphologic transdifferentiation. Surgery 2002;132(6):10351039. Wang S, Ghosh RN, Chellappan SP. Raf-1 physically interacts with Rb and regulates its function: a link between mitogenic signaling and cell cycle regulation. Mol Cell Biol 1998;18(12):7487-798. Tzivion G, Avruch J. 14-3-3 proteins: active cofactors in cellular regulation by serine/threonine phosphorylation. J Biol Chem 2002;277(5):3061-3064. Ravi RK, McMahon M, Yangang Z, Williams JR, Dillehay LE, Nelkin BD, Mabry M. Raf-1-induced cell cycle arrest in LNCaP human prostate cancer cells. J Cell Biochem 1999;72(4):45869. Weinstein-Oppenheimer CR, Burrows C, Steelman LS, McCubrey JA. The effects of beta-estradiol on Raf activity, cell cycle progression and growth factor synthesis in the MCF-7 breast cancer cell line. Cancer Biol Ther 2002;1(3):256-262. Zimmermann S, Moelling K. Phosphorylation and regulation of Raf by Akt (protein kinase B). Science 1999;286(5445):17411744. Davis JM, Navolanic PM, Weinstein-Oppenheimer CR, Steelman LS, Hu W, Konopleva M, Blagosklonny MV, McCubrey JA. Raf-1 and Bcl-2 induce distinct and common pathways that contribute to breast cancer drug resistance. Clin Cancer Res 2003;9(3):1161-1170. Baumann B, Weber CK, Troppmair J, Whiteside S, Israel A, Rapp UR, Wirth T. Raf induces NF-kappaB by membrane shuttle kinase MEKK1, a signaling pathway critical for Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 243 RAF1 (v-raf-1 murine leukemia viral oncogene homolog 1) Cayo M et al. Fu Z, Smith PC, Zhang L, Rubin MA, Dunn RL, Yao Z, Keller ET. Effects of raf kinase inhibitor protein expression on suppression of prostate cancer metastasis. J Natl Cancer Inst 2003;95(12):878-889. cardiolipin liposomes silences Raf-1 expression and inhibits tumor growth in xenograft model of human prostate cancer. Int J Oncol 2005;26(4):1087-1091. Van Gompel J.J., Kunnimalaiyaan M, Holen K, Chen H. ZM336372, a Raf-1 activator, suppresses growth and neuroendocrine hormone levels in carcinoid tumor cells. Mol.Cancer.Ther 2005;4, 6:910-917. Hancock JF. Ras proteins: different signals from different locations. Nat Rev Mol Cell Biol 2003;4(5):373-384. Lee M, Koh WS, Han SS. Down-regulation of Raf-1 kinase is associated with paclitaxel resistance in human breast cancer MCF-7/Adr cells. Cancer Lett 2003;193(1):57-64. Al-Mulla F,Hagan S,Behbehani AI,Bitar MS,George SS,Going JJ,Garcia JJ,Scott L,Fyfe N,Murray GI,Kolch W. Raf kinase inhibitor protein expression in a survival analysis of colorectal cancer patients. J Clin Oncol 2006;24(36):5672-5679. Lanigan TM,Liu A,Huang YZ,Mei L,Margolis B,Guan KL. Human homologue of Drosophila CNK interacts with Ras effector proteins Raf and Rlf. FASEB J 2003;17(14):20482060. Fu Z, Kitagawa Y, Shen R, Shah R, Mehra R, Rhodes D, Keller PJ, Mizokami A, Dunn R, Chinnaiyan AM, Yao Z, Keller ET. Metastasis suppressor gene Raf kinase inhibitor protein (RKIP) is a novel prognostic marker in prostate cancer. Prostate 2006;66(3):248-256. Morrison DK, Davis RJ. Regulation of MAP kinase signaling modules by scaffold proteins in mammals. Annu Rev Cell Dev Biol 2003;19:91-118. (Review). Gollob JA,Wilhelm S,Carter C,Kelley SL. Role of Raf kinase in cancer: therapeutic potential of targeting the Raf/MEK/ERK signal transduction pathway. Semin Oncol 2006;33(4):392-406. Sippel R.S., Carpenter J.E., Kunnimalaiyaan M., Lagerholm S., Chen H. Raf-1 activation suppresses neuroendocrine marker and hormone levels in human gastrointestinal carcinoid cells. Am.J.Physiol.Gastrointest.Liver Physiol 2003;285, 2:G245-254. Kappes A, Vaccaro A, Kunnimalaiyaan M, Chen H. ZM336372, a Raf-1 activator, inhibits growth of pheochromocytoma cells. J.Surg.Res 2006;133 (1):42-45. Troppmair J, Rapp UR. Raf and the road to cell survival: a tale of bad spells, ring bearers and detours. Biochem Pharmacol 2003;66(8):1341-1345. Kunnimalaiyaan M, Chen H. The Raf-1 pathway: a molecular target for treatment of select neuroendocrine tumors?. Anticancer Drugs 2006;17, 2:139-142. Keller ET, Fu Z, Yeung K, Brennan M. Raf kinase inhibitor protein: a prostate cancer metastasis suppressor gene. Cancer Lett 2004;207(2):131-137. Letterio J,Rudikoff E,Voong N,Bauer SR. Transforming growth factor-beta1 sensitivity is altered in Abl-Myc- and Raf-Mycinduced mouse pre-B-cell tumors. Stem Cells 2006;24(12):2611-2617. Koochekpour S, Sartor O, Lee TJ, Zieske A, Patten DY, Hiraiwa M, Sandhoff K, Remmel N, Minokadeh A. Prosaptide TX14A stimulates growth, migration, and invasion and activates the Raf-MEK-ERK-RSK-Elk-1 signaling pathway in prostate cancer cells. Prostate 2004;61(2):114-123. Liu L, Cao Y, Chen C, Zhang X, McNabola A, Wilkie D, Wilhelm S, Lynch M, Carter C. Sorafenib blocks the RAF/MEK/ERK pathway, inhibits tumor angiogenesis, and induces tumor cell apoptosis in hepatocellular carcinoma model PLC/PRF/5. Cancer Res 2006;66(24):11851-11858. Larsson LI. Novel actions of tyrphostin AG 879: inhibition of RAF-1 and HER-2 expression combined with strong antitumoral effects on breast cancer cells. Cell Mol Life Sci 2004;61(19-20):2624-2631. Molinaro RJ, Jha BK, Malathi K, Varambally S, Chinnaiyan AM, Silverman RH. Selection and cloning of poly(rC)-binding protein 2 and Raf kinase inhibitor protein RNA activators of 2',5'-oligoadenylate synthetase from prostate cancer cells. Nucleic Acids Res 2006;34(22):6684-6695. Mullen P, McPhillips F, MacLeod K, Monia B, Smyth JF, Langdon SP. Antisense oligonucleotide targeting of Raf-1: importance of raf-1 mRNA expression levels and raf-1dependent signaling in determining growth response in ovarian cancer. Clin Cancer Res 2004;10(6):2100-2108. Mullen P, McPhillips F, Monia BP, Smyth JF, Langdon SP. Comparison of strategies targeting Raf-1 mRNA in ovarian cancer. Int J Cancer 2006;118(6):1565-1571. Nemoto K, Vogt A, Oguri T, Lazo JS. Activation of the Raf1/MEK/Erk kinase pathway by a novel Cdc25 inhibitor in human prostate cancer cells. Prostate 2004;58(1):95-102. Sathornsumetee S, Hjelmeland AB, Keir ST, McLendon RE, Batt D, Ramsey T, Yusuff N,Rasheed BK, Kieran MW, Laforme A, Bigner DD, Friedman HS, Rich JN. AAL881, a Novel Small Molecule Inhibitor of RAF and Vascular Endothelial Growth Factor Receptor Activities, Blocks the Growth of Malignant Glioma. Cancer Res 2006;66(17):8722-8730. Wellbrock C, Karasarides M, R Marais. The RAF proteins take center stage. Nature Reviews Molecular Cell Biology 2004;5(11):875-885. Chen H, Kunnimalaiyaan M, Van Gompel JJ. Medullary thyroid cancer: the functions of raf-1 and human achaete-scute homologue-1. Thyroid 2005;15, 6:511-521. Siriwardana G,Bradford A,Coy D,Zeitler P. Autocrine/paracrine regulation of breast cancer cell proliferation by growth hormone releasing hormone via Ras, Raf, and mitogen-activated protein kinase. Mol Endocrinol 2006;20(9):2010-2019. Gysin S, Lee SH, Dean NM, McMahon M. Pharmacologic inhibition of RAF--->MEK--->ERK signaling elicits pancreatic cancer cell cycle arrest through induced expression of p27Kip1. Cancer Res 2005;65(11):4870-4880. Vaccaro A, Chen H, Kunnimalaiyaan M. In-vivo activation of Raf-1 inhibits tumor growth and development in a xenograft model of human medullary thyroid cancer. Anticancer Drugs 2006;17, 7:849-853. Hagan S, Al-Mulla F, Mallon E, Oien K, Ferrier R, Gusterson B, García JJ, Kolch W. Reduction of Raf-1 kinase inhibitor protein expression correlates with breast cancer metastasis. Clin Cancer Res 2005;11(20):7392-7397. This article should be referenced as such: Cayo M, Greentblatt DY, Kunnimalaiyaan M, Chen H. RAF1 (vraf-1 murine leukemia viral oncogene homolog 1). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):239-244. Meng F, Ding J, Liu N, Zhang J, Shao X, Shen H, Xue Y, Xie H, Fan D. Inhibition of gastric cancer angiogenesis by vectorbased RNA interference for Raf-1. Cancer Biol Ther 2005;4(1):113-117. Pal A, Ahmad A, Khan S, Sakabe I, Zhang C, Kasid UN, Ahmad I. Systemic delivery of Raf siRNA using cationic Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 244 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Leukaemia Section Short Communication i(8)(q10) in acute myeloid leukaemia David Betts Department of Oncology, University Children's Hospital, Steinwiesstr. 75, CH-8032 Zürich, Switzerland Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Anomalies/i8q10ID1334.html DOI: 10.4267/2042/38453 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 Prognosis Identity As the aberration is rare and will frequently occur in complex karyotypes, whether an independent prognosis association can be determined is uncertain. Cytogenetics Cytogenetics morphological In approximately 40% of cases the aberration is reported as a chromosome gain. Probes Use of a centromere 8 probe combined with a C-MYC probe will help distinguish between gain of i(8)(q10) and simple chromosome 8 gain. Additional anomalies Seldom occurs as a primary karyotype event. Most often found in complex karyotypes and/or arises in a sub-clone. The complex karyotypes will frequently contain loss of chromosome 5(q) and/or loss of chromosome 7(q). i(8)(q10) G- banding - Courtesy Melanie Zenger and Claudia Haferlach. Clinics and pathology Disease References Acute myeloid leukaemia (AML) Note: The aberration has also been reported in many other neoplastic disorders, most notably Tprolymphocytic leukaemia (PLL) and acute lymphoblastic leukaemia (ALL). In the latter, it often occurs as a secondary event to the t(9;22). Rodrigues Pereira Velloso E, Michaux L, Ferrant A, Hernandez JM, Meeus P, Dierlamm J, Criel A, Louwagie A, Verhoef G, Boogaerts M, Michaux J-L, Bosly A, Mecucci C, Van den Berghe H. Deletions of the long arm of chromosome 7 in myeloid disorders: loss of band 7q32 implies worst prognosis. Br J Haematol 1996;92:574-581. Huhta T, Vettenranta K, Heinonen K, Kanerva J, Larramendy ML, Mahlamaki E, Saarinen-Pihkala UM, Knuutila S. Comparative genomic hybridization and conventional cytogenetic analyses in childhood acute myeloid leukemia. Leuk Lymphoma 1999;35:311-315. Phenotype / cell stem origin Has been reported to occur in all AML FAB types, with FAB M2 representing the most common morphology. Epidemiology Wong KF, Kwong YL. Isochromosome 8q is a Marker of Secondary Acute Myeloid Leukemia. Cancer Genet Cytogenet 2000;120:171-173. A rare non-random event reported in over 50 cases of AML (below 0.5% of all cases) and occurs in both children and adults. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 245 i(8)(q10) in acute myeloid leukaemia Betts D Harrison CJ, Yang F, Butler T, Cheung K-L, O'Brien PC, Hennessy BJ, Prentice HG, Ferguson-Smith M. Cross-species color banding in ten cases of myeloid malignancies with complex karyotypes. Genes Chromosomes Cancer 2001;30:15-24. This article should be referenced as such: Betts D. i(8)(q10) in acute myeloid leukaemia. Atlas Genet Cytogenet Oncol Haematol.2007;11(3):245-246. Seppa L, Hengartner H, Leibundgut K, Kuhne T, Niggli FK, Betts DR. Loss of i(8)(q10) at relapse in two cases of childhood acute myeloid leukaemia. Leuk Lymphoma 2007 (in press). Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 246 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Leukaemia Section Mini Review t(5;12)(q31;p13) in MDS, AML and AEL Maria D Odero Division of Oncology, Center for Applied Medical Research (CIMA), University of Navarra, Pamplona, Spain Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Anomalies/t0512q31p13ID1344.html DOI: 10.4267/2042/38454 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 Cytogenetics morphological May be not easy to detect. Cytogenetics molecular The translocation can be detected by FISH with ETV6 probes. The ETV6 gene is rearranged, and the breakpoint is between exon 1 and exon 2 in all cases reported. Additional anomalies t(5;12)(q31;p13) G- banding - Courtesy Melanie Zenger and Claudia Haferlach. Disruption of the second ETV6 allele by t(12;19) was detected in the AML case by FISH analysis. Variants No variants. Clinics and pathology Disease The t(5;12)(q31;p13) translocation involving ETV6 (12p13) and ACSL6 (5q31) was found in a patient with refractory anemia with excess blasts (RAEB) with basophilia, a patient with acute myelogenous leukemia (AML) with eosinophilia, and a patient with acute eosinophilic leukemia (AEL). Genes involved and Proteins ETV6 (ETS Variant gene 6) Location: 12p13 Note: The gene is known to be involved in a large number of chromosomal rearrangements associated with leukemia and congenital fibrosarcoma. DNA / RNA 9 exons; alternate splicing Protein The gene encodes an ETS family transcription factor; the product of this gene contains a N-terminal pointed (PNT) domain that is involved in the protein-protein interactions, and a C-terminal ETS DNA-binding domain; wide expression; nuclear localization. Phenotype / cell stem origin Myeloid lineage. Epidemiology To date, one case with myelodysplastic syndrome (RAEB), one case with AML, one case with AEL, one case with atypical CML, and 2 cases with Polycythemia Vera (PV). The t(5;12)(q31;p13) is a recurrent translocation in myeloid malignancies (at least 23 cases reported). Prognosis ACSL6 (Acyl-CoA Synthetase Longchain family member 6) No prognostic value established. Location: 5q31 Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 247 t(5;12)(q31;p13) in MDS, AML and AEL Odero MD Note: None of the resulting chimeric transcripts, except for the ACSL6/ETV6 transcript in the RAEB case, led to a fusion protein. DNA / RNA 57,74 kb, 21 exons; alternate splicing. Protein Two splicing isoforms, a long and a short. The gene encodes an AMP binding enzyme; plays an important role in fatty acid metabolism in brain, responsible for activation of long-chain fatty acids in erythrocytes. Wide expression, expression low at earlier stages of erythroid development but very high in reticulocytes. on 12p13, and BACs and PIs on 5q31, demonstrated that the 5q31 breakpoints of the AML and AEL cases involved the 5-prime portion of the ACSL6 gene, and that the 5q31 breakpoint of the RAEB case involved the 3-prime portion of the ACSL6 gene. None of the resulting chimeric transcripts except for the ACSL6/ETV6 transcript in the RAEB case led to a fusion protein. A case with a CML and a t(5;12)(q31;p13) was characterized, and 3 different ETV6/ACSL6 transcripts were detected. Moreover, as a consequence of the translocation IL-3/CSF2, located at 5q31, was ectopically expressed in the leukemic cells. Results of the chromosomal anomaly References Yagasaki F, Jinnai I, Yoshida S, Yokoyama Y, Matsuda A, Kusumoto S, Kobayashi H, Terasaki H, Ohyashiki K, Asou N, Murohashi I, Bessho M, Hirashima K. Fusion of TEL/ETV6 to a novel ACS2 in myelodysplastic syndrome and acute myelogenous leukemia with t(5;12)(q31;p13). Genes Chromosomes Cancer 1999;26:192-202. Hybrid gene Description A novel human gene, called ACS2 (acyl-CoA synthetase-2), was identified as an ETV6 fusion partner in a recurrent t(5;12)(q31;p13) translocation. Northern blot analysis detected high levels of ACS2 expression in brain, fetal liver, and bone marrow, and the gene was found to be highly conserved in man and rat. The ETV6/ACSL6 fusion transcripts showed an out-frame fusion of exon 1 of ETV6 to exon 1 of ACSL6 in the AEL patient, an out-frame fusion of exon 1 of ETV6 to exon 11 of ACSL6 in the AML patient, and a short inframe fusion of exon 1 of ETV6 to the 3-prime untranslated region of ACSL6 in the patient with RAEB. Reciprocal ACSL6/ETV6 transcripts were identified in 2 of the cases. FISH with ETV6 cosmids Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Cools J, Mentens N, Odero MD, Peeters P, Wlodarska I, Delforge M, Hagemeijer A, Marynen P. Evidence for position effects as a variant ETV6-mediated leukemogenic mechanism in myeloid leukemias with a t(4;12)(q11-q12;p13) or t(5;12)(q31;p13). Blood 2002;99:1776-1784. Murati A, Adélaïde J, Gelsi-Boyer V, Etienne A, Rémy V, Fezoui H, Sainty D, Xerri L, Vey N, Olschwang S, Birnbaum D, Chaffanet M, Mozziconacci MJ. t(5;12)(q23-31;p13) with ETV6ACSL6 gene fusion in polycythemia vera. Leukemia 2006;20:1175-1178. This article should be referenced as such: Odero MD. t(5;12)(q31;p13) in MDS, AML and AEL. Atlas Genet Cytogenet Oncol Haematol.2007;11(3):247-248. 248 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Solid Tumour Section Mini Review Carcinoma with t(15;19) translocation Anna Collin Department of Clinical Genetics, Lund University Hospital, 221 85 Lund, Sweden Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Tumors/Carcinot1519q14p13ID5474.html DOI: 10.4267/2042/38455 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 Cytology Identity Focal reactivity with pan-cytokeratin markers. Negative for CD30, CD45, PLAP, HMB45, S100 and neuroendocrine markers. Other names: Mediastinal carcinoma with chromosome translocation t(15;19); Midline carcinoma of children and young adults with NUT rearrangement; Midline carcinoma with t(15;19); Poorly differentiated carcinoma with t(15;19); Poorly differentiated thymic carcinoma; t(15;19) positive tumor. Pathology The tumor cells are typically undifferentiated, of intermediate size and the mitotic index is high. Treatment Clinics and pathology Disease Intensive combined chemotherapy and occasionally radiotherapy. Carcinoma with t(15;19) translocation. Prognosis Phenotype stem cell origin Extremely poor. Among the cases reported so far, the median survival time was 18 weeks (range 6-67). It has been suggested that a critical prognostic difference exists between BRD4-NUT/t(15;19) positive tumors and tumors where NUT is rearranged but fused to an as yet unknown partner. It has been suggested that tumor cells derive from early epithelial progenitor cells. Embryonic origin The majority of the cases presumably derive from various (midline) epithelial surfaces. One tumor, localized to the iliac bone and staining negative for epithelial, endothelial, germ cell and neuroendocrine markers has been reported, suggesting that the tumor might also derive from non-epithelial structures. Cytogenetics Cytogenetics morphological The characteristic t(15;19) has been observed in all reported cases. The reported breakpoints on chromosome 15 have varied (15q11-q15). The breakpoints on chromosome 19 clustered to 19p13 in the majority of the cases. In one case the breakpoint was interpreted as 19q13. Etiology Unknown. Epidemiology A total of 13 cases have been reported to date. All tumors occurred in children or young adults with a median age of 15 years of age (range 3-35). There seem to be no sex predilection (8 males, 5 females). Cytogenetics molecular Various FISH protocols for the detection of 15q and 19p rearrangements, strongly indicating the presence of a t(15;19), have been reported. The material used has been paraffin-embedded sections of tumor biopsy or metaphase spreads of cultured tumor tissue. Clinics The growth pattern is typically aggressive and locally invasive. Metastatic growth is common in particular in bone, but also in lymph nodes and lungs. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 249 Carcinoma with t(15;19) translocation Collin A Probes Result of the chromosomal anomaly Probes for NUT: RP11-194H7 covering the gene or BAC 87M17 and YAC 766E7 flanking the gene. Probes for BRD4: RP11-637P24 covering the gene or BACs 1H8+64O3 and BACs 412E10+3D4 flanking the gene. Hybride Gene Description The t(15;19)(q14;p13) results in a BRD4-NUT chimeric gene where exon 10 of BRD4 is fused to exon 2 of NUT. Detection protocole The hybrid gene can be visualized by FISH using gene specific probes or by RT-PCR. Additional anomalies The t(15;19) is typically seen as the sole change. In one case a variant t(11;15;19) was reported. Variants t(15;?)(q14;?) leading to rearrangement and fusion of NUT to an unknown partner gene. Fusion protein Genes involved and Proteins Description The BRD4-NUT fusion protein is composed of the Nterminal of BRD4 (amino acids 1-720 out of 1372) and almost the entire protein sequence of NUT (amino acids 6-1127). The N-terminal of BRD4 includes bromodomains 1 and 2 and other, less well characterized functional domains. Oncogenesis It has been suggested that the oncogenic effect of the NUT-BRD4 fusion is caused not only by the abnormal regulation of NUT by BRD4 promotor elements but also by the consequent ectopic expression of NUT in non-germinal tissues. NUT (nuclear protein in testis) Location: 15q14 (position 32425358-32437221 on the chromosome 15 genomic sequence according to the UCSC database; assembly of May 2004) DNA/RNA The gene consists of 7 exons that span approximately 12 kb of genomic DNA in the centromere-to-telomere orientation. The translation initiation codon and the stop codon are predicted to exon 1 and exon 7, respectively. The corresponding wildtype mRNA transcript is 3.6 kb. Protein The open reading frame is predicted to encode a 1127 amino acid protein with an estimated molecular weight of 120 kDa. The protein is nuclear and Northern blot analysis has indicated that the normal expression of the NUT gene is highly restricted to the testis. References Kees UR, Mulcahy MT, Willoughby MLN. Intrathoracic carcinoma in an 11-year-old girl showing a translocation t(15;19). Am J Pediatr Hematol Oncol 1991;13:459-464. Kubonishi I, Takehara N, Iwata J, Sonobe H, Ohtsuki Y, Abe T, Miyoshi I. Novel t(15;19) chromosome abnormality in a thymic carcinoma. Cancer Res 1991;51:3327-3328. BRD4 (bromodomain containing 4) Lee ACW, Kwong Y-I, Fu KH, Chan GCF, Ma L, Lau Y-I. Disseminated mediastinal carcinoma with chromosomal translocation (15;19). A distinctive clinicopathologic syndrome. Cancer 1993;72:2273-2276. Location: 19p13 (position 15252262-15209302 on the chromosome 19 genomic sequence according to the UCSC database; assembly of May 2004). DNA/RNA The gene consists of 20 exons that span approximately 43 kb of genomic DNA in the centromere-to-telomere orientation. The translation initiation codon and stop codon are located to exon 2 and exon 20, respectively. Two isoforms of BRD4 have been reported. The BRD4 long isoform encodes a 6.0 kb mRNA that corresponds to the full length transcript. The BRD4 short isoform encodes a 4.4 kb mRNA that corresponds to an alternative splicing variant lacking exons 12-20. Protein The open reading frame encodes a 1362 amino acid protein with a molecular weight of 200 kDa. The protein is nuclear and Northern blot analysis has shown an ubiquitous normal expression of both BRD4 isoforms. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Dang TP, Gazdar AF, Virmani AK, Sepetavec T, Hande KR, Minna JD, Roberts JR, Carbone DP. Chromosome 19 translocation, overexpression of Notch3, and human lung cancer. J Natl Cancer Inst 2000;92:1355-1357. French CA, Miyoshi I, Aster JC, Kubonishi I, Kroll TG, Dal Cin P, Vargas SO, Perez-Atayde AR, Fletcher JA. BRD4 bromodomain gene rearrangement in aggressive carcinoma with translocation t(15;19). Am J Pathol 2001;159:1987-1992. Vargas SO, French CA, Faul PN, Fletcher JA, Davis IJ, Dal Cin P, Perez-Atayde AR. Upper respiratory tract carcinoma with chromosomal translocation 15;19. Evidence for a distinct disease entity of young patients with a rapidly fatal course. Cancer 2001;92:1195-1203. French CA, Miyoshi I, Kubonishi I, Grier HE, Perez-Atayde AR, Fletcher JA. BRD4-NUT fusion oncogene: a novel mechanism in aggressive carcinoma. Cancer Res 2003;63:304-307. Toretsky JA, Jenson J, Sun C-C, Eskenazi AE, Campbell A, Hunger SP, Caires A, Frantz C, Hill JL, Stamberg J. Translocation t(11;15;19): a highly specific chromosome 250 Carcinoma with t(15;19) translocation Collin A rearrangement associated with poorly differentiated thymic carcinoma in young patients. Am J Clin Oncol 2003;26:300306. You J, Croyle JL, Nishimura A, Ozato K, Howley P. Interaction of the bovine papillomavirus E2 protein with Brd4 tethers the viral DNA to host mitotic chromosomes. Cell 2004;117:349360. French CA, Kutok JL, Faquin WC, Toretsky JA, Antonescu CR, Griffin CA, Nose V, Vargas SO, Moschovi M, TzortzatouStathopoulo F, Miyoshi I, Perez-Atayde AR, Aster JC, Fletcher JA. Midline carcinoma of children and young adults with NUT rearrangement. J Clin Oncol 2004;22:4135-4139. Engleson J, Soller M, Panagopoulos I, Dahlén A, Dictor M, Jerkeman M. Midline carcinoma with t(15;19) and BRD4-NUT fusion oncogene in a 30-year-old female with response to docetaxel and radiotherapy. BMC Cancer 2006;6:69. Marx A, French CA, Fletcher JA. Carcinoma with t(15;19) translocation. In:World Health Organization classification of tumours. Pathology and genetics of tumours of the lung, thymus, pleura and heart. Travis WD, Brambilla E, MullerHermelink K, Harris CC, editors. Oxford University Press 2004. pp185-186. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Mertens F, Wiebe T, Adlercreutz C, Mandahl N, French CA. Successful treatment of a child with t(15;19)-positive tumor. Pediatr Blood Cancer 2006. This article should be referenced as such: Collin A. Carcinoma with t(15;19) translocation. Atlas Genet Cytogenet Oncol Haematol.2007;11(3):249-251. 251 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Solid Tumour Section Review Vulva and Vagina tumors: an overview Roberta Vanni, Giuseppina Parodo Dip. Scienze e Tecnologie Biomediche, Sezione di Biologia e Genetica, Universitá di Cagliari, Cittadella Universitaria, 09142 Monserrato, Italy Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Tumors/VulVaginaCarcID5274.html DOI: 10.4267/2042/38456 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 8. Deep angiomyxoma 9. Superficial angiomyxoma 10. Angiomyofibroblastoma 11. Cellular angiofibroma 12. Leiomyoma 13. Granular cell Tumor 14. Other - III. Melanocytic Tumors 1. Malignant melanoma 2. Congenital melanocytic naevus 3. Acquired melanocytic naevus 4. Blue naevus 5. Atypical melanocytic naevus of genital type 6. Dysplastic melanocytic naevus - IV. Miscellaneous Tumors 1. Yolk sac Tumor 2. Merkel cell Tumor 3. Peripheral primitive neuroectodermal Tumor/Ewing sarcoma - V. Haematopoietic and lymphoid Tumors 1. Malignant lymphoma 2. Leukemia - VI. Secondary tumors VAGINA NEOPLASIA: - I. Epithelial neoplasms A. Squamous Tumors and precursors 1. Squamous cell carcinoma not otherwise specified 2. Squamous intraepithelial neoplasia 3. Benign squamous lesions (condyloma acuminatum, squamous papilloma, fibroepithelial polyp) B. Glandular lesions 1. Adenocarcinoma, NOS 2. Clear cell adenocarcinoma 3. Endometrioid adenocarcinoma 4. Mucinous adenocarcinoma 5. Mesonephric adenocarcinoma Classification Note: Neoplasms of the vulva and vagina together account for less than 5% of all female genital tract cancers. Staging and grading of the lesions follows the TNM (Tumor, regional lymphoNode, Metastasis) and FIGO (International Federation of Gynecology and Obstetrics) recommendations. According to WHO recommendations, the main Vulva and Vagina categories are: VULVA NEOPLASIA: - I. Epithelial neoplasms A. Squamous and related Tumors and precursors 1. Squamous cell carcinoma not otherwise specified 2. Basal cell carcinoma 3. Squamous intraepithelial neoplasia 4. Benign squamous lesions B. Glandular Tumors 1. Paget disease 2. Bartholin gland Tumors: carcinomas, adenoma and adenomyoma 3. Tumor arising from specialized ano-genital mammary-like glands 4. Adenocarcinoma of Shene gland origin 5. Adenocarcinoma of other types 6. Adenoma of minor vestibular glands 7. Mixed Tumors of the vulva 8. Tumors of skin appendage origin - II. Soft tissue Tumors 1. Embryonal rhabdomyosarcoma (sarcoma botryoides) 2. Leiomyosarcoma 3. fibrous histiocytoma 4. Proximal epithelioid sarcoma 5. Alveolar soft part sarcoma 6. Liposarcoma 7. Dermatofibrosarcoma protuberans Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 252 Vulva and Vagina tumors: an overview Vanni R, Parodo G 6. Mullerian papilloma 7. Adenoma not otherwise specified C. Other epithelial Tumors 1. Adenosquamous carcinoma 2. Adenoid cystic carcinoma 3. Adenoid basal carcinoma 4. Carcinoid 5. Small cell carcinoma 6. Undifferentiated carcinoma - II. Mesenchymal Tumors 1. Sarcoma botryoides 2. Leiomyosarcoma 3. Endometrioid stromal sarcoma, low grade 4. Undifferentiated vaginal sarcoma 5. Alveolar soft part sarcoma 6. Leiomyoma 7. Deep angiomyxoma 8. Post-operative spindle nodule - III. Mixed epithelial and mesenchymal Tumors 1. Carcinosarcoma (Malignant Mullerian Mixed tumors; metaplastic carcinoma) 2. Adenosarcoma 3. Malignant mixed Tumors resembling synovial sarcoma 4. Benign mixed Tumors - IV. Melanocytic Tumors 1. Malignant melanoma 2. Blue naevus 3. Melanocytic naevus - V. Miscellaneous Tumors A. Tumor of germ cell type 1. Yolk sac Tumor 2. Dermoid Cyst B. Others 1. Peripheral primitive neuroectodermal Tumor/Ewing sarcoma 2. Adenomatoid Tumor 3. Malignant lymphoma 4. Granulocytic sarcoma - VI Secondary Tumors the virus genome, still in an not integrated state, expresses oncoproteins E6 and E7 which interfer with the mechanisms of chromosome segregation during mitosis. This phenomenon, would favour the virus genome integration into chromosomal DNA. However, no evidence for targeted disruption of critical cellular genes by the integrated viral sequences has been found. According to this, two categories of affected patients can be distinguhished: Malignant lesions of the vulva Older age (mean 77): no vulva intraepithelial neoplasia (VIN) pre-existing pre-malignant condition, not Human Papilloma Virus (HPV) related, unknown etiology. Younger age (mean 55): usually associated with VIN, HPV-related (usually type 16). Malignant lesions of the vagina The strongest association is between squamous cell carcinoma and HPV types 16 and 18 infection. Association with a pre-malignant lesion, known as vaginal intraepithelial neoplasia (VAIN), was reported. Association with previous history of cervical intraepithelial neoplasia (CIN), invasive cervical carcinoma, or invasive vulvar carcinoma has been reported. Epidemiology Malignant neoplasms of the vulva together with neoplasms of the vagina account for less than 5% of all genital tract cancers. Squamous cell carcinoma (approximately 90% and 80% of the malignant neoplasms of the vulva and the vagina, respectively) is the most commonly found, and it is primarily a disease of elderly women, although it may be also observed in premenopausal women. Pigmented vulvar and vaginal lesions may occur, including nevi and melanoma, which accounts for 9% of vulvar and 5% of vaginal malignant lesions. Diethylstilbestrol (DES)-Associated Disease of the vagina are described: DES is a synthetic non-steroidal estrogen used in the early 1970s to prevent miscarriage. The female fetuses delivered by the mothers taking DES suffered from severe vaginal lesions including vaginal adenosis (benign) and clear cell adenocarcinoma. Malignant mesenchimal tumors of the vulva or vagina are rare: leiomyosarcoma is the most common vulvar lesion (mean age 35), dermatofibrosarcoma is one of the rarest: 25 cases reported, mean age 54. Clinics and pathology Disease Tumor of the vulva and vagina Note: Benign and malignant solid tumors at these sites are rare. The malignant lesions may have epithelial (squamous and glandular) and mesenchymal (soft tissue) origin. Clinics Cancer of the vulva and vagina at the very early stages tends to be asymptomatic. Delay in diagnosis is common, partially due to disease rarity and to delay in relating patient symptoms to the disease origin. Vulva. Major symptoms are: painless bleeding unrelated to the menstrual cycle, appearing of vulvar skin white and rough. Vagina. Major symptoms are painless vaginal bleeding (65-80% of all cases), difficult or painful urination, Etiology The high-risk (HR) human papillomaviruses (HPVs) infections have been identified as an essential although not sufficient factor in the pathogenesis of vulval and vagina carcinoma. It has been demonstrated that HPV integration sites are distributed over the whole genome, with a preference for genomic fragile site. It has been also hypothesized that, at the early stages of infection, Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 253 Vulva and Vagina tumors: an overview Vanni R, Parodo G pain in the pelvic area. Mainly post-menopausal women (70%) are affected. Many vulvar or vaginal growths are not neoplastic and may be treated by monitoring or simple excision. Suspicious growths require diagnostic biopsy and in case of cancer diagnosis surgical ablation is mandatory. influence the survival rate. The overall 5-year survival rate is about 61%, with about 54% survivig for 10 years or more. Cytogenetics Cytogenetics morphological Pathology Data on cytogenetics of vulva and vagina cancer are scarse. Epithelial malignancy of both lesions show cytogenetic abnormalities, although no specific chromosome markers have been identified so far, and no consistent association between cytogenetic subgroups and histological differentiation have been observed. Complex karyotypes are frequent, however simple karyotypes have been observed in a number of cases as well. Cytogenetically unrelated clones, as well as closely related clones, were found in both in situ and infiltrating squamous cell carcinoma (SCC). Structural changes of chromosome 3, 8, 9, 11, 13, 14, 19 and 22 have been frequently observed. Cytogenetically unrelated, abnormal clones, characterized by simple changes (chromosome X and 7 aneuploidy) have been described in Paget’s disease. The karyotypes of melanoma and dermatofibrosarcoma protuberans, arising in the vulva and/or vagina, substantially do not differ from the karyotypes of the same entities arising at other sites. A single case of vagina leiomyoma has been reported recently and a t(7;8)(p13;q11.2) translocation without PLAG1 alteration has been described. The histopathology of vulva and vagina neoplasms reflects the different cell origins of the Tumors (see classification). Examples of both gross and microscopic images of these clinical entities can be viewed at http://www.gfmer.ch/selected_images_v2/level1.php?c at1=8 & stype=n Immunohistochemical studies demonstrate that monoclonal antibodies to MIB-1 (Ki67), a proliferation-associated marker, distinguish two different labeling patterns in the vulvar lesions : diffuse pattern, associated with poor prognosis, or localized pattern. Treatment Vulva. Small primary lesions less than 2 cm in diameter with superficial invasion are usually treated with wide local excision with adequate surgical margins For tumors larger than 2 cm, or deeply growing into the underlying inguinal, lymphadenectomy is performed in order to plan a further partial or total vulvectomy. Radiation, with or without chemotherapy, may be used to treat advanced tumors or tumor recurrences, although there is not general consensus on the advantage of post-operative radiation therapy. Vagina. According to the FIGO, a vaginal lesion arises solely from the vagina : a vaginal lesion involving the external os of the cervix should be considered cervical cancer, and a tumor involving both vulva and vagina should be considered vulvar cancer, and they should be treated as such. Radiotherapy is the most commonly used treatment for cancer of the vagina. Indication for diverse surgical interventions (radical hysterectomy, total or subtotal vaginectomy, vulvectomy, inguinal lymphadenectomy, etc), often accompained by radiation therapy, depends on the lesion type, stage, location, size and patient’s history. Cytogenetics molecular Fluorescence in situ hybridization (FISH) supports the cytogenetic pattern observed by conventional techniques, confirming the gain of chromosome 3q as an early and consistent change in carcinomas of the vulva, and the presence of EWS/FLI-1 fusion in extraosseous Ewing's sarcoma/peripheral neuroectodermal tumors of both vulva and vagina. CGH profiles are also confirmatory: chromosome imbalance with gains from the long arm of chromosome 3, 5, 8, 9 and losses from the 11q have been frequently observed. A comparison between papillomavirus-negative and papillomavirus-positive vulvar cancer indicated that chromosome 8q was more commonly gained in the positive cases. Prognosis Vulva. As with many other types of cancer prognosis depends on several factors, including the histological type of the lesion. In general, patients with increasing tumor stage have a lower rate of survival. The overall 5-year survival rate ranges from 90% to 33%, depending upon whether and how many lymphonodes are involved (not in a directly proportional way). Recurrences are seen in a high percentage of patients within the first two years of follow-up. Vagina. The histologic type, size (Tumors less than 4cm seem to be associated with a significantly better survival rate), stage and grade and location of the tumor Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Genes involved and Proteins Note: No specific genes involved in vulva or vagina carcinogenesis have been found so far. An isolated study indicated a prominent role of the common IL1RN intron 2 polymorphism in vulvar carcinogenesis. References Teixeira MR, Kristensen GB, Abeler VM, Heim S. Karyotypic findings in tumors of the vulva and vagina. Cancer Genet Cytogenet 1999;111:87-91. 254 Vulva and Vagina tumors: an overview Vanni R, Parodo G Vang R, Taubenberger JK, Mannion CM, Bijwaard K, Malpica A, Ordonez NG, Tavassoli FA, Silver SA. Primary vulvar and vaginal extraosseous Ewing's sarcoma/peripheral neuroectodermal tumor: diagnostic confirmation with CD99 immunostaining and reverse transcriptase-polymerase chain reaction. Int J Gynecol Pathol 2000;19:103-109. Micci F, Teixeira MR, Scheistroen M, Abeler VM, Heim. Cytogenetic characterization of tumors of the vulva and vagina. Genes Chromosomes Cancer 2003;38:137-148. Grimm C, Berger I, Tomovski C, Zeillinger R, Concin N, Leodolter S, Koelbl H, Tempfer CB, Hefler LA. A polymorphism of the interleukin-1 receptor antagonist plays a prominent role within the interleukin-1 gene cluster in vulvar carcinogenesis. Gynecol Oncol 2004;92:936-940. Vanni R, Faa G, Dettori T, Dumanski JP, O¹ Brien KP. A case of Dermatofibrosarcoma protuberans of the vulva with a COL1A1/PDGFB fusion identical to a case of Giant Cell fibroblastoma. Virchows Arch 2000;437:95-100. Horton E, Dobin SM, Debiec-Rychter M, Donner RL. A clonal translocation (7;8)(p13;q11.2) in a leiomyoma of the vulva. Cancer Genet Cytogenet 2006;170:58-60. Allen DG, Hutchins AM, Hammet F, White DJ, Scurry JP, Tabrizi SN, Garland SM, Armes JE. Genetic aberrations detected by comparative genomic hybridisation in vulvar cancers. Br J Cancer 2002;86:924-928. This article should be referenced as such: Vanni R, Parodo G. Vulva and Vagina tumors: an overview. Atlas Genet Cytogenet Oncol Haematol.2007;11(3):252-255. Tavassoli FA and Stratton MR Editors. Pathology and Genetics of Tumours of the Breast and Female Genital Organs. WHO classification of tumours:2002 editions. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 255 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Cancer Prone Disease Section Mini Review Diamond-Blackfan anemia (DBA) Hanna T Gazda Harvard Medical School, Children's Hospital Boston, 300 Longwood Ave., Boston, MA 02115, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Kprones/DiamondBlackfanID10040.html DOI: 10.4267/2042/38457 This article is an update of: Punnett HH. Diamond-Blackfan anemia (DBA). Atlas Genet Cytogenet Oncol Haematol.1999;3(3):160. 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 Genes involved and Proteins Inheritance: Genetic heterogeneity; majority of cases autosomal dominant, occasionally with variable expression (incomplete dominance) manifesting as mild anemia or only macrocytosis and/or elevated erythrocyte adenosine deaminase activity (eADA) in transmitting parent or in siblings; some cases apparently autosomal recessive, not linked to 19q. RPS19 Location: 19q13.2 Protein Description: Ribosomal protein S19; ribosomal proteins are a major component of cellular proteins. In general their function(s), aside from being part of the ribosome, are unknown. However, RPS19 protein was shown to be essential for 18S rRNA maturation and 40S subunit synthesis. Haplo-insufficiency of the protein encoded by the mutated gene is a likely mechanism underlying the pathogenesis of DBA. Mutations Germinal: 62 different heterozygous mutations in RPS19 were identified and reported in 113 of the 457 (about 25%) DBA probands. They were non-sense, frameshift, splice site and missense mutations. Several patients had disease-associated chromosomal abnormalities in DBA region, including t(X;19), t(8;19), and 19q microdeletions. Clinics - Chronic constitutional aregenerative anemia with absent or decreased red cell precursors in bone marrow. - Macrocytosis elevated fetal hemoglobin and increased eADA. - Physical abnormalities in about 40% of DBA cases including craniofacial and thumb abnormalities, atrial or ventrucular septal defects, short stature, mild retardation, etc. - Hematologic malignancy: in 2.5% of all reported cases of DBA; primarily ANLL with no FAB preference but also ALL, Hodgkin's disease. - Solid tumors include carcinoma of liver, stomach, osteogenic sarcoma. - Age of malignancy onset from 2 to 43 years. - Disease-related and treatment-related factors, i.e., allosensitization and iron overload, contribute to malignancy. RPS24 Location: 10q22.3 DNA/RNA Description: ribosomal protein S24. Mutations Germinal: Three heterozygous mutations in RPS24 (two nonsense and one splice site mutations causing premature termination codons and skipped exon, respectively) were identified among 185 RPS19negative DBA probands (about 2%). Treatment Corticosteroids, transfusion, bone marrow transplant. Evolution Some patients enter remission, with or without corticosteroid therapy. Prognosis Median survival: 38 years. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 256 Diamond-Blackfan anemia (DBA) Gazda HT Van Dijken PJ, Verwijs W. Diamond-Blackfan anemia and malignancy. A case report and review of the literature. Cancer 1995;76:517-520. (Review). Flygare J, Kiefer T, Miyake K, Utsugisawa T, Hamaguchi I, Da Costa L, Richter J, Davey EJ, Matsson H, Dahl N, Wiznerowicz M, Trono D, Karlsson S. Deficiency of ribosomal protein S19 in CD34+ cells generated by siRNA blocks erythroid development and mimics defects seen in Diamond-Blackfan anemia. Blood 2005;105(12):4627-4634. Janov AJ, Leong T, Nathan DG, Guinan EC. DiamondBlackfan anemia. Natural history and sequelae of treatment. Medicine 1996;75(2):77-78. Ohene-Abuakwa Y, Orfali KA, Marius C, Ball SE. Two-phase culture in Diamond Blackfan anemia: localization of erythroid defect. Blood 2005;105(2):838-846. Gustavsson P, Garelli E, Draptchinskaia N, Ball S, Willig T-N, Tentler D, Dianzani I, Punnett HH, Shafer F, Cario H, Ramenghi U, Glomstein A, Pfeiffer RA, Goringe A, Oliver NF, Smibert E, Tchernia G, Elinder G, Dahl N. Identification of microdeletions spanning the Diamond-Blackfan anemia locus (DBA) on 19q13 and evidence for genetic heterogeneity. Am J Human Genet 1998;63:1388-1395. Cmejlova J, Dolezalova L, Pospisilova D, Petrtylova K, Petrak J, Cmejla R. Translational efficiency in patients with DiamondBlackfan anemia. Haematologica 2006;91(11):1456-1464. References Faivre L, Meerpohl J, Da Costa L, Marie I, Nouvel C, Gnekow A, Bender-Gotze C, Bauters F, Coiffier B, Peaud PY, Rispal P, Berrebi A, Berger C, Flesch M, Sagot P, Varet B, Niemeyer C, Tchernia G, Leblanc T. High-risk pregnancies in DiamondBlackfan anemia: a survey of 64 pregnancies from the French and German registries. Haematologica 2006;91(4):530-533. Draptchinskaia N, Gustavsson P, Andersson B, Petterson M, Willig TN, Dianzani I, Ball S, Tchernia G, Klar J, Matsson H, Tentler D, Mohandas N, Carlsson B, Dahl N. The gene encoding ribosomal protein S19 is mutated in DiamondBlackfan anemia. Nature Genet 1999;21:169-174. Flygare J, Karlsson S. Diamond-Blackfan erythropoiesis lost in translation. Blood 2006;. Gazda HT, Grabowska A, Merida-Long LB, Latawiec E, Schneider HE, Lipton JM, Vlachos A, Atsidaftos E, Ball SE, Orfali KA, Niewiadomska E, Da Costa L, Tchernia G, Niemeyer C, Meerpohl JJ, Stahl J, Schratt G, Glader B, Backer K, Wong C, Nathan DG, Beggs AH, Sieff CA. Ribosomal protein S24 gene is mutated in Diamond-Blackfan anemia. Am J Hum Genet 2006;79(6):1110-1118. Willig TN, Draptchinskaia N, Dianzani I, Ball S, Niemeyer C, Ramenghi U, Orfali K, Gustavsson P, Garelli E, Brusco A, Tiemann C, Perignon JL, Bouchier C, Cicchiello L, Dahl N, Mohandas N, Tchernia G. Mutations in ribosomal protein S19 gene and diamond blackfan anemia: wide variations in phenotypic expression. Blood 1999;94:4294-4306. Vlachos A, Klein GW, Lipton JM. The Diamond Blackfan Anemia Registry: tool for investigating the epidemiology and biology of Diamond-Blackfan anemia. J. Pediatr. Hematol. Oncol 2001;23(6):377-382. Gazda HT, Kho AT, Sanoudou D, Zaucha JM, Kohane IS, Sieff CA, Beggs AH. Ribosomal Protein Gene Expression Alters Transcription, Translation, Apoptosis, and Oncogenic Pathways in Diamond-Blackfan Anemia. Stem Cells 2006;24:2034-2044. Da Costa L, Narla G, Willig TN, Peters LL, Parra M, Fixler J, Tchernia G, Mohandas N. Ribosomal protein S19 expression during erythroid differentiation. Blood 2003;101:318-324. Orrù S, Aspesi A, Armiraglio M, Caterino M, Loreni F, Ruoppolo M, Santoro C, Dianzani I. Analysis of RPS19's interactome. Mol Cell Proteomics 2006;. Gazda HT, Zhong R, Long L, Niewiadomska E, Lipton JM, Ploszynska A, Zaucha JM, Vlachos A, Atsidaftos E, Viskochil DH, Niemeyer CM, Meerpohl JJ, Rokicka-Milewska R, Pospisilova D, Wiktor-Jedrzejczak W, Nathan DG, Beggs AH, Sieff CA. RNA and protein evidence for haplo-insufficiency in Diamond-Blackfan anaemia patients with RPS19 mutations. Br J Haematol 2004;127:105-113. Choesmel V, Bacqueville D, Rouquette J, Noaillac-Depeyre J, Fribourg S, Crétien A, Leblanc T, Tchernia G, Da Costa L, Gleizes PE. Impaired ribosome biogenesis in DiamondBlackfan anemia. Blood 2007;109(3):1275-1283. Flygare J, Aspesi A, Bailey JC, Miyake K, Caffrey JM, Karlsson S, Ellis SR. Human RPS19, the gene mutated in DiamondBlackfan anemia, encodes a ribosomal protein required for the maturation of 40S ribosomal subunits. Blood 2007;109(3):980986. Orfali KA, Ohene-Abuakwa Y, Ball SE. Diamond Blackfan anaemia in the UK: clinical and genetic heterogeneity. Br J Haematol 2004;125:243-252. Ebert BL, Lee MM, Pretz JL, Subramanian A, Mak R, Golub TR, Sieff CA. An RNA interference model of RPS19 deficiency in Diamond-Blackfan anemia recapitulates defective hematopoiesis and rescue by dexamethasone: identification of dexamethasone-responsive genes by microarray. Blood 2005;105(12):4620-4626. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) anemia: This article should be referenced as such: Gazda HT. Diamond-Blackfan anemia (DBA). Atlas Genet Cytogenet Oncol Haematol.2007;11(3):256-257. 257 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Case Report Section Paper co-edited with the European LeukemiaNet t(16;21)(q24;q22) in therapy-related acute myelogenous leukemia arising from myelodysplastic syndrome Paola Dal Cin, Karim Ouahchi Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA Published in Atlas Database: February 2007 Online updated version: http://AtlasGeneticsOncology.org/Reports/1621DalCinID100022.html DOI: 10.4267/2042/38458 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 WBC: 0.29 x 109/l; Hb: 10.7 g/dl; platelets: 19x 109/l. Bone marrow: Megakaryocytes: none noted; Blasts: 65%; Promyelocytes: 1%; Myeloid Activity: 20%, occasional dysplastic forms; Erythroid Activity: 12%, occasional dysplastic forms; Lymphocytes: 2%. myelodysplastic syndrome: (09-2006) karyotype was not performed; therapy-related AML: (01-11-2007) karyotype showing t(16;21) Treatment: Chemotherapy and radiotherapy; chlorambucil, Vinblastine Procarbazine, Prednisone (MOPP) until June 2004; radiotherapy in 2004; ifosfamide, carboplatin and etoposide (ICE) in August 2005; autologous bone marrow transplant in August 2006, and conditioning regimen consisted of Cytoxan, BCNU and etoposide. Induction therapy in January 2007 (16-01-07) and preparation for second transplant. Complete remission was obtained Comments : bone marrow biopsy performed on 03-012007 showing no evidence of leukemia and 2% of blast. Karyotype performed on bone marrow aspirate was interpreted as 46, XY in 20 metaphases. Relapse: Status: Alive 03-2007 Cytopathology classification Karyotype Cytology: M2 arising from previous myelodysplastic syndrome (RAEB-1). Immunophenotype: Population of immature cells is positive for CD34 +, CD45 (dim), HLA-DR +, CD117 +, CD13 +, and CD33+ and negative for CD15-, monocytic, B and T lymphoid markers. Pathology: Involvement by acute myelogenous leukemia (FAB-M2) with background dysmyelopoiesis. Sample: Bone marrow aspirate; Culture time: 24h; Banding: GTG. Results: 49,XY,+Y,+3,+8,t(16;21)(q24;q22)[18]/46,XY[2] Other molecular cytogenetic technics: FISH evaluation for AML1 rearrangement was performed on abnormal metaphases with the LSI TEL/AML1 ES Dual Color Translocation Probe (Abbott Molecular/Vysis, Inc.). Other molecular cytogenetics results: Ish der(16)(dimAML1+), der(21)(dimAML1+)[5/5] (see Fig. 2). Clinics Age and sex: 32 years old male patient. Age and sex : 32 year(s) old male patient. Previous History : preleukemia (RAEB diagnosed in 09-2006); Hodgkin's lymphoma diagnosed in 2003. Organomegaly : no hepatomegaly ; no splenomegaly ; enlarged lymph nodes (History of Hodgkin's lymphoma involving right side neck lymph node) ; no central nervous system involvement. Blood Survival Date of diagnosis: Hodgkin's lymphoma: (2003); Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 258 t(16;21)(q24;q22) in therapy-related acute myelogenous leukemia arising from myelodysplastic syndrome Dal Cin P, Ouahchi K Trisomy 8 is a frequent secondary abnormality associated with t(16;21), however in this current case we also report the presence of an additional chromosome Y and trisomy 3. Comments The t(16;21) was reported mostly in t-MDS/t-AML, and classified as M2 in a majority of cases. Two cases including this current report were observed after treatment for Hodgkin lymphoma. Partial GTG-banding karyotype showing t(16;21)(q24;q22)(a) and numerical anomalies. Partial FISH analysis showing the AML1 hybridization signals on the derivative chromosomes 16 and 21 and on the normal chromosome 21(b). Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 259 t(16;21)(q24;q22) in therapy-related acute myelogenous leukemia arising from myelodysplastic syndrome Jonveaux P, Baranger L, Eclache-Saudreau V, Pagès MP, Cabrol C, Terré C, Berger R; Groupe Français de Cytogénétique Hématologique (GFCH). Abnormalities of the long arm of chromosome 21 in 107 patients with hematopoietic disorders: a collaborative retrospective study of the Groupe Français de Cytogénétique Hématologique. Cancer Genet Cytogenet 2006;166:1-11. References Pérot C. t(16;21)(q24;q22). Atlas Genet Cytogenet Oncol Haematol 1998;2(3). Kondoh K, Nakata Y, Furuta T, Hosoda F, Gamou T, Kurosawa Y, Kinoshita A, Ohki M, Tomita Y, Mori T. A pediatric case of secondary leukemia associated with t(16;21)(q24;q22) exhibiting the chimeric AML1-MTG16 gene. Leuk Lymphoma 2002;43:415-420. This article should be referenced as such: Dal Cin P, Ouahchi K. t(16;21)(q24;q22) in therapy-related acute myelogenous leukemia arising from myelodysplastic syndrome. Atlas Genet Cytogenet Oncol Haematol.2007; 11(3):258-260. Huret JL. t(16;21)(q24;q22). Atlas Genet Cytogenet Oncol Haematol 2003;7(4). Jeandidier E, Dastugue N, Mugneret F, Lafage-Pochitaloff M, Mozziconacci MJ, Herens C, Michaux L, Verellen-Dumoulin C, Talmant P, Cornillet-Lefebvre P, Luquet I, Charrin C, Barin C, Collonge-Rame MA, Pérot C, Van den Akker J, Grégoire MJ, Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Dal Cin P, Ouahchi K 260 Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Case Report Section Paper co-edited with the European LeukemiaNet A de novo AML with a t(1;21)(p36;q22) in an elderly patient Paola Dal Cin, Andrew J Yee, Bimalangshu Dey Department of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA (PDC); Hematology/Oncology Unit, Massachusetts General Hospital, Boston, MA, USA (AJY, BD) Published in Atlas Database: March 2007 Online updated version: http://AtlasGeneticsOncology.org/Reports/0121DalCinID100021.html DOI: 10.4267/2042/38459 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 Clinics Survival Age and sex: 81 years old male patient. Previous History : no preleukemia ; no inborn condition of note. Organomegaly : no hepatomegaly ; no splenomegaly ; enlarged lymph nodes ; no central nervous system involvement. Date of diagnosis: 01-2005. Treatment: Hydroxyurea and supportive care. Complete remission: None Treatment related death: Relapse: Patient never achieved complete remission. Status: Dead 02-2005. Survival: 1 months. Blood Karyotype WBC: 3.3 x 109/l; Hb: N/A g/dl; platelets: 16x 109/l; blasts: 2% (CD34+ myeloblasts). Bone marrow: 20% myeloid precursors, 16% erythroid precursor, 6% lymphocytes, 55% blasts and 2% plama cells. Sample: Bone marrow; Culture time: 24h; Banding: GTG. Results: 46,XY,t(1;21)(p36;q22)[15] Other molecular cytogenetic technics: FISH with LSI (TEL/AML1 ES Dual Color Translocation Probe (Vysis, Inc.) on metaphases (see Fig 2). Other molecular cytogenetics results: Ish der(1)(dimAML1+), der(21)(dimAML1+). Cytopathology classification Cytology: AML M0 Immunophenotype: CD33+, CD13+, MPO-, CD41-, CD61-, CD203c- (5% of all blast). Rearranged Ig or Tcr: N/A Precise diagnosis: Immunophenotype consistent with the presence of myeloid precursors. Negative markers (CD61,CD41,CD203c) associated with megakaryocytic differentiation; AML M0. Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) Comments The t(1;21)(p36;q22) so far reported, is generally observed as the sole chromosomal abnormality (5/6), and is mostly a de novo aberration (4/6). The short survival (one month) of our case, confirms the poor prognosis in these patients carrying this chromosome abnormality. 261 A de novo AML with a t(1;21)(p36;q22) in an elderly patient Dal Cin P et al. Partial GTG-banding karyotype showing t(1;21)(p36;q22)) (a) Partial FISH analysis showing the AML1 hybridization signals on derivative chromosomes 1 and 21, and on the normal chromosome 21 (b) Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 262 A de novo AML with a t(1;21)(p36;q22) in an elderly patient Dal Cin P et al. Southern Denmark. Contribution of multiparameter genetic analysis to the detection of genetic alterations in hematologic neoplasia. An evaluation of combining G-band analysis, spectral karyotyping, and multiplex reverse-transcription polymerase chain reaction (multiplex RT-PCR). Cancer Genet Cytogenet 2006;165:1-8. References Stevens-Kroef MJ, Schoenmakers EF, van Kraaij M, Huys E, Vermeulen S, van der Reijden B, van Kessel AG. Identification of truncated RUNX1 and RUNX1-PRDM16 fusion transcripts in a case of t(1;21)(p36;q22)-positive therapy-related AML. Leukemia 2006;20:1187-1189. This article should be referenced as such: Dal Cin P, Yee AJ, Dey B. A de novo AML with a t(1;21)(p36;q22) in an elderly patient. Atlas Genet Cytogenet Oncol Haematol.2007;11(3):261-263. Marian Stevens-Kroef. t(1;21)(p36;q22) - updated. Atlas Genet Cytogenet Oncol Haematol 2006;10(3). Preiss BS, Kerndrup GB, Pedersen RK, Hasle H, Pallisgaard N; Lymphoma-Leukemia Study Group of the Region of Atlas Genet Cytogenet Oncol Haematol. 2007;11(3) 263 Instructions to Authors Manuscripts submitted to the Atlas must be submitted solely to the Atlas. Iconography is most welcome: there is no space restriction. The Atlas publishes "cards", "deep insights", "case reports", and "educational items". Cards are structured review articles. 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