| Note | Mechanism of gene amplification The main hypothesis for genomic amplification mechanism is that it is a dynamic process. Molecular chronology of genomic amplification has been schematically described as follows. The first step is the production of submicroscopic, acentric, circular, extrachromosomal DNA molecules which replicate autonomously, called episomes. These DNA molecules are made of amplified genes. 2 mechanisms for the formation of episomes have been proposed: Conservative which preserves the original DNA sequence at the native chromosomal locus and non conservative which leads to the deletion of the original sequence at the native locus. The second step corresponds to an increase in copy number resulting from unequal mitotic segregation and an increase in size. They enlarge over time to form progressively heterogeneously sized structures, microscopically visible, called double minutes (dmin). In a later step they may integrate into chromosomes to generate intrachromosomally amplified structures (HSR). In some cases dmins or HSRs may form directly without precursors. |
| Cytogenetics Morphological | Cryptic extrachromosomal amplification of the fusion NUP214-ABL. Rearrangement invisible by conventional cytogenetics. No dmins observed. |
| Cytogenetics Molecular | FISH using commercially available ABL1 probe shows multiple extrachromosomal sites on metaphases and multiple signals in interphase nuclei. The extrachromosomal amplification of ABL1 appears to be pathognomonique for the presence of NUP214-ABL1 fusion in T-ALL. There may be a corresponding deletion of the ABL1 probe on one of the chromosomes 9 (see note below concerning mechanisms of gene amplification). |
| Additional anomalies | Associated with an apparently normal karyotype with banding techniques or variable additional abnormalities. |
| The importance of circular DNA in mammalian gene amplification. |
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