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t(2;11)(q11;q23)

Clinics and Pathology

Disease Acute lymplocytic leukemia (ALL) with proB phenotype
Epidemiology Three cases reported to date, two infants and one two-year-old child
Prognosis Both cases of infant ALL showed a poor survival, 2 and 9 months respectively. The third case, a two-year-old child, achieved complete remission.

Cytogenetics

Cytogenetics Molecular The three reported cases carried different rearrangements involving chromosomes 2 and 11: t(2;11)(p15;p14), t(2;11)(q11;q23) and ins(11;2)(q23;q11.2q11.2).
Probes LAF4 specific PACs: RP6-44B23 and RP6-226I23

Genes involved and Proteins

Gene Name MLL
Location 11q23
Dna / Rna 13-15 kb mRNA
Protein 431 kDa; contains two DNA binding motifs (a AT hook, and Zinc fingers), a DNA methyl transferase motif, a bromodomain; transcriptional regulatory factor; nuclear localisation
Gene Name LAF4
Location 2q11-q12
Note AF4 and AF5q31, also known as MLL fusion partners, belong to the same gene family
Dna / Rna 22 exons, transcript length: 3855 bp
Protein LAF4 protein (Lymphoid nuclear protein related to AF4) 1226 amino acids; 133734 Da

Result of the chromosomal anomaly

Hybrid gene
Transcript 5' MLL - 3' LAF4
  
Fusion Protein
 
  Schematic representation of MLL, LAF4, and the putative MLL-LAF4 fusion protein. MT, methyltransferase domain; TRX, Drosophila trithorax homology; NHD, N-terminal homology domain; TAD, transactivation domain; NLS, nuclear localization sequence; CHD, C-terminal homology domain.
Description The MLL-LAF4 fusion protein includes the transactivation domain of LAF4 that is part of the AF4/LAF4/FMR2 homology domain.
  

External links

Other databaset(2;11)(q11;q23) Mitelman database (CGAP - NCBI)
Other databaset(2;11)(q11;q23) CancerChromosomes (NCBI)

To be noted

Additional cases are needed to delineate the epidemiology of this rare entity:
you are welcome to submit a paper to our new Case Report section.

Bibliography

LAF4, an AF4-related gene, is fused to MLL in infant acute lymphoblastic leukemia.
von Bergh AR, Beverloo HB, Rombout P, van Wering ER, van Weel MH, Beverstock GC, Kluin PM, Slater RM, Schuuring E
Genes, chromosomes & cancer. 2002 ; 35 (1) : 92-96.
PMID 12203795
 
Occurrence of an MLL/LAF4 fusion gene caused by the insertion ins(11;2)(q23;q11.2q11.2) in an infant with acute lymphoblastic leukemia.
Bruch J, Wilda M, Teigler-Schlegel A, Harbott J, Borkhardt A, Metzler M
Genes, chromosomes & cancer. 2003 ; 37 (1) : 106-109.
PMID 12661012
 
Fusion of an AF4-related gene, LAF4, to MLL in childhood acute lymphoblastic leukemia with t(2;11)(q11;q23).
Hiwatari M, Taki T, Taketani T, Taniwaki M, Sugita K, Okuya M, Eguchi M, Ida K, Hayashi Y
Oncogene. 2003 ; 22 (18) : 2851-2855.
PMID 12743608
 
LAF-4 encodes a lymphoid nuclear protein with transactivation potential that is homologous to AF-4, the gene fused to MLL in t(4;11) leukemias.
Ma C, Staudt LM
Blood. 1996 ; 87 (2) : 734-745.
PMID 8555498
 

Contributor(s)

Written08-2005Anne RM von Bergh
Afdeling Klinische Genetica, Erasmus MC, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands

Citation

This paper should be referenced as such :
von Bergh ARM . t(2;11)(q11;q23). Atlas Genet Cytogenet Oncol Haematol. August 2005 .
URL : http://AtlasGeneticsOncology.org/Genes/t0211q11q23ID1196.html

© Atlas of Genetics and Cytogenetics in Oncology and Haematology
indexed on : Mon Jul 14 16:32:46 2008


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