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t(16;21)(q24;q22)

Identity

 
  t(16;21)(q24;q22) G-banding (top left) - Courtesy Jean Luc Laï; R-banding (middle left - Courtesy Jean Luc Laï and top and middle right - Courtesy Pascale Cornillet-Lefebvre and Stéphanie Struski). Fish studies: chromosome 16 and 21 paints; AML1 probe: the 2 chromosomes 21 and the der(16) are labelled (below) - Courtesy Pascale Cornillet-Lefebvre and Stéphanie Struski.

Clinics and Pathology

Disease Myelodysplastic syndromes (MDS) and acute non lymphocytic leukemias (ANLL) and therapy related ANLL
Phenotype / cell stem origin M1 or M2 ANLL
Etiology 11 of 15 cases have had treatment for a previous malignancy (treatment related MDS or ANLL (t-MDS/ANLL)). Previous disease was a breast cancer in 5 cases, a hematologic malignancy in 4.
Epidemiology 15 available cases at least, sex ratio: 2M / 13F; mediane age around 50 yrs (range <15 - 62)
Clinics blood data: pancytopenia
Prognosis poor

Cytogenetics

Additional anomalies + 8 found in 7 of 15 cases

Genes involved and Proteins

Gene Name CBFA2T3 (MTG16)
Location 16q24
Protein member of the ETO (MTG8) family
Gene Name AML1
Location 21q22
Dna / Rna transcription is from telomere to centromere
Protein contains a Runt domain and, in the C-term, a transactivation domain; forms heterodimers; widely expressed; nuclear localisation; transcription factor (activator) for various hematopoietic-specific genes.

Result of the chromosomal anomaly

Hybrid gene
Description 5' AML1 - 3' CBFA2T3
  

External links

Other databaset(16;21)(q24;q22) Mitelman database (CGAP - NCBI)
Other databaset(16;21)(q24;q22) CancerChromosomes (NCBI)

To be noted

Case Report A case of trisomy 8 and loss of the Y-chromosome as secondary aberrations in a ten year old boy with de novo AML FAB M2 and t(16;21)(q24;q22)

Bibliography

Cytogenetics of childhood acute nonlymphocytic leukemia.
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Metaphase fluorescence in situ hybridization (FISH) in the follow-up of 60 patients with haemopoietic malignancies.
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Clonal karyotypic hematopoietic cell abnormalities occurring after autologous bone marrow transplantation for Hodgkin's disease and non-Hodgkin's lymphoma.
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Blood. 1994 ; 84 (3) : 957-963.
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Secondary acute myeloblastic leukemia with t(16;21) (q24;q22). involving the AML1 gene.
Berger R, Le Coniat M, Romana SP, Jonveaux P
Hematology and cell therapy. 1996 ; 38 (2) : 183-186.
PMID 8932000
 
A recurrent translocation, t(16;21)(q24;q22), associated with acute myelogenous leukemia: identification by fluorescence in situ hybridization.
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Cancer genetics and cytogenetics. 1997 ; 96 (2) : 102-105.
PMID 9216714
 
The partner gene of AML1 in t(16;21) myeloid malignancies is a novel member of the MTG8(ETO) family.
Gamou T, Kitamura E, Hosoda F, Shimizu K, Shinohara K, Hayashi Y, Nagase T, Yokoyama Y, Ohki M
Blood. 1998 ; 91 (11) : 4028-4037.
PMID 9596646
 
A case of therapy-related acute myeloblastic leukemia with t(16;21)(q24;q22) after chemotherapy with DNA-topoisomerase II inhibitors, etoposide and mitoxantrone, and the alkylating agent, cyclophosphamide.
Takeda K, Shinohara K, Kameda N, Ariyoshi K
International journal of hematology. 1998 ; 67 (2) : 179-186.
PMID 9631585
 
AML1-MTG16 fusion gene in therapy-related acute leukemia with t(16;21)(q24;q22): two new cases.
Salomon-Nguyen F, Busson-Le Coniat M, Lafage Pochitaloff M, Mozziconacci J, Berger R, Bernard OA
Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 2000 ; 14 (9) : 1704-1705.
PMID 10995019
 
21q22 balanced chromosome aberrations in therapy-related hematopoietic disorders: report from an international workshop.
Slovak ML, Bedell V, Popplewell L, Arber DA, Schoch C, Slater R
Genes, chromosomes & cancer. 2002 ; 33 (4) : 379-394.
PMID 11921272
 

Contributor(s)

Written04-1998Christine Pérot
Laboratoire de Cytogenetique, Hopital Saint-Antoine, Paris, France

Citation

This paper should be referenced as such :
Pérot C . t(16;21)(q24;q22). Atlas Genet Cytogenet Oncol Haematol. April 1998 .
URL : http://AtlasGeneticsOncology.org/Anomalies/t1621ID1123.html
Huret JL . t(16;21)(q24;q22). Atlas Genet Cytogenet Oncol Haematol. .
URL : http://AtlasGeneticsOncology.org/Anomalies/t1621ID1123.html

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indexed on : Mon May 12 18:13:15 2008


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