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+11 or trisomy 11 (solely)

Clinics and Pathology

Disease myeloid lineage: (ANLL, MDS)
Phenotype / cell stem origin M1, M2, and M4 ANLL;
therapy related ANLL;
MDS evolving towards ANLL;
stem cell immunophenotype (DR+, CD34+, and CD15, 33 and/or 13 positive);
trilineage dysplasia may be present;
to be noted that M1 and M2 subtypes of ANLL have rarely been found associated with the classical MLL rearrangements
Epidemiology frequency: 1% of ANLL and MDS as well; balanced sex ratio; found in adults; med age: 60 yrs
Prognosis short CR; poor prognosis

Cytogenetics

Cytogenetics Morphological +11
Cytogenetics Molecular partial(!) tandem duplication (in situ) of MLL, gene located in 11q23
Probes oncor,inc
Additional anomalies none (by that very fact)

Genes involved and Proteins

Gene Name MLL
Location 11q23
Dna / Rna 21 exons, spanning over 100 kb; 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 ;
wide expression;
nuclear localisation;
transcriptional regulatory factor

Result of the chromosomal anomaly

Hybrid gene
Description exons 1 to 6 or 8 fused to a nearly entire MLL gene, starting at exon 2 (i.e. the duplicated segment is E2 to E6 or 8)
  
Fusion Protein
Description AT hook and DNA methyltransferase from MLL in N-term fused to a quite entire MLL in C-term nuclear localisation probable altered transcriptional regulation
  

External links

Other database+11 or trisomy 11 (solely) Mitelman database (CGAP - NCBI)

To be noted

such a tandem duplication of MLL may also be found in cases with a normal karyotype.

Bibliography

Characteristics of trisomy 11 in childhood acute leukemia with review of the literature.
Ingram L, Raimondi SC, Mirro J Jr, Rivera GK, Ragsdale ST, Behm F
Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 1989 ; 3 (10) : 695-698.
PMID 2674563
 
Self-fusion of the ALL1 gene. A new genetic mechanism for acute leukemia.
Schichman SA, Canaani E, Croce CM
JAMA : the journal of the American Medical Association. 1995 ; 273 (7) : 571-576.
PMID 7837391
 

Contributor(s)

Written07-1997François Desangles

Citation

This paper should be referenced as such :
Desangles F . +11 or trisomy 11 (solely). Atlas Genet Cytogenet Oncol Haematol. July 1997 .
URL : http://AtlasGeneticsOncology.org/Anomalies/tri11.html

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indexed on : Sat Jul 3 11:54:42 CEST 2010

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