t(11;21)(p14;q22) RUNX1/KIAA1549L

2014-10-01   Akihiro Abe 

1.Department of Hematology, Fujita Health University School of Medicine, 98 Dengakugakubo Toyoake, Aichi 470-1192, Japan


Review on t(11;21)(p14;q22) RUNX1/KIAA1549L, with data on clinics and the genes implicated.

Clinics and Pathology


Acute myeloid leukemia (AML), AML-M1 by FAB subtype

Phenotype stem cell origin

CD13, CD19, CD33, CD34, and HLA-DR were positive.


This is a rare chromosomal rearrangement. A case of MDS with t(11;21)(p14;q22) involving the RUNX1 locus with RUNX1 gene amplification (Moosavi et al., 2009) and a case of AML-M4 with t(11;21)(p13;q22) (Arber et al., 2002) were previously reported. This case is only one AML patient characterized at molecular level to date (Abe et al., 2012).


A 78-year-old man suffering from bleeding tendency and fatigue with dyspnea for one month was diagnosed as AML.
Atlas Image
Leukemic cells had large nuclei and little cytoplasm without azure granules.


Blast morphology showed minimal differentiation implicating AML M1. Leukemia cells were weakly positive for myeloperoxidase and negative for esterase.


Bone marrow examination at diagnosis showed hypocellular marrow with 57% leukemic blasts.


The patient received two courses of remission induction chemotherapy with daunorubicin and cytarabine, however, a complete remission was not achieved. The leukemia cells were slow-growing in the early period after diagnosis, so that he received 11 cycles of low dose cytarabine after induction failure and lived for 2 years. He was died from progression of leukemia possible with intracranial hemorrhage.

Genes Involved and Proteins

Gene name
KIAA1549L (KIAA1549 like)
KIAA1549L is also known as C11ORF41 or C11ORF69.
The function of KIAA1549L is not known. Northern blot analysis of several human tissues detected two transcripts of 11 and 7.9 kb in brain (Gawin et al., 1999). KIAA1549L indicates a KIAA1549-like ortholog. KIAA1549 is known as a fusion partner of BRAF in pilocytic astrocytomas (Jones et al., 2008).
Dna rna description
The KIAA1549L gene contains 20 exons spanning 132 kb of genomic DNA. Four transcripts are known. Transcription orientation: telomere to centromere.
Protein description
The predicted KIAA1549L proteins contain 1849 amino acids, 199 kDa.
Gene name
RUNX1 (runt-related transcription factor 1 (acute myeloid leukemia 1; aml1 oncogene))
Dna rna description
Transcription orientation: telomere to centromere.
Protein description
The predicted RUNX1 proteins contain 250, 453 and 480 amino acids designated as RUNX1a, RUNX1b and RUNX1c, respectively. All 3 proteins contain the 128-amino acid Runt domain, but RUNX1a does not contain a transcriptional activation domain of C-terminal region.

Result of the Chromosomal Anomaly

Atlas Image


5 RUNX1-KIAA1549L 3.


Two types of in-frame RUNX1-KIAA1549L fusion transcripts were detected. One was a fusion between exon 5 of RUNX1 and exon 13 of KIAA1549L (Type 1) and the other was between exon 6 of RUNX1 and exon 13 of KIAA1549L (Type 2). A reciprocal KIAA1549L-RUNX1 fusion was not detected. Both fusion transcripts include the region encoding Runt homology domain of RUNX1.


Pubmed IDLast YearTitleAuthors
231027342012A novel RUNX1-C11orf41 fusion gene in a case of acute myeloid leukemia with a t(11;21)(p14;q22).Abe A et al
118632282002Therapy-related acute myeloid leukemia/myelodysplasia with balanced 21q22 translocations.Arber DA et al
105687471999A 7.5 Mb sequence-ready PAC contig and gene expression map of human chromosome 11p13-p14.1.Gawin B et al
189741082008Tandem duplication producing a novel oncogenic BRAF fusion gene defines the majority of pilocytic astrocytomas.Jones DT et al
191676082009Marker chromosomes are a significant mechanism of high-level RUNX1 gene amplification in hematologic malignancies.Moosavi SA et al


Fusion gene

RUNX1/KIAA1549L RUNX1 (21q22.12) KIAA1549L (11p13) M t(11;21)(p13;q22)|RUNX1/KIAA1549L RUNX1 (21q22.12) KIAA1549L (11p13) TIC
Atlas Image
G-banded partial karyotype of a patient with a t(11;21)(p14;q22). Arrows indicate derivative chromosomes.


Akihiro Abe

t(11;21)(p14;q22) RUNX1/KIAA1549L

Atlas Genet Cytogenet Oncol Haematol. 2014-10-01

Online version: http://atlasgeneticsoncology.org/haematological/1703/t(11;21)(p14;q22)