t(2;11)(p21;q24) MIR125B1/?

2017-12-01   Adriana Zamecnikova 

1.Kuwait Cancer Control Center, Kuwait annaadria@yahoo.com


Review on t(2;11)(p21;q24), with data on clinics, and the genes involved.

Clinics and Pathology


Chronic and acute myeloid malignancies

Phenotype stem cell origin

1 acute promyelocytic leukemia (APL) (Prigogina et al., 1986), 1 acute myeloid leukemia with maturation (AML-M2) that developed after a short period of myelodysplastic syndrome (Testoni et al., 1989), 1 refractory cytopenia with multilineage dysplasia (RCMD) (Thorsen et al., 2012) and 1 myelodysplastic/myeloproliferative neoplasm (MPN), unclassifiable (McCormick et al., 2014).


3 males and 1 female aged 34, 52, 54 and 65 years.


The patient with M2-AML reached a complete remission after chemotherapy (Testoni et al, 1989). The patient with RCMD received treatment with lenalidomide and 6 months later presented with a complete hematological and major cytogenetic response, followed by cytogenetic relapse but with no signs of transformation without therapy 3+ years from the diagnosis (Thorsen et al., 2012). Similarly, the patient with a clinically stable polycythemia vera-like myeloid neoplasm requires only periodic phlebotomies 70 months after diagnosis (McCormick et al., 2014). These data suggests that t(2:11)(p21;q24) may occur in patients with a clinically indolent myeloproliferative disorder.


Cytogenetics morphological

Because of difficulties to determine terminal 11q chromosome breakpoints and because of the similar cytogenetic appearance of translocations t(2;11)(p21;q24) and the more common t(2;11)(p21;q23) that has been described with or t(2;11)(p21;q23) without MLL ( KMT2A) involvement, FISH is recommended to exclude 11q23/MLL rearrangements.

Additional anomalies

Found in association with 5q deletions in 3 out of 4 patients: in AML-M2 (Testoni et al., 1989), RCMD (Thorsen et al., 2012) and in the MPN patient (McCormick et al., 2014). The later was found to carry a mutation in exon 12 of JAK2 with two clonally-related abnormal cell lines with t(2;11)(p21;q23-24) and 11q breakpoints near a miR-125b-1 locus at 11q24. One of this clones had the t(2;11)(p21;q23-24) as a sole anomaly, the other had del(5)(q15q31) in a side-line and a third abnormal clone showed del(5q)(q13q31) as a sole abnormality, with breakpoints distinct from the t(2;11)-associated del(5q) clone. Found with +19 and non-recurring abnormalities in the APL patient (Prigogina et al., 1986).

Genes Involved and Proteins

Gene name
MIR125B1 (microRNA 125b-1)
Dna rna description
Description microRNAs (miRNAs) are short non-coding RNAs of about 19-22 nucleotides in length that play a role in post-transcriptional regulation of gene expression by affecting both the stability and translation of mRNAs. miRNAs have multiple functions including regulation of cellular proliferation, differentiation, and cell death. MIR125B1 has found to play a role in regulation of normal haematopoiesis (Thorsen et al., 2012; McCormick et al., 2014).

Result of the Chromosomal Anomaly


The chromosomal translocation t(2;11)(p21;q24) has been described in myeloid neoplasias, suggesting its involvement in deregulation of genes relevant in myeloid cell transformation. t(2;11)(p21;q24) is accompanied by other anomalies, particularly with deletion of the long arm of chromosome 5 that is also characteristic of myeloid malignancies, therefore probably representing a secondary abnormality in these patients. The translocation breakpoint in t(2;11)(p21;q24) had been mapped close to microRNA locus, MIR125B1 at 11q24 that have been suggested to be pathogenetically involved (Bousquet et al., 2010; Thorsen et al., 2012; McCormick et al., 2014). According to these recent reports, this translocation has not been found to lead to gene fusion but is associated with deregulation of MIR125B1, supporting its pathogenetic role in oncogenesis. MIR125B1 is a regulator of normal hematopoiesis and its overexpression has been found to target several genes (STAT3, BAK1, JUN, JUND, and LIN28A) capable of modulating hematopoietic development (Bousquet et al., 2010). Dysregulated MIR125B1 may promote leukaemogenesis by arresting myeloid and monocytic differentiation, promoting stem cell renewal and targeting multiple factors in the TP53 pathway (Bousquet et al., 2010; McCormick et al., 2014). In addition to increased expression of MIR125B1 in patients with a t(2;11)(p21;q24), it is also possible and that disease pathogenesis may be influenced by other concurrent aberrations, such as 5q deletions and JAK2 mutations that may act in a concurrent or synergistic way.
Note also the existence of a t(11;14)(q24;q32) IGH/MIR125B1

Highly cited references

Pubmed IDYearTitleCitations
241768572013miR-125b transcriptionally increased by Nrf2 inhibits AhR repressor, which protects kidney from cisplatin-induced injury.39
251267242014MIR125B1 represses the degradation of the PML-RARA oncoprotein by an autophagy-lysosomal pathway in acute promyelocytic leukemia.23
205448422010MicroRNA-125b-1 and BLID upregulation resulting from a novel IGH translocation in childhood B-Cell precursor acute lymphoblastic leukemia.15
295818622018Doxorubicin-induced loss of DNA topoisomerase II and DNMT1- dependent suppression of MiR-125b induces chemoresistance in ALK-positive cells.8
335788202021Molecular Classification and Tumor Microenvironment Characterization of Gallbladder Cancer by Comprehensive Genomic and Transcriptomic Analysis.5
347915552021Optimized Marker System for Early Diagnosis of Breast Cancer.0


Pubmed IDLast YearTitleAuthors
211189852010MicroRNA miR-125b causes leukemia.Bousquet M et al
253165072015Myeloid neoplasm with translocation t(2;11)(p21;q23-24), elevated microRNA 125b-1, and JAK2 exon 12 mutation.McCormick SR et al
37215001986Chromosomes in acute nonlymphocytic leukemia.Prigogina EL et al
262824319895q- and t(2;11) in a patient with M2 acute non-lymphocytic leukemia. Case report.Testoni N et al
229445602012Myelodysplastic syndrome with a t(2;11)(p21;q23-24) and translocation breakpoint close to miR-125b-1.Thorsen J et al


Fusion gene

Atlas Image
Figure 1. Partial karyotypes showing rearrangement between chromosomes 2 and 11 (A). Fluorescence in situ hybridization with LSI MLL (KMT2A) and LSI MYCN break-apart probes (Abott Molecular/Vysis, US) showing normal MLL signals on chromosome 11 and der(11) and translocation of MYCN located on 2p24 telomeric to MLL gene (B).


Adriana Zamecnikova

t(2;11)(p21;q24) MIR125B1/?

Atlas Genet Cytogenet Oncol Haematol. 2017-12-01

Online version: http://atlasgeneticsoncology.org/haematological/1812/t(2;11)(p21;q24)