Atypical rearrangement involving 3′-IGH@ and a breakpoint at least 400 Kb upstream of an intact MYC in a CLL patient with an apparently balanced t(8;14)(q24.1;q32) and negative MYC expression
- Ina Amarillo†1, 2,
- Peter H Bui†1, 2,
- Sibel Kantarci1, 2,
- Nagesh Rao1, 2,
- Brit S Shackley2,
- Rolando García3 and
- Carlos A Tirado1, 2Email author
© Amarillo et al; licensee BioMed Central Ltd. 2013
Received: 5 October 2012
Accepted: 13 December 2012
Published: 1 February 2013
The t(8;14)(q24.1;q32), the cytogenetic hallmark of Burkitt’s lymphoma, is also found, but rarely, in cases of chronic lymphocytic leukemia (CLL). Such translocation typically results in a MYC-IGH@ fusion subsequently deregulating and overexpressing MYC on der 14q32. In CLL, atypical rearrangements resulting in its gain or loss, within or outside of IGH@ or MYC locus, have been reported, but their clinical significance remains uncertain. Herein, we report a 67 year-old male with complex cytogenetic findings of apparently balanced t(8;14) and unreported complex rearrangements of IGH@ and MYC loci. His clinical, morphological and immunophenotypic features were consistent with the diagnosis of CLL.
Interphase FISH studies revealed deletions of 11q22.3 and 13q14.3, and an extra copy of IGH@, indicative of rearrangement. Karyotype analysis showed an apparently balanced t(8;14)(q24.1;q32). Sequential GPG-metaphase FISH studies revealed abnormal signal patterns: rearrangement of IGH break apart probe with the 5’-IGH@ on derivative 8q24.1 and the 3’-IGH@ retained on der 14q; absence of MYC break apart-specific signal on der 8q; and, the presence of unsplit 5’-MYC-3’ break apart probe signals on der 14q. The breakpoint on 8q24.1 was found to be at least 400 Kb upstream of 5’ of MYC. In addition, FISH studies revealed two abnormal clones; one with 13q14.3 deletion, and the other, with concurrent 11q deletion and atypical rearrangements. Chromosome microarray analysis (CMA) detected a 7.1 Mb deletion on 11q22.3-q23.3 including ATM, a finding consistent with FISH results. While no significant copy number gain or loss observed on chromosomes 8, 12 and 13, a 455 Kb microdeletion of uncertain clinical significance was detected on 14q32.33. Immunohistochemistry showed co-expression of CD19, CD5, and CD23, positive ZAP-70 expression and absence of MYC expression. Overall findings reveal an apparently balanced t(8;14) and atypical complex rearrangements involving 3’-IGH@ and a breakpoint at least 400 Kb upstream of MYC, resulting in the relocation of the intact 5’-MYC-3’ from der 8q, and apposition to 3’-IGH@ at der 14q. This case report provides unique and additional cytogenetic data that may be of clinical significance in such a rare finding in CLL. It also highlights the utility of conventional and sequential metaphase FISH in understanding complex chromosome anomalies and their association with other clinical findings in patients with CLL. To the best of our knowledge, this is the first CLL reported case with such an atypical rearrangement in a patient with a negative MYC expression.
Chronic lymphocyctic leukemia (CLL) is the most common leukemia in the elderly with clinical presentation of lymphocytosis, bone marrow involvement, lymphadenopathy, hepatosplenomegaly, complex cytogenetics and heterogeneous clinical course . Immunophenotypically, aberrant expression of CD5, CD20, CD22, CD23, CD38, CD43 and CD79 is diagnostic or prognostic of B-cells in CLL . Common cytogenetic anomalies include deletion of 13q14.3 (most frequent) and/or 13q34, deletion of 11q, deletion of 17p, trisomy 12 and IGH@ rearrangement .
While t(8;14)(q24.1;q32), the cytogenetic hallmark of Burkitt’s lymphoma, is a primary genetic event found in about 70-80% of cases, it is usually a rare secondary anomaly in other B-cell disorders including CLL (about 0.2% to <1%) [4–8], lymphoblastic leukemia, DLBCL, and in other lymphoma transforming into a more aggressive disease . In the latter, t(8;14) usually confers favorable prognosis, while a more aggressive phenotype and poor outcome are manifested when it is a part of a complex chromosome complement [5, 10].
In a typical t(8;14)(q24;q32) translocation, the MYC at 8q24.1 locus is spatiotemporally juxtaposed with the 3’-IGH@ locus on derivative 14q32 [11–15]. The IGH transcription factory, about 2.5 Mb in size , localizes the regulatory elements for MYC deregulation and variable regions that promote translocation . The IGH@ locus, is a hotspot for recombination and mutation of immunoglobulin genes during B-cell maturation, processes that usually promote translocations with oncogenic potential . Whereas the breakpoint on chromosome 14 is within the IGH@ locus, usually located within the μ-gene, either within or adjacent to the variable (V), joining (J), diversity (D, or switch (S) regions, but other heavy-chain regions are occasionally involved . While about 80% of translocations in Burkitt’s lymphoma is typical and involve MYC and IGH@ (IG heavy chain) , others are involved in variant partnership with other IG chain loci; kappa light chain (IGK) at 2p12, or lambda light chain (IGL) at 22q11.2 [16–18]. MYC is also involved with IGH in DLBCL , TCR alpha/delta in T-acute lymphoblastic leukemia/lymphoma, and IG kappa and lambda chains in plasma cell myeloma [18, 19].
MYC is a proto-oncogene that encodes for a transcription factor that regulates cell cycle progression, growth, differentiation, apoptosis, survival and biosynthesis [4, 6, 20]. It activates or represses transcription factories of other genes (about 10%), transcription factors, and chromatin modifying and remodeling complexes . Rearrangements involving MYC drive cells into lymphomagenesis often through its deregulation and overexpression [5, 11, 12, 21, 22]. The oncogenic potential of MYC rearrangements is implicated not only in the initiation of lymphomagenesis but also in its transformation and progression of low-grade lymphomas into a more advanced disease and an unfavorable outcome [5, 17, 18, 21–23]. These findings suggest that the level of deregulated MYC expression of different stages of aberrant cellular maturation and differentiation may influence the neoplastic phenotype .
At 8q24.1 locus, translocation breakpoints are located within or surrounding the MYC: regulatory region within MYC, from exon 1 to intron 1, (Class I and most common); transcription factor binding-site at or adjacent to 5’-MYC (Class II); and long-range regions up to 100-300 Kb or more upstream from an intact 5’-MYC-3’ (Class III) [15, 16, 20]. It has been suggested that aberrant MYC expression is influenced by breakpoint location, mutation within the translocated region, deletion of regulatory elements, or transcription at cryptic sites other than the usual P1 or P2 initiation start site (promoter shift) [15, 20, 24]. Increased transcriptional activity is observed in breakpoints within exon 1 and intron 1 (Class I) than when it occurs within the most common breakpoint, 5’ from MYC exon 1 (Class II) . Long-range cis-acting enhancers regulate MYC expression through chromatin looping bringing the enhancers in close proximity to MYC[25, 26], or through increased distal enhancer activity utilizing preexisting loops . Multiple genetic variants and SNPs, located in 1.5 Mb “gene desert” regions 1, 2 and 3, up to 600 Kb upstream of MYC, are associated with increased susceptibility to prostate, colorectal, bladder, breast cancer, or chronic lymphocytic leukemia [26–28]. Although reporter expression studies revealed that long-range enhancers and other regulatory elements regulate MYC transcription, the clinical significance of MYC rearrangements upstream of MYC remain unclear and a subject of burgeoning field of investigation .
To date, there are only very few reported cases of CLL with apparently balanced t(8;14) and atypical rearrangements [6, 8], none of which exhibits abnormal FISH signal patterns similar to what we detected in our patient. These abnormal patterns include: cryptic deletion on 8q24.1 including MYC[6, 8], gain of an extra copy of MYC (+MYC) [4, 5, 29], or deletion of IGH@, usually 5’ [3, 4, 6, 30, 31]. The prognosis for these cases is also variable, from indolent to transformed into a more aggressive course.
Here we report a CLL case with complex cytogenetic findings of deletions of 11q and 13q, in addition to the apparently balanced t(8;14). We also present an undocumented atypical complex rearrangements involving 3’-IGH@ and at least 400 Kb upstream of 5’-MYC, unreported complex atypical rearrangements of IGH@ and MYC loci that did not result in IGH-MYC fusion and no subsequent MYC expression.
SNP CMA refined the 11q22.3 deletion breakpoints detected by FISH. Results showed a 7.1 Mb heterozygous copy number loss at chromosome 11q22.3-q23.3, arr 11q22.3q23.3(107,888,769-115,016,307)x1 (data not shown). It deleted 62 RefSeq genes including ATM (ataxia telangiectasia mutated), a gene that encodes for a cell cycle checkpoint phosphorylating kinase that functions for regulating proteins for tumor suppression, checkpoint, DNA repair and maintenance of genome stability . In addition, a 455 Kb heterozygous copy number loss on 14q32.33 was also detected; arr 14q32.33(106,530,533-106,985,955)x1, deleting two gene fragments or non-protein coding genes of no known function, LINC00226 and LINC00221 (data not shown) . CMA did not detect a microdeletion within or surrounding the MYC locus despite its removal from der 8q24.1 locus. This suggests that there was no net gain or loss despite the unbalanced rearrangements detected by FISH. In a lesser extent, a 61 Kb gain on 8q24.12 was detected, but found to be unreportable with further in silico investigations. There were no clinically relevant gains or losses detected on chromosomes 12, 13 and 17.
According to the ISCN , the overall findings from karyotype, FISH and CMA can be described as: 46,XY,t(8;14)(q24.1;q32).ish der(8)t(8;14)(q24.1;q32)del(8)(q24.1q24.1)(MYC-,5’IGH@+),der(14)t(8;14)(MYC+, 3’IGH@+),del 11q22.3q22.3
(ATM-),13q14.3q14.3(D13S319x2).nuc ish(ATMx1,TP53x2)[294/300], (D13S319x1,13q34x2)[24/300], (CCND1x2,IGH@x3)[91/300].arr 11q22.3q23.3(107,888,769-115,016,307)x1,14q32.33(106,530,533-106,985,955)x1.
As mentioned above, deletion 13q14.3 and deletion 11q22.3 with t(8;14), detected by interphase and sequential metaphase FISH studies, are found as two different abnormal clones, indicative of mosaicism. CMA failed to detect gains or losses on 13q, since it only accounts for 8% of the total cell population, a number way below the detection limit (10-30%) of either SNP or BAC microarrays .
Our patient’s clinical, morphological and immunophenotypic features are consistent with the diagnosis of CLL. Although complex cytogenetic findings including t(8;14) usually confers poor prognosis in CLL, a consistent genotype and phenotype correlation remains an unresolved issue. Our patient’s case exhibits an unreported rearrangement involving IGH@ and MYC loci with absence of MYC expression.
In our patient, the FISH signal patterns detected are unique from those previously reported in CLL cases with atypical rearrangements and an apparently balanced t(8;14). These include a cryptic deletion on 8q24.1 including MYC[6, 8], gain of an extra copy of MYC (+MYC) [4, 5, 29], or deletion of IGH@, usually 5’ [3, 4, 6, 30, 31]. Although a deletion of the MYC-specific signal on der 8q24.1 locus was also observed in our patient using IGH-MYC fusion probe (1Y2G1R), it is not identical to the reported deletion by Reddy et al. in 2006 [6, 8]. The deletion reported on here did not show splitting of signals and no concomitant deletion of a 1.6 Mb segment including the MYC locus. Instead, it showed two unsplit MYC probes (yellow) on the normal chromosome 8 and on der 14q32. We interpreted these findings as an atypical rearrangement never reported elsewhere, with the 5’-MYC-3’ removed from the 8q24.1 locus at a breakpoint at least 400 Kb upstream of its 5’ region. We also showed that this deleted region is relocated to the 14q32 locus and apposed to the 3’-IGH@ locus. Neither gain of MYC nor deletion of the 5’-IGH@ locus was observed by FISH or CMA in our case. We have exhaustively searched the available literature and did not find any cases similar to the signal patterns reported on here.
To the best of our knowledge, expression levels of MYC and its correlation to disease progression have not been established in CLL with t(8;14), with or without MYC translocations [4, 6, 7]. MYC expression is generally at low levels in CLL , and similar in groups with either bad or good prognosis . Increased expression even without MYC rearrangement has also been described in CLL with malignant Richter transformation and other higher risk cases for CLL progression . Although, high levels of MYC are expressed as a result of the t(8;14) and its variant translocations in Burkitt’s lymphoma and in some other B-cell malignancies including DLBCL and plasma cell myeloma, these translocations may not necessarily lead to increased expression of MYC in CLL [4, 6, 7]. These variable findings of MYC expression are most likely dependent on specific disruptions of regulatory regions, or characteristic genomic translocation breakpoints either at the MYC or IGH@ locus.
The typical MYC-IGH fusion at der 14q32 expresses the MYC -deregulatting product, while the reciprocal IGH-MYC fusion at 8q24.1 locus is transcriptionally silent [14, 35]. Despite the typical juxtaposition, overall MYC expression in some CLL cases remains within the normal range , or overexpressed through processes other than translocations . It has been reported that the location of the genomic breakpoint influences MYC expression, with highest level when involving Class I breakpoints [15, 24]. The absence of Myc expression in our patient is most likely due to the atypical MYC-IGH fusion on der 14q32, with a Class III breakpoint (at least 400 Kb upstream of MYC) .
The previously reported “gene desert” region upstream of MYC extends up to about 629 Kb  and includes genes and SNPs. Genome-wide association studies (GWAS) have shown the gene POU5F1B and several genetic variants or SNPs (Regions R1, R2, R3) (Figure 5) that are risk factors for various cancers including CLL exist in this region [26–28, 36–38]. The strongest evidence for risk or genetic susceptibility in CLL or monoclonal B-cell lymphocytosis is rs2456449 (8q24.21) [28, 38]. In our patient, the breakpoint that we suggested (at least 400 Kb) is within this interval and includes POU5F1B, and SNPs R1 and R2. POU5F1B is one of the two RefSeq genes within the breakpoint on 8q24.1 and 5’-MYC, is the most adjacent. Although it is not yet well studied, few reports described it as a pseudogene or a gene that encodes for a weak transcription factor that may play a critical role in stem cell pluripotency, eye development and carcinogenesis [36, 37, 39]. At the present time, there are no reports of a specific fusion involving 5’-POU5F1B and 3’-regulatory region of IGH@. It is possible that the breakpoint in our patient is further upstream, however, the paucity of available cells made it impossible for further characterization. In Figure 5, we extended the suggested breakpoint further upstream, from ~400 Kb to ~600 Kb, to include the farthest reported cancer-associated SNP (Region 2: rs16901979) and CLL SNP (rs2456449). To date, the genotype phenotype correlation underlying these associations remains unclear. However, it has been suggested by reported expression studies that MYC expression is influenced by such SNPs variants by altering its transcription regulation and amplification . Despite such plethora of reports, replication of these findings and elucidation of its physiologic function and clinical significance remain an area of thorough investigation. Further in vivo and in vitro functional studies are needed to show consistent association of risk allele status and MYC expression levels.
On the other hand, transcription at the IGH@ locus is controlled by enhancers elements spread out as wide as 2.5 Mb of the locus , and it contains regulatory elements necessary not only for MYC activation but also the promotion of translocation . CMA detected a 455 Kb copy number loss on chromosome band 14q32.2, not detected by FISH since the probe used was outside of this region. It is still a possibility, that the deletion in our patient may have removed some of the regulatory elements within this interval somehow affecting the regulation of Myc expression. No regulatory elements or high conservation data was seen in the UCSC Genome Browser. This microdeletion has been reported in other CMA studies of CLL patients using BAC-based array CGH, with some of the cases exhibiting the same findings as ours, i.e. with no IGH@ deletion by FISH . It is still unclear whether this microdeletion is a polymorphic feature of this locus and represents a region of frequent mutation and recombination, or it exhibits some susceptibility risks for CLL [3, 24, 31, 41].
About 20% of patients with CLL show ATM deletion, an anomaly also seen in almost all cancer, and is usually associated with an adverse outcome [1, 4, 31]. The collaboration of ATM and MYC in normal cell proliferation via an ATM-dependent pathway is well established. When deleted, ATM loses its protective checkpoint function leading to MYC-induced oncogenesis [4, 42]. This indicates that MYC alone is not capable of transforming lymphoid cells into neoplasia . The ATM deletion and removal and relocation of MYC observed in our patient may explain the lymphomagenesis, but not necessarily the absence of Myc expression.
Given the limitations of this case report, we suggest that comprehensive retrospective studies in CLL patients should be performed to characterize the suggested ~400 Kb breakpoint and the region further upstream by sequential metaphase BAC FISH mapping since CMA does not detect the removal and relocation of an intact MYC locus. It is also possible that the absence of Myc expression is a false negative result given the specificity of immunostaining which is below 100%, and about 17% of cases may be overlooked for MYC rearrangements using this technique . A more accurate quantitative approach such as RT-qPCR is recommended. Since variability in MYC breakpoints could still result in similar MYC expression , possibly due to flexible DNA looping [43, 45], reporter expression studies are needed to better understand the clinical impact and significance of long distance deregulation in in loci with atypical MYC rearrangement.
This paper presents an unreported atypical rearrangement involving the IGH@ and MYC loci detected by FISH, adding to the burgeoning cytogenetic data on CLL patients with atypical t(8;14). It also highlights the Class III translocation breakpoint upstream of MYC, including the cancer and CLL-associated SNPs within the interval. This report also provides important and promising findings for further studies correlating Myc expression with a specific type of genomic translocation breakpoint or copy number variants in CLL and in other B-cell disorders. Lastly, overall findings in our report highlight the utility of karyotype analysis, interphase and sequential metaphase FISH studies, CMA, and other molecular tools in approaching the diagnosis and prognosis of CLL in a more comprehensive manner.
Materials and methods
Conventional GPG-banded chromosomal analysis was performed on peripheral blood lymphocytes that were cultured for 48 and 72 hours with and without pokeweed mitogen stimulation, following standard cytogenetics protocols. The karyotypes were described according to the ISCN 2009 nomenclature .
Initial FISH studies were performed on interphase cells using CLL panel probes (Abbott Molecular, Des Plaines, Illinois) specific for centromere 12, IGH@ break apart or IGH@-CCND1 fusion, and chromosome loci 13q14.3 (D13S319)/13q34, 11q22.3 (ATM) and 17p13.1 (TP53). Sequential GPG-metaphase FISH studies were performed using IGH-MYC fusion (with centromere 8-specific probe), and break apart probes for the IGH@ and MYC loci.
Chromosome microarray analysis was performed on DNA sample from 48-hr culture of peripheral blood lymphocytes. DNA was extracted from Carnoy’s fixed pellet cells Qiagen DNA extraction kit (Valencia, CA). DNA concentration and quality was checked using Nanodrop (Life Technologies, Carlsbad, CA) and gel electrophoresis, respectively. Whole genome chromosome SNP microarray was performed to assess for imbalances (i.e. gain or losses) in the genomic DNA sample tested. The assay compared the patient’s DNA to a reference set from 380 normal controls (284 HapMap and 96 Affymetrix reference), using the Genome-Wide SNP Array CytoScan HD. This array platform contains 2.6 million markers for Copy Number Variant detection (Affymetrix, Inc.), which 750,000 are genotype SNPs and 1.9 million are non–polymorphic probes, for the whole genome coverage. The analysis was performed using the chromosome analysis suite (ChAS), version CytoB-N184.108.40.2061(r4615). Oligonucleotide probe information is based on the 37 build of the Human Genome (UCSC Genome Browser, http://genome.ucsc.edu/cgi-bin/hgGateway, hg19, February 2009).
FFPE sections (4 μm thick) were stained for Myc using rabbit monoclonal human anti-Myc antibody (catalog #1472-1, Epitomics, Inc., Burlingame, CA, USA). Heat-induced epitope retrieval was accomplished by using ER1 for 20 min. Endogenous peroxidase was blocked using hydrogen peroxide. The slide was incubated in the primary antibody Myc for 30 min, followed by incubation in a post-primary 3,3-diaminobenzidine for 10 min, polymer 3,3-diaminobenzidine for 10 min, and chromogen 3,3-diaminobenzidine for 10 min. Subsequently, slide was incubated with post-primary alkaline phosphatase for 20 min, polymer alkaline phosphatase for 30 min, and fast red for 20 min. The nuclei were counterstained with hematoxylin and the slide was then dehydrated, cleared in xylene, and coverslipped. Appropriate positive controls were used.
We would like to thank the assistance of the following UCLA Cytogenetics Lab Staff: Lynn Yang for her technical assistance and her willingness to help and make this project possible. We would also like to acknowledge Ingrid Jaramillo, Gloria Lan, Pinky Bolire, Karen Park and Yun Lei and other FISH technologists in making this project possible. We also like to thank Dr. Kingshuk Das and the staff of UCLA Molecular Pathology Lab for assisting us in the DNA extraction. We are also grateful to Affymetrix for performing CMA in our patient's DNA sample.
- Put N, Wlodarska I, Vandenberghe P, Michaux L: Genetics of Chronic Lymphocytic Leukemia. In Practical Aspects and Prognostic Significance, Chronic Lymphocytic Leukemia Edited by: Oppezzo P. 2012. InTechView ArticleGoogle Scholar
- Craig FE, Foon KA: Flow cytometric immunophenotyping for hematologic neoplasms. Blood 2008, 111: 3941–3967. 10.1182/blood-2007-11-120535View ArticlePubMedGoogle Scholar
- Quintero-Rivera F, Nooraie F, Rao PN: Frequency of 5'IGH deletions in B-cell chronic lymphocytic leukemia. Cancer Genet Cytogenet 2009, 190: 33–39. 10.1016/j.cancergencyto.2008.12.004View ArticlePubMedGoogle Scholar
- Put N, Van Roosbroeck K, Konings P, Meeus P, Brusselmans C, et al.: Chronic lymphocytic leukemia and prolymphocytic leukemia with MYC translocations: a subgroup with an aggressive disease course. Ann Hematol 2012, 91: 863–873. 10.1007/s00277-011-1393-yView ArticlePubMedGoogle Scholar
- Huh YO, Lin KI, Vega F, Schlette E, Yin CC, et al.: MYC translocation in chronic lymphocytic leukaemia is associated with increased prolymphocytes and a poor prognosis. Br J Haematol 2008, 142: 36–44. 10.1111/j.1365-2141.2008.07152.xView ArticlePubMedGoogle Scholar
- Lu G, Kong Y, Yue C: Genetic and immunophenotypic profile of IGH@ rearrangement detected by fluorescence in situ hybridization in 149 cases of B-cell chronic lymphocytic leukemia. Cancer Genet Cytogenet 2010, 196: 56–63. 10.1016/j.cancergencyto.2009.08.021View ArticlePubMedGoogle Scholar
- Blick M, Westin E, Wong-Staal F, Gallo R, McCredie K, et al.: Rearrangement and enhanced expression of c-myc oncogene in fresh tumor cells obtained from a patient with acute lymphoblastic leukemia. Leuk Res 1986, 10: 381–387. 10.1016/0145-2126(86)90067-6View ArticlePubMedGoogle Scholar
- Reddy K, Ansari-Lari M, Dipasquale B: Blastic mantle cell lymphoma with a Burkitt translocation. Leuk Lymphoma 2008, 49: 740–750. 10.1080/10428190701852024View ArticlePubMedGoogle Scholar
- Delgado MD, Leon J: Myc roles in hematopoiesis and leukemia. Genes Cancer 2010, 1: 605–616. 10.1177/1947601910377495PubMed CentralView ArticlePubMedGoogle Scholar
- Shiramizu B, Barriga F, Neequaye J, Jafri A, Dalla-Favera R, et al.: Patterns of chromosomal breakpoint locations in Burkitt's lymphoma: relevance to geography and Epstein-Barr virus association. Blood 1991, 77: 1516–1526.PubMedGoogle Scholar
- Gostissa M, Yan CT, Bianco JM, Cogne M, Pinaud E, et al.: Long-range oncogenic activation of Igh-c-myc translocations by the Igh 3' regulatory region. Nature 2009, 462: 803–807. 10.1038/nature08633PubMed CentralView ArticlePubMedGoogle Scholar
- Vincent-Fabert C, Fiancette R, Cogne M, Pinaud E, Denizot Y: The IgH 3' regulatory region and its implication in lymphomagenesis. Eur J Immunol 2010, 40: 3306–3311. 10.1002/eji.201040778View ArticlePubMedGoogle Scholar
- Spehalski E, Kovalchuk AL, Collins JT, Liang G, Dubois W, et al.: Oncogenic Myc translocations are independent of chromosomal location and orientation of the immunoglobulin heavy chain locus. Proc Natl Acad Sci USA 2012, 109: 13728–13732. 10.1073/pnas.1202882109PubMed CentralView ArticlePubMedGoogle Scholar
- Dalla-Favera R, Martinotti S, Gallo RC, Erikson J, Croce CM: Translocation and rearrangements of the c-myc oncogene locus in human undifferentiated B-cell lymphomas. Science 1983, 219: 963–967. 10.1126/science.6401867View ArticlePubMedGoogle Scholar
- Busch K, Keller T, Fuchs U, Yeh RF, Harbott J, et al.: Identification of two distinct MYC breakpoint clusters and their association with various IGH breakpoint regions in the t(8;14) translocations in sporadic Burkitt-lymphoma. Leukemia 2007, 21: 1739–1751. 10.1038/sj.leu.2404753View ArticlePubMedGoogle Scholar
- Boxer LM, Dang CV: Translocations involving c-myc and c-myc function. Oncogene 2001, 20: 5595–5610. 10.1038/sj.onc.1204595View ArticlePubMedGoogle Scholar
- Obermann EC, Csato M, Dirnhofer S, Tzankov A: Aberrations of the MYC gene in unselected cases of diffuse large B-cell lymphoma are rare and unpredictable by morphological or immunohistochemical assessment. J Clin Pathol 2009, 62: 754–756. 10.1136/jcp.2009.065227View ArticlePubMedGoogle Scholar
- Barrans S, Crouch S, Smith A, Turner K, Owen R, et al.: Rearrangement of MYC is associated with poor prognosis in patients with diffuse large B-cell lymphoma treated in the era of rituximab. J Clin Oncol 2010, 28: 3360–3365. 10.1200/JCO.2009.26.3947View ArticlePubMedGoogle Scholar
- Bernard O, Larsen CJ, Hampe A, Mauchauffe M, Berger R, et al.: Molecular mechanisms of a t(8;14)(q24;q11) translocation juxtaposing c-myc and TcR-alpha genes in a T-cell leukaemia: involvement of a V alpha internal heptamer. Oncogene 1988, 2: 195–200.PubMedGoogle Scholar
- Levens D: How the c-myc promoter works and why it sometimes does not. J Natl Cancer Inst Monogr 2008, 39: 41–43.View ArticlePubMedGoogle Scholar
- Zhang W, Kater AP, Widhopf GF 2nd, Chuang HY, Enzler T, et al.: B-cell activating factor and v-Myc myelocytomatosis viral oncogene homolog (c-Myc) influence progression of chronic lymphocytic leukemia. Proc Natl Acad Sci USA 2010, 107: 18956–18960. 10.1073/pnas.1013420107PubMed CentralView ArticlePubMedGoogle Scholar
- Janz S: Myc translocations in B cell and plasma cell neoplasms. DNA Repair (Amst) 2006, 5: 1213–1224. 10.1016/j.dnarep.2006.05.017View ArticleGoogle Scholar
- Klapproth K, Wirth T: Advances in the understanding of MYC-induced lymphomagenesis. Br J Haematol 2010, 149: 484–497. 10.1111/j.1365-2141.2010.08159.xView ArticlePubMedGoogle Scholar
- Wilda M, Busch K, Klose I, Keller T, Woessmann W, et al.: Level of MYC overexpression in pediatric Burkitt's lymphoma is strongly dependent on genomic breakpoint location within the MYC locus. Genes Chromosomes Cancer 2004, 41: 178–182. 10.1002/gcc.20063View ArticlePubMedGoogle Scholar
- Bertrand P, Bastard C, Maingonnat C, Jardin F, Maisonneuve C, et al.: Mapping of MYC breakpoints in 8q24 rearrangements involving non-immunoglobulin partners in B-cell lymphomas. Leukemia 2007, 21: 515–523. 10.1038/sj.leu.2404529View ArticlePubMedGoogle Scholar
- Sotelo J, Esposito D, Duhagon MA, Banfield K, Mehalko J, et al.: Long-range enhancers on 8q24 regulate c-Myc. Proc Natl Acad Sci USA 2010, 107: 3001–3005. 10.1073/pnas.0906067107PubMed CentralView ArticlePubMedGoogle Scholar
- Wright JB, Brown SJ, Cole MD: Upregulation of c-MYC in cis through a large chromatin loop linked to a cancer risk-associated single-nucleotide polymorphism in colorectal cancer cells. Mol Cell Biol 2010, 30: 1411–1420. 10.1128/MCB.01384-09PubMed CentralView ArticlePubMedGoogle Scholar
- Crowther-Swanepoel D, Broderick P, Di Bernardo MC, Dobbins SE, Torres M, et al.: Common variants at 2q37.3, 8q24.21, 15q21.3 and 16q24.1 influence chronic lymphocytic leukemia risk. Nat Genet 2010, 42: 132–136. 10.1038/ng.510View ArticlePubMedGoogle Scholar
- Dohner H, Stilgenbauer S, Benner A, Leupolt E, Krober A, et al.: Genomic aberrations and survival in chronic lymphocytic leukemia. N Engl J Med 2000, 343: 1910–1916. 10.1056/NEJM200012283432602View ArticlePubMedGoogle Scholar
- Schultz RA, Delioukina M, Gaal K, Bedell V, Smith DD, et al.: Evaluation of chronic lymphocytic leukemia by BAC-based microarray analysis. Mol Cytogenet 2011, 4: 4. 10.1186/1755-8166-4-4PubMed CentralView ArticlePubMedGoogle Scholar
- Urbankova H, Papajik T, Plachy R, Holzerova M, Balcarkova J, et al.: Array-based karyotyping in chronic lymphocytic leukemia (CLL) detects new unbalanced abnormalities that escape conventional cytogenetics and CLL FISH panel. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2012, 156: 1–9. 10.5507/bp.2012.003View ArticleGoogle Scholar
- Kent WJ, Sugnet CW, Furey TS, Roskin KM, Pringle TH, et al.: The human genome browser at UCSC. Genome Res 2002, 12: 996–1006.PubMed CentralView ArticlePubMedGoogle Scholar
- Shaffer LG, Slovak ML, Campbell LJ: ISCN 2009: An International System for Human Cytogenetic Nomenclature. Basel: S. Karger; 2009.Google Scholar
- Greil R, Fasching B, Loidl P, Huber H: Expression of the c-myc proto-oncogene in multiple myeloma and chronic lymphocytic leukemia: an in situ analysis. Blood 1991, 78: 180–191.PubMedGoogle Scholar
- Cory S: Activation of cellular oncogenes in hemopoietic cells by chromosome translocation. Adv Cancer Res 1986, 47: 189–234.View ArticlePubMedGoogle Scholar
- Brisbin AG, Asmann YW, Song H, Tsai YY, Aakre JA, et al.: Meta-analysis of 8q24 for seven cancers reveals a locus between NOV and ENPP2 associated with cancer development. BMC Med Genet 2011, 12: 156. 10.1186/1471-2350-12-156PubMed CentralView ArticlePubMedGoogle Scholar
- Ciampa J, Yeager M, Amundadottir L, Jacobs K, Kraft P, et al.: Large-scale exploration of gene-gene interactions in prostate cancer using a multistage genome-wide association study. Cancer Res 2011, 71: 3287–3295. 10.1158/0008-5472.CAN-10-2646PubMed CentralView ArticlePubMedGoogle Scholar
- Crowther-Swanepoel D, Corre T, Lloyd A, Gaidano G, Olver B, et al.: Inherited genetic susceptibility to monoclonal B-cell lymphocytosis. Blood 2010, 116: 5957–5960. 10.1182/blood-2010-07-294975View ArticlePubMedGoogle Scholar
- Pruitt KD, Tatusova T, Klimke W, Maglott DR: NCBI Reference Sequences: current status, policy and new initiatives. Nucleic Acids Res 2009, 37: D32–36. 10.1093/nar/gkn721PubMed CentralView ArticlePubMedGoogle Scholar
- Grisanzio C, Freedman ML: Chromosome 8q24-Associated Cancers and MYC. Genes Cancer 2010, 1: 555–559. 10.1177/1947601910381380PubMed CentralView ArticlePubMedGoogle Scholar
- Maljaie SH, Brito-Babapulle V, Matutes E, Hiorns LR, De Schouwer PJ, et al.: Expression of c-myc oncoprotein in chronic T cell leukemias. Leukemia 1995, 9: 1694–1699.PubMedGoogle Scholar
- Eischen CM, Weber JD, Roussel MF, Sherr CJ, Cleveland JL: Disruption of the ARF-Mdm2-p53 tumor suppressor pathway in Myc-induced lymphomagenesis. Genes Dev 1999, 13: 2658–2669. 10.1101/gad.13.20.2658PubMed CentralView ArticlePubMedGoogle Scholar
- Ptashne M: Gene regulation by proteins acting nearby and at a distance. Nature 1986, 322: 697–701. 10.1038/322697a0View ArticlePubMedGoogle Scholar
- Einerson RR, Law ME, Blair HE, Kurtin PJ, McClure RF, et al.: Novel FISH probes designed to detect IGK-MYC and IGL-MYC rearrangements in B-cell lineage malignancy identify a new breakpoint cluster region designated BVR2. Leukemia 2006, 20: 1790–1799. 10.1038/sj.leu.2404340View ArticlePubMedGoogle Scholar
- Sasaki M, Ogata K, Hatanaka H, Nishimura Y: Backbone dynamics of the c-Myb DNA-binding domain complexed with a specific DNA. J Biochem 2000, 127: 945–953. 10.1093/oxfordjournals.jbchem.a022710View ArticlePubMedGoogle Scholar
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