ACUTE-LEUKEMIA WITH STRUCTURAL REARRANGEMENTS OF CHROMOSOME-3

被引:45
作者
HORSMAN, DE
GASCOYNE, RD
BARNETT, MJ
机构
[1] Department of Pathology, Division of Laboratory Medicine, British Columbia Cancer Agency and University of British Columbia, Vancouver
[2] The Leukemia/Bone Marrow Transplantation Program of British Columbia: Division of Hematology, British Columbia Cancer Agency, Vancouver General Hospital and University of British Columbia, Vancouver
关键词
ACUTE LEUKEMIA; REARRANGEMENTS; CHROMOSOME; 3;
D O I
10.3109/10428199509054422
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cytogenetic investigations have distinguished at least 3 distinct clinical-cytogenetic syndromes of hematopoietic malignancy with structural rearrangement of 3q. The majority of cases have breakpoints at both 3q21 and 3q26, frequently associated with monosomy 7, abnormal thrombopoiesis, and adverse outcome. Cases with only one of these breakpoints may have milder features of the syndrome. A subgroup with t(3q;5q) occurs in younger patients, occasionally with megakaryocytic dysplasia but rarely having thrombocytosis. The t(3;21) is encountered in secondary leukemias or after chemotherapy of myeloproliferative disorders. The genetic deregulations associated with each of these syndromes involve distinct genes on 3q. The majority of cases of acute leukemias with 3q rearrangements have a poor prognosis and do not respond to current modes of therapy.
引用
收藏
页码:369 / 377
页数:9
相关论文
共 108 条
  • [1] Rowley J.D., Potter D., Chromosomal banding patterns in acute nonlymphocytic leukemia, Blood, 47, pp. 705-721, (1976)
  • [2] Golomb H.M., Vardiman J., Rowley J.D., Acute nonlymphocytic leukemia in adults: Correlations with Q-banded chromosomes, Blood, 48, pp. 9-21, (1976)
  • [3] Sweet D.L., Golomb H.M., Rowley J.D., Vardiman J.M., Acute myelogenous leukemia and thrombocythemia associated with an abnormality of chromosome No. 3, Cancer Genetics and Cytogenetics, 1, pp. 33-37, (1979)
  • [4] Bernstein R., Pinto M.R., Behr A., Mendelow B., Chromosome 3 abnormalities in acute nonlymphocytic leukemia (ANLL) with abnormal thrombopoiesis: Report of three patients with a “new” inversion anomaly and a further case of homologous translocation, Blood, 60, pp. 613-617, (1982)
  • [5] Norrby A., Ridell B., Swolin B., Westin J., Rearrangement of chromosome No. 3 in a case of preleukemia with thrombocytosis, Cancer Genetics and Cytogenetics, 5, pp. 257-263, (1982)
  • [6] Bitter M.A., Neilly M.E., LeBeau M.M., Pearson M.G., Rowley J.D., Rearrangements of chromosome 3 involving bands 3q21 and 3q26 are associated with normal or elevated platelet counts in acute nonlymphocytic leukemia, Blood, 66, pp. 1362-1370, (1985)
  • [7] Carbonell F., Hoelzer D., Thiel E., Bartl R., Ph<sup>1</sup>-positive CML associated with megakaryocyte hyperplasia and thrombocythemia and an abnormality of chromosome no. 3, Cancer Genetics and Cytogenetics, 6, pp. 153-161, (1982)
  • [8] Bargolie B., Hittelman W., Spitzer G., Trujillo J.M., Hart J.S., Smallwood L., Drewinko B., Correlation of DNA distribution abnormalities with cytogenetic findings in human adult leukemia and lymphoma, Cancer Res., 37, pp. 4400-4407, (1977)
  • [9] Bernstein R., Bagg A., Pinto M., Lewis D., Mendelow B., Chromosome 3q21 abnormalities associated with hyperactive thrombopoiesis in acute blastic transformation of chronic myeloid leukemia, Blood, 68, pp. 652-657, (1986)
  • [10] Shimazaki C., Fujita N., Nakanishi S., Nishio A., Haruyama H., Nakagawa M., Ijichi H., Nishida K., Misawa S., Inversion of chromosome 3 in a case of chronic myelogenous leukemia with abnormal thrombopoiesis, Cancer Genetics and Cytogenetics, 20, pp. 121-127, (1986)