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Blood, 24 September 2009, Vol. 114, No. 13, pp. 2688-2698. Prepublished online as a Blood First Edition Paper on July 29, 2009; DOI 10.1182/blood-2009-03-208397.
LYMPHOID NEOPLASIA Deregulated expression of cytokine receptor gene, CRLF2, is involved in lymphoid transformation in B-cell precursor acute lymphoblastic leukemia![]() ![]() ![]() 1 Leukaemia Research Cytogenetics Group, Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom; 2 Medical Research Council Toxicology Unit, Leicester University, Leicester, United Kingdom; 3 Institute of Human Genetics, Christian Albrechts University, and University Hospital Schleswig-Holstein, Kiel, Germany; 4 Inserm E210, Hôpital Necker Enfants Malade, Paris, France; 5 Department of Genetics, University of Navarra, Pamplona, Spain; 6 West Midlands Regional Genetics Laboratory, Birmingham Women's Hospital, Birmingham, United Kingdom; 7 MLL Münchner Leukämielabor GmbH, Munich, Germany; 8 Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom; 9 Section of Haemato-Oncology, Institute of Cancer Research, Surrey, United Kingdom; and 10 Cancer Genomics Group, Cancer Sciences Division, University of Southampton, Southampton, United Kingdom
We report 2 novel, cryptic chromosomal abnormalities in precursor B-cell acute lymphoblastic leukemia (BCP-ALL): a translocation, either t(X;14)(p22;q32) or t(Y;14)(p11;q32), in 33 patients and an interstitial deletion, either del(X)(p22.33p22.33) or del(Y)(p11.32p11.32), in 64 patients, involving the pseudoautosomal region (PAR1) of the sex chromosomes. The incidence of these abnormalities was 5% in childhood ALL (0.8% with the translocation, 4.2% with the deletion). Patients with the translocation were older (median age, 16 years), whereas the patients with the deletion were younger (median age, 4 years). The 2 abnormalities result in deregulated expression of the cytokine receptor, cytokine receptor-like factor 2, CRLF2 (also known as thymic stromal-derived lymphopoietin receptor, TSLPR). Overexpression of CRLF2 was associated with activation of the JAK-STAT pathway in cell lines and transduced primary B-cell progenitors, sustaining their proliferation and indicating a causal role of CRLF2 overexpression in lymphoid transformation. In Down syndrome (DS) ALL and 2 non-DS BCP-ALL cell lines, CRLF2 deregulation was associated with mutations of the JAK2 pseudokinase domain, suggesting oncogenic cooperation as well as highlighting a link between non-DS ALL and JAK2 mutations.
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