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Blood, Vol. 94 No. 1 (July 1), 1999:
pp. 283-290
From the Leukaemia Research Fund, Paul O'Gorman Centre for Childhood
Leukaemia, Molecular Haematology Unit, Institute of Child Health,
London, UK.
Rearrangements involving the MLL gene at chromosome 11q23
are associated with leukemia and are present in up to 70% of infant leukemias. Loss of heterozygosity (LOH) has been shown for anonymous polymorphic markers at 11q23 in adult leukemias. To study LOH at the
MLL locus, we have identified two new polymorphic
microsatellite markers: a GAA repeat (mllGAAn) in intron 6 of the
MLL gene and a GA (mllGAn) repeat in the 5' flanking
region of the gene, approximately 2 kb upstream of the translation
initiation codon. The heterozygosity index of mllGAAn is 0.54, which
renders it useful for analyzing LOH. We screened two groups of leukemia
patients to study LOH at the mllGAAn marker. Group A (n = 18) was
selected on the basis of presentation before 18 months. Cytogenetic and
reverse transcription-polymerase chain reaction analysis showed that 9 of these 18 children had translocations involving MLL. No LOH
was observed. Group B (n = 36) were randomly selected children who
had presented with leukemia between 1993 and 1994. Cytogenetic analysis
of this group showed a variety of different chromosomal abnormalities.
LOH was shown in 9 of 20 individuals (45%) who were informative.
Microsatellite instability (MSI) was demonstrated in 1 of 18 individuals in group A and 5 of 36 individuals (13.9%) in group B. MSI
and LOH were observed simultaneously in three individuals. Loss of an
allele was confirmed in one individual by fluorescence in situ
hybridization. Individuals with MSI or LOH at mllGAAn were selected for
analysis at anonymous polymorphic markers D11S1364 and D11S1356, which flank the MLL gene. No LOH or MSI was observed at these markers in those individuals who were informative. These results show that LOH
at the MLL gene locus is a common event during leukemogenesis. Furthermore, the presence of MSI at this locus suggests that the region
is a hotspot for genetic instability.
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