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Blood, 1 October 2001, Vol. 98, No. 7, pp. 2272-2274
BRIEF REPORT
Presence of N regions in the clonotypic DJ rearrangements of the
immunoglobulin heavy-chain genes indicates an exquisitely short latency
in t(4;11)-positive infant acute lymphoblastic leukemia
Karin Fasching,
Simon Panzer,
Oskar A. Haas,
Arndt Borkhardt,
Rolf Marschalek,
Frank Griesinger, and
E. Renate Panzer-Grümayer
From the Children's Cancer Research Institute, St Anna
Kinderspital, and Clinic for Blood Group Serology, University of
Vienna, Austria; the Department of Pediatric Hematology/Oncology,
Justus Liebig Universität, Giessen, Institute of Pharmaceutical
Biology, University of Frankfurt; and the Department of
Hematology/Oncology, University of Göttingen, Germany
Childhood acute lymphoblastic leukemia (ALL) is frequently
initiated in utero at a time of developmentally regulated insertion of
N regions into the DJH rearrangements of immunoglobulin
heavy-chain (IgH) genes. Here it is shown that N regions
are present in the clonotypic DJH rearrangements in 11 of
12 infant ALLs with t(4;11). These data are compared with the 122 previously published DJH sequences and were found to have a
pattern similar to that of ALL in children older than 3 years at
diagnosis but were unlike that in children younger than 3 years who
predominantly lack N regions. These findings, therefore, indicate that
t(4;11)-positive infant ALL is initiated later in fetal development
than most B-cell precursor ALL from children younger than 3 years and
that they have a shorter latency period already in utero.

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