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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.

© 2001 by The American Society of Hematology.
 

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