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Prepublished online as a Blood First Edition Paper on November 14, 2002; DOI 10.1182/blood-2002-09-2801.
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Blood, 15 March 2003, Vol. 101, No. 6, pp. 2374-2376
NEOPLASIA
Brief report
A subset of multiple myeloma harboring the t(4;14)(p16;q32)
translocation lacks FGFR3 expression but maintains an
IGH/MMSET fusion transcript
Madhumita Santra,
Fenghuang Zhan,
Erming Tian,
Bart Barlogie, and
John Shaughnessy Jr
From the Donna and Donald Lambert Laboratory of Myeloma
Genetics at the Myeloma Institute for Research and Therapy, University
of Arkansas for Medical Sciences, Little Rock, AR.
Previous studies have revealed that that approximately 10%
to 15% of multiple myelomas (MMs) are characterized by a reciprocal t(4;14)(p16;q32) translocation that activates expression of
FGFR3 and creates an IGH/MMSET fusion
transcript. Current data suggest that activation of FGFR3
is the oncogenic consequence of this rearrangement. Using a combination
of microarray profiling, reverse transcriptase-polymerase chain
reaction (RT-PCR), and interphase fluorescence in situ hybridization
(FISH), we show that 32 (18%) of 178 newly diagnosed cases of MM
harbor the t(4;14)(p16;q32). Importantly, 32% of these cases lack
expression of FGFR3, yet express MMSET and have
an IGH/MMSET fusion transcript. Interphase FISH showed that
whereas the IGH/MMSET fusion was present in more than 80%
of the clonotypic plasma cells in these novel cases, there was
typically a complete loss of one copy of FGFR3. These data
indicate that the t(4;14)(p16;q32) and loss of FGFR3
occurred at a very early stage and suggest that activation of
MMSET, not FGFR3, may be the critical
transforming event of this recurrent translocation.

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