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Blood, 15 August 2007, Vol. 110, No. 4, pp. 1251-1261.
Prepublished online as a Blood First Edition Paper on April 23, 2007; DOI 10.1182/blood-2006-12-064683.


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NEOPLASIA

The C-MYB locus is involved in chromosomal translocation and genomic duplications in human T-cell acute leukemia (T-ALL), the translocation defining a new T-ALL subtype in very young children

Emmanuelle Clappier1,3, Wendy Cuccuini1,2, Anna Kalota4, Antoine Crinquette1, Jean-Michel Cayuela1,2, Willem A. Dik5, Anton W. Langerak5, Bertrand Montpellier6, Bertrand Nadel6, Pierre Walrafen7, Olivier Delattre8, Alain Aurias8, Thierry Leblanc9, Hervé Dombret10, Alan M. Gewirtz4, André Baruchel10, François Sigaux1,2, and Jean Soulier1,2

1 Genome Rearrangements and Cancer Group, Institut National de la Santé et de la Recherche Médicale (INSERM) U728 and Institut Universitaire d'Hématologie, Paris 7 University, Hôpital Saint-Louis, Paris, France; 2 Hematology Laboratory, Assistance Publique Hôpitaux de Paris (APHP), Hôpital Saint-Louis, Paris, France; 3 Laboratoire de Biochimie Génétique, APHP, Hôpital Robert Debré, Paris, France; 4 Division of Hematology/Oncology, Department of Medicine, University of Pennsylvania, Philadelphia; 5 Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; 6 Centre d'Immunologie de Marseille-Luminy, Université de la Méditerranée, Marseille, France; 7 Genomic Vision, Pasteur Biotop, Paris, France; 8 INSERM U509, Institut Curie-Section Recherche, Paris, France; 9 Pediatric Hematology Department, APHP, Hôpital Saint-Louis, Paris, France; 10 Adult Hematology Department, APHP, Hôpital Saint-Louis, Paris, France

The C-Myb transcription factor is essential for hematopoiesis, including in the T-cell lineage. The C-Myb locus is a common site of retroviral insertional mutagenesis, however no recurrent genomic involvement has been reported in human malignancies. Here, we identified 2 types of genomic alterations involving the C-MYB locus at 6q23 in human T-cell acute leukemia (T-ALL). First, we found a reciprocal translocation, t(6;7)(q23;q34), that juxtaposed the TCRB and C-MYB loci (n = 6 cases). Second, a genome-wide copy-number analysis by array-based comparative genomic hybridization (array-CGH) identified short somatic duplications that include C-MYB (MYBdup, n = 13 cases of 84 T-ALL, 15%). Expression analysis, including allele-specific approaches, showed stronger C-MYB expression in the MYB-rearranged cases compared with other T-ALLs, and a dramatically skewed C-MYB allele expression in the TCRB-MYB cases, which suggests that a translocation-driven deregulated expression may overcome a cellular attempt to down-regulate C-MYB. Strikingly, profiling of the T-ALLs by clinical, genomic, and large-scale gene expression analyses shows that the TCRB-MYB translocation defines a new T-ALL subtype associated with a very young age for T-cell leukemia (median, 2.2 years) and with a proliferation/mitosis expression signature. By contrast, the MYBdup alteration was associated with the previously defined T-ALL subtypes.


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