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Prepublished online as a Blood First Edition Paper on November 14, 2002; DOI 10.1182/blood-2002-09-2801.

Submitted September 13, 2002
Accepted October 16, 2002
A subset of multiple myeloma harboring the t(4;14)(p16;q32) translocation lack FGFR3 expression but maintain an IGH/MMSET fusion transcript
Madhumita Santra, Fenghuang Zhan, Erming Tian, Bart Barlogie, and John Shaughnessy*
Myeloma Institute for Research and Therapy, University of Arkansas for the Medical Sciences, Little Rock, AR, USA
* Corresponding author; email: shaughnessyjohn{at}uams.edu.
Previous studies have revealed that that approximately 10-15% of multiple myeloma (MM) 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 suggests that activation of FGFR3 is the oncogenic consequence of this rearrangement. Using a combination of microarray profiling, RT-PCR and interphase FISH we show that 32 of 178 newly diagnosed 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 greater 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 very early and suggests that activation of MMSET, not FGFR3, may be the critical transformation event of this recurrent translocation.

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