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Prepublished online as a Blood First Edition Paper on August 7, 2003; DOI 10.1182/blood-2003-04-1150.

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Submitted April 14, 2003
Accepted July 31, 2003

Cloning of the t(1;5)(q23;q33) in a myeloproliferative disorder associated with eosinophilia: involvement of PDGFRB and response to imatinib

Kathryn Wilkinson, Elvira R Velloso, Luiz F Lopes, Charles Lee, Jon C Aster, Margaret A Shipp, and Ricardo C Aguiar*

Department of Adult Oncology, Dana Farber Cancer Institute, Boston, MA, USA
Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
Department of Hematology, Hospital das Clinicas University of Sao Paulo, Sao Paulo, Brazil
Department of Pediatrics, Hospital AC Camargo, Sao Paulo, Brazil

* Corresponding author; email: Ricardo_Aguiar{at}dfci.harvard.edu.

Eosinophilia is common in myeloproliferative disorders (MPD) with abnormalities of chromosome band 5q31-33, including those that present with t(1;5)(q23;q33). With the development of rational drug therapy, characterization of the molecular targets for these translocations could guide treatment and impact on patient survival. We cloned the t(1;5)(q23;q33) and showed that it fuses PDGFRB to the coiled-coil domains of a novel partner protein, Myomegalin. Using two-color interphase FISH, we also demonstrated that the eosinophils are clonal in these disorders. Imatinib mesylate has recently been shown to be efficacious in MPDs with PDGFR activation. Therefore, following our molecular studies, we were able to redirect this patient's treatment. Although she had refractory and progressive disease, once imatinib was started complete clinical and hematological remission, and major cytogenetic response was achieved. Given the therapeutic implications, our findings stress the need to aggressively investigate the molecular basis of these diseases, with emphasis on the PDGFR family.


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