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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1909-1911.
Prepublished online as a Blood First Edition Paper on November 6, 2003; DOI 10.1182/blood-2003-07-2577.

Submitted July 29, 2003
Accepted October 20, 2003
Biallelic transcriptional activation of oncogenic transcription factors in T-cell acute lymphoblastic leukemia
Adolfo A Ferrando, Sabine Herblot, Teresa Palomero, Mark Hansen, Trang Hoang, Edward A Fox, and A T Look*
Pediatric Oncology Department, Dana-Farber Cancer Institute, Boston, MA, USA
Clinical Research Institute of Montreal, Montreal, PQ, Canada
Shannon McCormack Advanced Molecular Diagnostics Laboratory, Dana-Farber Cancer Institute, Boston, MA, USA
* Corresponding author; email: thomas_look{at}dfci.harvard.edu.
Aberrant expression of transcription factor oncogenes such as HOX11, HOX11L2,TAL1/SCL, LYL1, LMO1 and LMO2 can be detected in lymphoblasts from up to 80% of patients with acute T-cell lymphoblastic leukemia (T-ALL). Transcriptional activation of these oncogenes in leukemic cells typically results from chromosomal rearrangements that place them next to highly active cis-acting transcriptional regulatory elements. However, biallelic activation of TAL1 in some T-ALL cases has been previously proposed. We have used allele-specific mRNA analysis to show that trans-acting mechanisms leading to biallelic over-expression of TAL1 are involved in 10 of 24 (42%) TAL1+ informative T-ALL cases, 2 of 12 (17%) HOX11+ informative cases and 7 of 11 (64%) LMO2+ informative cases. We propose that aberrant expression of oncogenic transcription factors in a significant fraction of T-ALLs may result from loss of the upstream transcriptional mechanisms that normally down-regulate the expression of these oncogenes during T-cell development.

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