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Clonal, nonconstitutional rearrangements of the MLL gene in infant twins
with acute lymphoblastic leukemia: in utero chromosome rearrangement of
11q23
HJ Gill Super, PG Rothberg, H Kobayashi, AI Freeman, MO Diaz and JD Rowley
Department of Medicine, University of Chicago, IL 60637.
Rearrangements of chromosome band 11q23 are common in infant leukemias,
comprising more than 70% of the observed chromosome abnormalities in
children less than 1 year of age. The MLL gene, which is located at the
11q23 breakpoint in infant, childhood, and adult acute leukemias, has been
cloned and has homology to the Drosophila trithorax gene. The breakpoints
in MLL are restricted to an 8.3-kilobase pair (kb) region of the gene that
is involved in translocations with as many as 29 other chromosomal regions
in a number of phenotypically distinct acute leukemias. We have detected an
identical, clonal, nonconstitutional rearrangement of the MLL gene in
peripheral blood cells from a pair of female infants twins with acute
lymphoblastic leukemia (ALL) and a t(11;19)(q23;p13.3). The detection of
nonidentical IGH rearrangements suggests that the MLL rearrangement took
place in a B-cell precursor or hematopoietic stem cell in one twin which
was transferred in utero to the other fetus resulting in ALL with an
identical aneuploid karyotype in both infants. We speculate that the other
MLL-related infant leukemias may also develop in utero, and that the
rearrangements may occur consistently in stem cells or early precursor
cells, accounting for the frequency of mixed-lineage leukemia in infants.
Volume 83,
Issue 3,
pp. 641-644,
02/01/1994
Copyright © 1994 by The American Society of Hematology

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