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Blood, Vol. 93 No. 4 (February 15), 1999: pp. 1355-1363

Fusion of ETV6 to Neurotrophin-3 Receptor TRKC in Acute Myeloid Leukemia With t(12;15)(p13;q25)

Mariko Eguchi, Minenori Eguchi-Ishimae, Arinobu Tojo, Kazuhiro Morishita, Katsuyuki Suzuki, Yuko Sato, Shiori Kudoh, Kimio Tanaka, Misao Setoyama, Fumitaka Nagamura, Shigetaka Asano, and Nanao Kamada

From the Department of Cancer Cytogenetics and the Department of Biochemistry and Biophysics, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan; the Department of Hematology/Oncology, Institute of Medical Science, University of Tokyo, Tokyo, Japan; the Biology Division, National Cancer Center Research Institute, Tokyo, Japan; and the Division of Intractable Disease, Research Institute, International Medical Center of Japan, Tokyo, Japan.

Chromosome translocations involving band 12p13 are known to be involved in a variety of hematologic malignancies, some of them resulting in rearrangement of the ETV6/TEL gene. Applying the fluorescence in situ hybridization (FISH) method, we found a cryptic translocation t(12;15)(p13;q25) in an adult acute myeloid leukemia (AML) patient. Hybridization with cosmid probes showed that the ETV6 gene was rearranged in this translocation. A patient-specific cDNA library was screened with ETV6 cDNA, and a novel fusion transcript was identified between the ETV6 and TRKC/NTRK3 gene located on 15q25. TRKC is a receptor tyrosine kinase that is activated by neurotrophin-3 (NT-3). It is known to be expressed broadly in neural tissues but not in hematologic cells, so far. ETV6-TRKC chimeric transcript encoded the pointed (PNT) domain of the ETV6 gene that fused to the protein-tyrosine kinase (PTK) domain of the TRKC gene. Two types of fusion transcript were determined, one that included the entire PTK domain of TRKC and the other in which the 3'-terminal 462 bp of TRKC was truncated within the PTK domain. Western blot analysis showed the expression of both chimeric proteins of 52 and 38 kD in size. Our results suggest that chimeric PTK expressed in the leukemic cells may contribute to cellular transformation by abnormally activating TRK signaling pathways. Moreover, this is the first report on truncated neurotrophin receptors associated in leukemia.


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