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Blood, 1 April 2001, Vol. 97, No. 7, pp. 2168-2170
BRIEF REPORT
Fusion AML1 transcript in a radiation-associated leukemia results
in a truncated inhibitory AML1 protein
Robert Hromas,
Tracey Busse,
Audra Carroll,
David Mack,
Rinah Shopnick,
Dong-Er Zhang,
Harikrishna Nakshatri, and
Kathleen Richkind
From the Indiana University Cancer Center,
Indianapolis, Indiana; Cancer Care Consultants, Las Vegas, Nevada;
Molecular and Experimental Medicine, Scripps Research Institute, La
Jolla, California; and Genzyme Genetics, Santa Fe, New Mexico.
AML1 is a transcription factor that is essential for normal
hematopoietic development. It is the most frequent target for translocations in acute leukemia. Recently, fluorescence in situ hybridization was used to identify a novel syndrome of
radiation-associated secondary acute myelogenous leukemia that
had AML1 translocations. Using polymerase chain reaction, the AML1
fusion transcript was isolated from the patient who had a
t(19;21) radiation-associated leukemia. The AML1
gene is fused out of frame to chromosome 19 sequences, resulting in a
truncated AML protein bearing the DNA binding domain but not the
transcriptional activation domain. This fusion AML1 protein
functions as an inhibitor of the normal AML1 protein.

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