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Blood, 15 November 2001, Vol. 98, No. 10, pp. 3082-3086
NEOPLASIA
Rearrangements of the c-myc oncogene are present in
15% of primary human multiple myeloma tumors
Hervé Avet-Loiseau,
Fabienne Gerson,
Florence Magrangeas,
Stéphane Minvielle,
Jean-Luc Harousseau, and
Régis Bataille for the Intergroupe Francophone du
Myélome
From the Hematology Laboratory, INSERM U463, and the
Department of Clinical Hematology, University Hospital, Nantes, France.
Rearrangements of the c-myc oncogene have
been found in most plasmacytomas induced in mice and human myeloma cell
lines (HMCLs) analyzed so far. However, neither induced mouse
plasmacytomas nor HMCLs represent relevant models for human multiple
myeloma (MM). To evaluate the incidence of c-myc
rearrangements in human plasma cell dyscrasias, sets of probes were
generated to allow direct assessment of c-myc
translocations on interphase plasma cells by using fluorescence in situ
hybridization. After validation of these probes, a large cohort of
patients with either newly diagnosed MM (n = 529), relapsed MM
(n = 58), primary plasma cell leukemia (PCL; n = 23), monoclonal
gammopathy of undetermined significance (n = 65), or smoldering MM
(n = 24) were analyzed. C-myc rearrangements were
identified in 15% of patients with MM or primary PCL, independently of
the stage of the disease (ie, diagnosis or relapse and MM or
primary PCL). Analysis of the 2 main translocations observed on
karyotyping, ie, t(8;14) and t(8;22), revealed that these specific
translocations represented only 25% (23 of 91) of c-myc
rearrangements. c-myc rearrangements were then correlated
with several other patients' characteristics: illegitimate
IgH recombinations, chromosome 13 deletions, and serum
2-microglobulin levels. The only significant correlation was with a
high 2-microglobulin level (P = .002), although a trend for association with t(4;14) was observed
(P = .08). Thus, c-myc rearrangement analysis
in patients with MM revealed a strikingly lower incidence than that in
HMCLs and plasmacytomas induced in mice, indicating that data obtained
with these models cannot be directly extrapolated to human MM.

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