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Blood First Edition Paper, prepublished online November 4, 2009; DOI 10.1182/blood-2009-03-212225.
Submitted March 20, 2009; accepted September 28, 2009.
Heterozygous deletion of the PU.1 locus in human AML1 Department of Internal Medicine and Clinical Research, University Hospital Berne and University Berne, Berne, Switzerland; 2 Department of Medical Oncology, University Hospital Berne, Switzerland * Corresponding author; email: beatrice.mueller{at}insel.ch Abstract The transcription factor PU.1 is essential for myeloid development. Targeted disruption of an upstream regulatory element (URE) decreases PU.1 expression by 80% and leads to AML in mice. Here, we sequenced the URE sequences of PU.1 in 120 AML patients. Four polymorphisms (SNP) in the URE were observed, with homozygosity in all SNPs in 37 patients. Among them, we compared samples at diagnosis and remission, and one patient with cytogenetically normal AML-M2 was identified with heterozygosity in three of the SNPs in the URE at remission. Loss of heterozygosity (LOH) was further found in this patient at two polymorphic sites in the 5' promoter region and in two intronic sites flanking exon 4, thus suggesting LOH covering at least 40kb of the PU.1-locus. Consistently, PU.1 expression in this patient was markedly reduced. Our study suggests that heterozygous deletion of the PU.1 locus can be associated with human AML.
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