Ann Lab Med.  2014 Mar;34(2):166-169. 10.3343/alm.2014.34.2.166.

Acute Lymphoblastic Leukemia with Mature B-Cell Phenotype and t(9;11;11)(p22;q23;p11.2): A Case Study and Literature Review

Affiliations
  • 1Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sunnyhk@smc.samsung.co.kr
  • 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Aged
B-Lymphocytes/*cytology/metabolism
Child
*Chromosomes, Human, Pair 11
*Chromosomes, Human, Pair 9
Female
Humans
Immunophenotyping
Infant
Karyotyping
Male
Myeloid-Lymphoid Leukemia Protein/genetics/metabolism
Oncogene Proteins, Fusion/genetics/metabolism
Precursor Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis
Translocation, Genetic
Oncogene Proteins, Fusion
Myeloid-Lymphoid Leukemia Protein

Figure

  • Fig. 1 (A) Blasts of the patient exhibit non-FAB-L3 morphology. (B) Scatter plots of flow cytometric immunophenotyping show blasts with CD19+, CD10+, CD34-, terminal deoxynucleotidyl transferase (TdT)-, and surface immunoglobulin (sIg) λ+.Abbreviation: FAB, French-American-British classification.

  • Fig. 2 (A) Conventional karyotyping indicates the karyotype of t(9;11;11)(p22;q23;p11.2). The arrows indicate chromosomes showing abnormalities. (B) FISH analysis indicates the MLL break-apart signals. LSI MLL(B-A) probe refers to the locus specific identifier MLL break apart probe. (C) Molecular analysis by reverse transcription (RT)-PCR showing a 367-bp amplicon corresponding to the MLL ex8-MLLT3 (AF9) ex9 fusion transcript. M represents the lane for the amplicon size marker, and pt for the patient described.


Reference

1. Pui CH, Frankel LS, Carroll AJ, Raimondi SC, Shuster JJ, Head DR, et al. Clinical characteristics and treatment outcome of childhood acute lymphoblastic leukemia with the t(4;11)(q21;q23): a collaborative study of 40 cases. Blood. 1991; 77:440–447. PMID: 1991161.
2. Heerema NA, Sather HN, Ge J, Arthur DC, Hilden JM, Trigg ME, et al. Cytogenetic studies of infant acute lymphoblastic leukemia: poor prognosis of infants with t(4;11) - a report of the Children's Cancer Group. Leukemia. 1999; 13:679–686. PMID: 10374870.
Article
3. Pui CH, Kane JR, Crist WM. Biology and treatment of infant leukemias. Leukemia. 1995; 9:762–769. PMID: 7769837.
4. Ayton PM, Cleary ML. Molecular mechanisms of leukemogenesis mediated by MLL fusion proteins. Oncogene. 2001; 20:5695–5707. PMID: 11607819.
Article
5. Krivtsov AV, Armstrong SA. MLL translocations, histone modifications and leukaemia stem-cell development. Nat Rev Cancer. 2007; 7:823–833. PMID: 17957188.
Article
6. Swerdllow SH, Campo E, editors. WHO classification of tumours of haematopoietic and lymphoid tissues in 2008. Lyon: IARC Press;2008. p. 262–264.
7. Sullivan MP, Pullen DJ, Crist WM, Brecher M, Ramirez I, Sabio H, et al. Clinical and biological heterogeneity of childhood B cell acute lymphocytic leukemia: implications for clinical trials. Leukemia. 1990; 4:6–11. PMID: 2404163.
8. Hammami A, Chan WC, Michels SD, Nassar VH. Mature B-cell acute leukemia: a clinical, morphological, immunological, and cytogenetic study of nine cases. Hematol Pathol. 1991; 5:109–118. PMID: 1960134.
9. Vasef MA, Brynes RK, Murata-Collins JL, Arber DA, Medeiros LJ. Surface immunoglobulin light chain-positive acute lymphoblastic leukemia of FAB L1 or L2 type: a report of 6 cases in adults. Am J Clin Pathol. 1998; 110:143–149. PMID: 9704611.
10. Lorenzana AN, Rubin CM, Le Beau MM, Nachman J, Connolly P, Subramanian U, et al. Immunoglobulin gene rearrangements in acute lymphoblastic leukemia with the 9;11 translocation. Genes Chromosomes Cancer. 1991; 3:74–77. PMID: 1906342.
11. Talmant P, Berger R, Robillard N, Mechineau-Lacroix F, Garand R. Childhood B-cell acute lymphoblastic leukemia with FAB-L1 morphology and a t(9;11) involving the MLL gene. Hematol Cell Ther. 1996; 38:265–268. PMID: 8974790.
12. Li S, Lew G. Is B-lineage acute lymphoblastic leukemia with a mature phenotype and l1 morphology a precursor B-lymphoblastic leukemia/lymphoma or Burkitt leukemia/lymphoma? Arch Pathol Lab Med. 2003; 127:1340–1344. PMID: 14521459.
Article
13. Frater JL, Batanian JR, O'Connor DM, Grosso LE. Lymphoblastic leukemia with mature B-cell phenotype in infancy. J Pediatr Hematol Oncol. 2004; 26:672–677. PMID: 15454841.
Article
14. Kansal R, Deeb G, Barcos M, Wetzler M, Brecher ML, Block AW, et al. Precursor B lymphoblastic leukemia with surface light chain immunoglobulin restriction: a report of 15 patients. Am J Clin Pathol. 2004; 121:512–525. PMID: 15080303.
15. Tsao L, Draoua HY, Osunkwo I, Nandula SV, Murty VV, Mansukhani M, et al. Mature B-cell acute lymphoblastic leukemia with t(9;11) translocation: a distinct subset of B-cell acute lymphoblastic leukemia. Mod Pathol. 2004; 17:832–839. PMID: 15098014.
Article
16. Blin N, Méchinaud F, Talmant P, Garand R, Boutard P, Dastugue N, et al. Mature B-cell lymphoblastic leukemia with MLL rearrangement: an uncommon and distinct subset of childhood acute leukemia. Leukemia. 2008; 22:1056–1059. PMID: 18007578.
Article
17. Huret JL, Dessen P, Bernheim A. An atlas of chromosomes in hematological malignancies. Example: 11q23 and MLL partners. Leukemia. 2001; 15:987–989. PMID: 11417488.
18. Meyer C, Schneider B, Jakob S, Strehl S, Attarbaschi A, Schnittger S, et al. The MLL recombinome of acute leukemias. Leukemia. 2006; 20:777–784. PMID: 16511515.
Article
19. Super HG, Strissel PL, Sobulo OM, Burian D, Reshmi SC, Roe B, et al. Identification of complex genomic breakpoint junctions in the t(9;11) MLL-AF9 fusion gene in acute leukemia. Genes Chromosomes Cancer. 1997; 20:185–195. PMID: 9331569.
20. Dobson CL, Warren AJ, Pannell R, Forster A, Lavenir I, Corral J, et al. The mll-AF9 gene fusion in mice controls myeloproliferation and specifies acute myeloid leukaemogenesis. EMBO J. 1999; 18:3564–3574. PMID: 10393173.
Article
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