Korean J Hematol.  2009 Jun;44(2):100-103. 10.5045/kjh.2009.44.2.100.

Mutation of the N-ras Gene in a Patient Suffering from the Blast Phase of Chronic Myelogenous Leukemia

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea. leeyy@hanyang.ac.kr
  • 2Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

The blast phase in chronic myelogenous leukemia (CML) is associated with mutation of several genes. It is well known that p53 gene mutation plays a key role in the myeloid or lymphoid blast phase of CML. But for the case of the N-ras gene, the association between N-ras mutations and the blast phase of CML is not yet known. We report here on a case of detecting N-ras point mutation without p53 mutation in a 64 year-old man who suffered from the lymphoblastic blast phase of CML.

Keyword

Chronic myelogenous leukemia; Gene mutation; Blast phase; N-ras

MeSH Terms

Blast Crisis
Genes, p53
Genes, ras
Humans
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Point Mutation
Stress, Psychological

Figure

  • Fig. 1. PCR-SSCP analysis of N-ras exon 1 in a patient with CML-blast phase. Band shift due to point mutation was detected on the arrowed sample. Controls included DNAs from a sample with known N-ras exon 1 mutation as a positive control (P), from normal lymphocytes as a normal control (W), and a negative control (no template DNA) (N).

  • Fig. 2. Dinucleotide sequencing of exon 1 of N-ras gene from DNA of a patient with CML-blast phase. Sequences are shown 5' (top) to 3' (bottom). A codon 13, GGT, was mutated to CGT, substituting an aminoacid arginine for glycine. Arrow indicates the base that has the point mutation.

  • Fig. 3. PCR-SSCP analysis of p53 gene of exon 5 (A), 6 (B), 7 (C), and 8 (D) in a patient with CML-blast phase. No band shift was observed in the patient (P).


Reference

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