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Leukemia & Lymphoma, May 2014; 55(5): 1189–1190
© 2014 Informa UK, Ltd.
ISSN: 1042-8194 print / 1029-2403 online
DOI: 10.3109/10428194.2013.820292
*
Present address: Division of Stem Cells and Cancer, Heidelberg Institute for Stem Cell Technology and Experimental Medicine (HI-STEM), German Cancer
Research Center (DKFZ), Heidelberg, Germany
Correspondence: Pr. Marc De Braekeleer, Laboratoire de Cytog é n é tique, H ô pital Morvan, b â timent 5bis, CHRU Brest, 2, avenue Foch, F-29609 Brest cedex,
France. Tel: ⫹ 33(0)2-98-22-36-94. Fax: ⫹ 33(0)2-98-22-39-61. E-mail: marc.debraekeleer@univ-brest.fr
Received 11 April 2013 ; revised 14 May 2013 ; accepted 23 June 2013
LETTER TO THE EDITOR
Recurrent translocation (10;17)(p15;q21) in acute poorly diff erentiated
myeloid leukemia likely results in ZMYND11 – MBTD1 fusion
Etienne De Braekeleer
1
*
, R é g i s A u ff ret
1
, Nathalie Douet-Guilbert
1,2,3
, Audrey Basinko
3
,
Marie-Jos é e Le Bris
3
, Fr é d é ric Morel
1,2,3
& Marc De Braekeleer
1,2,3
1
Laboratoire d ’ Histologie, Embryologie et Cytog é n é tique, Facult é de M é decine et des Sciences de la Sant é , Universit é de
Bretagne Occidentale, Brest, France,
2
Institut National de la Sant é et de la Recherche M é dicale (INSERM) U1078, Brest, France
and
3
Service de Cytog é n é tique, Cytologie et Biologie de la Reproduction, H ô pital Morvan, CHRU Brest, Brest, France
Translocation (10;17)(p15;q21) is a recurrent abnormality
that has been reported in only seven cases of acute leukemia,
including two by our group [1] (available at: http://cgap.nci.
nih.gov/Chromosomes/Mitelman, accessed April 2013). is
translocation appears to be highly speci cally associated
with poorly di erentiated acute myeloid leukemia. Indeed,
two patients had acute myeloid leukemia with minimal dif-
ferentiation (French – American – British [FAB] type M0) [2,3]
and four acute myeloid leukemia without maturation (FAB
type M1) [1,4,5]. A sole patient had acute pre-B lymphoblas-
tic leukemia (FAB type L1) [6].
Although band 17q21 is rich in candidate genes involved
in leukemogenesis, only the retinoic acid receptor alpha
( RARA ) gene is known to be rearranged in acute promyelo-
cytic leukemia. Genes involved in other types of leukemia
remain to be found. We showed previously that RARA was
not rearranged in two patients with t(10;17)(p15;q21) but
remained on the derivative chromosome 17, suggesting that
the breakpoint involved in this translocation was telomeric
to its locus [1]. Here, we present the results of uorescence in
situ hybridization (FISH) using BAC (bacterial arti cial chro-
mosome) clones to identify the candidate genes involved in
both patients.
Patient 1, a 13-year-old boy, was rst seen because of
persistent fever and asthenia. A diagnosis of acute myeloid
leukemia, M1 subtype in the FAB classi cation, was made.
Induction therapy followed by three consolidation courses
led to a complete remission (CR); the patient is still in CR 71
months following diagnosis. Patient 2, a 40-year-old woman,
was rst seen because of a history of asthenia and dorsal
and leg pain. A diagnosis of AML, M1 subtype, was made.
e patient was treated with induction therapy followed by
consolidation therapy. e patient achieved two CRs and
received two bone marrow transplants. She died 37 months
following the initial diagnosis. Clinical and laboratory data
on both patients were previously reported in detail [1].
Cytogenetic analysis was performed on bone marrow
cells cultured for 24 h and synchronized with uorodeoxy-
uridine (FUdR) at the time of diagnosis and during evolution.
e chromosomes were RHG-banded and the karyotype
described according to the International System for Human
Cytogenetic Nomenclature (ISCN 2009) [7]. In patient 1,
14 of the 23 metaphases observed at diagnosis showed an
abnormal karyotype: 46,XY,t(10;17)(p15;q21)[5]/47,XY,ide
m, ⫹ 13[9]/46,XY[9]. In patient 2, at diagnosis, nine of the 25
metaphases showed an abnormal karyotype: 46,XX,t(10;17)
(p15;q21)[3]/46,XX,idem,der(11)(11pter → 11q13::11q23 → 11
q14::13q34 → 13qter), der(13)(13pter → 13q34::11q23 → 11qter)
[6]/46,XX[16]. e sole translocation (10;17) was found dur-
ing both relapses.
FISH analyses using BAC libraries were then used to
clone the translocation breakpoints on chromosomes 10
and 17, as previously described [8]. We identi ed the BAC
clones of interest through the human genome browser
database of the genome bioinformatics group at the Uni-
versity of California at Santa Cruz (UCSC; http://genome.
ucsc.edu/). ey were then ordered on the site of the Chil-
dren ’ s Hospital Oakland Research Institute in Oakland,
CA (http://bacpac.chori.org/). In a rst step, we used BAC
clones covering bands 10p15 and 17q21, spaced every 1.5 – 2
Mb. Once the boundaries of both breakpoint regions were
determined, overlapping BAC clones were ordered to re ne
the regions.
BAC clones RP11-10D13, located in band 10p15.3, and
RP11-379D19, located in band 17q21.33, were shown to be
split between der(10) and der(17). Both breakpoints were
further re ned with overlapping BAC clones. is allowed
us to assign the breakpoint on chromosome 10 between
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E. De Braekeleer et al.
positions 288 915 and 322 071 [based on the UCSC Genome
Browser on Human February 2009 (GRCh37/hg19) Assem-
bly]; this region contains the telomeric part of the ZMYND11
(zinc nger, MYND-type containing 11) gene. e breakpoint
on chromosome 17 was located between positions 49 322
093 and 49 322 113; this region contains the telomeric part of
MBDT1 (mbt domain containing 1) gene. Co-hybridization
with RP11-387K19 (containing the ZMYND11 gene) and
RP11-326B24 (containing the MBDT1 gene) clones showed
co-localization of both probes in abnormal leukemia cells
from both patients.
e ZMYND11 (alias BS69 ) gene contains 15 exons, of
which 14 are coding, spanning 120 kb. Di erent isoforms
are generated by alternatively spliced transcript variants.
ZMYND11 localizes to the nucleus and contains three motifs
involved in transcription regulation: a PHD nger and bro-
modomain in its N-terminal half, and a MYND domain at its
C terminus [9,10].
e MYND (Myeloid, Nervy and DEAF-1) domain is simi-
lar to that found in the ETO/MTG8 protein, which is fused to
RUNX1 in acute myelogenous leukemia [11]. It is a conserved
two-zinc nger motif present in a large group of proteins. Full
transcriptional repression by ZMYND11 requires the MYND
domain, which interacts with the N-CoR/mSin3/HDAC1
complex that causes transcriptional repression [10,12,13].
e MYND domain was also shown to interact with other
proteins, including the PxLxP motif in E1A, the Epstein – Barr
virus oncoprotein EBNA2 and MGA (a MYC-related cellu-
lar transcription factor) [14]. Furthermore, ZMYND11 also
inhibits the transcriptional activity of MYB [15]. erefore,
ZMYND11 could have tumor suppressor-like properties, by
down-regulating transcription factors that have oncogenic
potential.
e MBTD1 gene contains 17 exons, of which 15 are cod-
ing, spanning 82 kb. MBTD1 localizes to the nucleus and con-
tains a FCS-type zinc nger at the N-terminus with putative
regulatory function, and four MBT (malignant brain tumor)
repeats at the C-terminus [16]. MBTD1 is a putative Polycomb
group protein, sharing homologies with L3MBTL1, L3MBTL2
and L3MBTL3 [17 – 19]. Proteins belonging to the Polycomb
group maintain the transcriptionally repressive state of genes,
probably via chromatin remodeling [20]. MBTD1, L3MBTL1
and L3MBTL3 were implicated in hematopoiesis [21,22].
Unfortunately, no RNA was available to determine
whether a fusion transcript was generated as a consequence
of the translocation. However, it is possible that loss of the
MYND domain induced a lack of transcriptional repression
and tumor suppressor-like properties of the ZMYND11 pro-
tein. Four other cases of t(10;17)(p15;q21)-associated AML
without or with minimal maturation were reported in the lit-
erature. It remains to be determined whether the same genes
are involved in these patients. More studies are necessary to
determine whether a ZMYND11 – MBTD1 fusion transcript is
generated and to analyze the functional consequences of the
t(10;17)(p15;q21) translocation.
Potential confl ict of interest: Disclosure forms provided
by the authors are available with the full text of this article at
www.informahealthcare.com/lal.
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