HAEM5:B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features: Difference between revisions
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{{DISPLAYTITLE:B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features}} | {{DISPLAYTITLE:B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features}} | ||
[[HAEM5:Table_of_Contents|Haematolymphoid Tumours (WHO Classification, 5th ed.)]] | [[HAEM5:Table_of_Contents|Haematolymphoid Tumours (WHO Classification, 5th ed.)]] | ||
| Line 10: | Line 11: | ||
==Primary Author(s)*== | ==Primary Author(s)*== | ||
Mark G. Evans, MD, | Mark G. Evans, MD, Caris Life Sciences | ||
Kilannin Krysiak, PhD, WashU Medicine | |||
Sumire K. Kitahara, MD, Cedars-Sinai Medical Center | |||
==WHO Classification of Disease== | ==WHO Classification of Disease== | ||
| Line 47: | Line 50: | ||
==Gene Rearrangements== | ==Gene Rearrangements== | ||
Table derived from Akkari et al., 2020 <ref>{{Cite journal|last=Akkari|first=Yassmine M. N.|last2=Bruyere|first2=Helene|last3=Hagelstrom|first3=R. Tanner|last4=Kanagal-Shamanna|first4=Rashmi|last5=Liu|first5=Jie|last6=Luo|first6=Minjie|last7=Mikhail|first7=Fady M.|last8=Pitel|first8=Beth A.|last9=Raca|first9=Gordana|date=2020-05|title=Evidence-based review of genomic aberrations in B-lymphoblastic leukemia/lymphoma: Report from the cancer genomics consortium working group for lymphoblastic leukemia|url=https://pubmed.ncbi.nlm.nih.gov/32302940|journal=Cancer Genetics|volume=243|pages=52–72|doi=10.1016/j.cancergen.2020.03.001|issn=2210-7762|pmid=32302940}}</ref> with permission from Cancer Genetics. | |||
{| class="wikitable" | |||
|'''3’ Partner''' | |||
|'''5’ Partner''' | |||
|'''Chromosome rearrangement''' | |||
|'''Gene fusion''' | |||
|'''Visible by G-banding''' | |||
|'''References''' | |||
|'''Comment''' | |||
|- | |||
| rowspan="12" |'''''[[ABL1]]''''' | |||
(9q34) | |||
|''CENPC1'' | |||
|t(4;9)(q13;q34) | |||
|''CENPC1-ABL1'' | |||
|YES | |||
|<ref name=":2">{{Cite journal|last=Reshmi|first=Shalini C.|last2=Harvey|first2=Richard C.|last3=Roberts|first3=Kathryn G.|last4=Stonerock|first4=Eileen|last5=Smith|first5=Amy|last6=Jenkins|first6=Heather|last7=Chen|first7=I.-Ming|last8=Valentine|first8=Marc|last9=Liu|first9=Yu|date=2017-06-22|title=Targetable kinase gene fusions in high-risk B-ALL: a study from the Children's Oncology Group|url=https://pubmed.ncbi.nlm.nih.gov/28408464|journal=Blood|volume=129|issue=25|pages=3352–3361|doi=10.1182/blood-2016-12-758979|issn=1528-0020|pmc=5482101|pmid=28408464}}</ref> | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''[[ETV6]]'' | |||
|t(9;12)(q34;p13) | |||
|''ETV6-ABL1'' | |||
|NO | |||
|<ref>{{Cite journal|last=Zaliova|first=Marketa|last2=Moorman|first2=Anthony V.|last3=Cazzaniga|first3=Giovanni|last4=Stanulla|first4=Martin|last5=Harvey|first5=Richard C.|last6=Roberts|first6=Kathryn G.|last7=Heatley|first7=Sue L.|last8=Loh|first8=Mignon L.|last9=Konopleva|first9=Marina|date=2016-09|title=Characterization of leukemias with ETV6-ABL1 fusion|url=https://pubmed.ncbi.nlm.nih.gov/27229714|journal=Haematologica|volume=101|issue=9|pages=1082–1093|doi=10.3324/haematol.2016.144345|issn=1592-8721|pmc=5060025|pmid=27229714}}</ref> | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''[[FOXP1]]'' | |||
|t(3;9)(p13;q34) | |||
|''FOXP1-ABL1'' on der(3) | |||
|YES | |||
|<ref>{{Cite journal|last=Ernst|first=Thomas|last2=Score|first2=Joannah|last3=Deininger|first3=Michael|last4=Hidalgo-Curtis|first4=Claire|last5=Lackie|first5=Peter|last6=Ershler|first6=William B.|last7=Goldman|first7=John M.|last8=Cross|first8=Nicholas C. P.|last9=Grand|first9=Francish|date=2011-04|title=Identification of FOXP1 and SNX2 as novel ABL1 fusion partners in acute lymphoblastic leukaemia|url=https://pubmed.ncbi.nlm.nih.gov/21391972|journal=British Journal of Haematology|volume=153|issue=1|pages=43–46|doi=10.1111/j.1365-2141.2010.08457.x|issn=1365-2141|pmid=21391972}}</ref> | |||
| | |||
|- | |||
|''LSM14A'' | |||
|t(9;19)(q34;q13.1) | |||
|''LSM14A-ABL1'' on der(19) | |||
|YES | |||
|<ref name=":2" /> | |||
| | |||
|- | |||
|''NUP153'' | |||
|t(6;9)(p22.3;q34) | |||
|''NUP153-ABL1'' on der(6) | |||
|YES | |||
|<ref name=":2" /> | |||
| | |||
|- | |||
|''[[NUP214]]'' | |||
|dup(9)(q34.1q34.1) | |||
|''NUP214-ABL1'' | |||
|NO | |||
|<ref>{{Cite journal|last=Duployez|first=Nicolas|last2=Grzych|first2=Guillaume|last3=Ducourneau|first3=Benoît|last4=Alarcon Fuentes|first4=Martin|last5=Grardel|first5=Nathalie|last6=Boyer|first6=Thomas|last7=Abou Chahla|first7=Wadih|last8=Bruno|first8=Bénédicte|last9=Nelken|first9=Brigitte|date=2016-04|title=NUP214-ABL1 fusion defines a rare subtype of B-cell precursor acute lymphoblastic leukemia that could benefit from tyrosine kinase inhibitors|url=https://pubmed.ncbi.nlm.nih.gov/26681761|journal=Haematologica|volume=101|issue=4|pages=e133–134|doi=10.3324/haematol.2015.136499|issn=1592-8721|pmc=5004396|pmid=26681761}}</ref> | |||
|Tandem duplication (~370 kb) detectable by CMA | |||
|- | |||
|''RANBP2'' | |||
|t(2;9)(q12.3;q34) | |||
|''RANBP-ABL1'' on der(2) | |||
|YES | |||
|<ref>{{Cite journal|last=Roberts|first=Kathryn G.|last2=Li|first2=Yongjin|last3=Payne-Turner|first3=Debbie|last4=Harvey|first4=Richard C.|last5=Yang|first5=Yung-Li|last6=Pei|first6=Deqing|last7=McCastlain|first7=Kelly|last8=Ding|first8=Li|last9=Lu|first9=Charles|date=2014-09-11|title=Targetable kinase-activating lesions in Ph-like acute lymphoblastic leukemia|url=https://pubmed.ncbi.nlm.nih.gov/25207766|journal=The New England Journal of Medicine|volume=371|issue=11|pages=1005–1015|doi=10.1056/NEJMoa1403088|issn=1533-4406|pmc=4191900|pmid=25207766}}</ref> | |||
| | |||
|- | |||
|''RCSD1'' | |||
|t(1;9)(q24.2;q34) | |||
|''RCSD1-ABL1'' on der(1) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SFPQ'' | |||
|t(1;9)(p34.3;q34) | |||
|''SFPQ-ABL1'' on der(1) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SNX1'' | |||
|t(9;15)(q34;q22.3) | |||
|''SNX1-ABL1'' on der(15) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SNX2'' | |||
|t(5;9)(q23.2;q34) | |||
|''SNX2-ABL1'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''ZMIZ1'' | |||
|t(9;10)(q34;q22.3) | |||
|''ZMIZ1-ABL1'' on der(10) | |||
|YES | |||
| | |||
| | |||
|- | |||
| rowspan="3" |'''''[[ABL2]]''''' | |||
(1q25.2) | |||
|''PAG1'' | |||
|t(1;8)(q25.2;q21.1) | |||
|''PAG1-ABL2'' on der(1) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''RCSD1'' | |||
|1q24.2q25.2 rearrangement | |||
|''RCSD1-ABL2'' | |||
|NO | |||
| | |||
|On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | |||
|- | |||
|''ZC3HAV1'' | |||
|t(1;7)(q25.2;q34) | |||
|''ZC3HAV1-ABL2'' on der(1) | |||
|YES | |||
| | |||
| | |||
|- | |||
| rowspan="2" |'''''[[CRLF2]]''''' | |||
(Xp22.3 & Yp11.3) | |||
|''[[IGH]]'' | |||
|t(X;14)(p22.3;q32) or | |||
t(Y;14)(p11.3;q32) | |||
|''IGH/CRLF2'' | |||
|NO | |||
| | |||
| | |||
|- | |||
|''P2RY8'' | |||
|del(X)(p22.3p22.3) or del(Y)(p11.3p11.3) | |||
|''P2RY8-CRLF2'' | |||
|NO | |||
| | |||
| | |||
|- | |||
| rowspan="3" |'''''CSF1R''''' | |||
(5q32) | |||
|''MEF2D'' | |||
|t(1;5)(q22;q32) | |||
|''MEF2D-CSF1R'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SSBP2'' | |||
|5q14.1q32 rearrangement | |||
|''SSBP2-CSF1R'' | |||
|YES | |||
| | |||
|On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | |||
|- | |||
|''TBL1XR1'' | |||
|t(3;5)(q26.3;q32) | |||
|''TBL1XR1-CSF1R'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|'''''DGKH''''' (13q14.1) | |||
|''ZFAND3'' | |||
|t(6;13)(p21.2;q14.1) | |||
|''ZFAND3-DGKH'' | |||
|YES | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
| rowspan="4" |'''''EPOR''''' (19p13.2) | |||
|''[[IGH]]'' | |||
|ins(14;19)(q32;p13.2p13.2) | |||
|''IGH/EPOR'' | |||
|Cryptic insertion | |||
| | |||
| | |||
|- | |||
|''IGK'' | |||
|ins(2;19)(p11.2;p13.2p13.2) | |||
|''IGK/EPOR'' | |||
|Cryptic insertion | |||
| | |||
| | |||
|- | |||
|''LAIR1'' | |||
|inv(19)(p13.2q13.42) | |||
|''LAIR1-EPOR'' | |||
|NO | |||
| | |||
|Inversion of chromosome 19 juxtaposes ''EPOR'' to the upstream region of ''LAIR1'' | |||
|- | |||
|''THADA'' | |||
|t(2;19)(p21;p13.2) | |||
|''THADA-EPOR'' | |||
|YES | |||
| | |||
| | |||
|- | |||
|'''''IL2RB''''' (22q12.3) | |||
|''MYH9'' | |||
|22q12.3 rearrangement | |||
|''MYH9-IL2RB'' | |||
|NO | |||
| | |||
|On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | |||
|- | |||
| rowspan="22" |'''''[[JAK2]]''''' | |||
(9p24.1) | |||
|''ATF7IP'' | |||
|t(9;12)(p24.1;p13.1) | |||
|''ATF7IP-JAK2'' on der(9) | |||
|NO | |||
| | |||
| | |||
|- | |||
|''[[BCR]]'' | |||
|t(9;22)(p24.1;q11.2) | |||
|''BCR-JAK2'' | |||
|? YES | |||
| | |||
|Seen also in myeloproliferative neoplasms. Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''EBF1'' | |||
|t(5;9)(q33.3;p24.1) | |||
|''EBF1-JAK2'' on der(9) | |||
|NO (SUBTLE) | |||
| | |||
| | |||
|- | |||
|''[[ETV6]]'' | |||
|t(9;12)(p24.1;p13.2) | |||
|''ETV6-JAK2'' on der(9) | |||
|NO (SUBTLE) | |||
| | |||
| | |||
|- | |||
|''GOLGA5'' | |||
|t(9;14)(p24.1;q32.1) | |||
|''GOLGA5-JAK2'' | |||
|NO (SUBTLE) | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''HMBOX1'' | |||
|t(8;9)(p21.1;p24.1) | |||
|''HMBOX1-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''OFD1'' | |||
|t(X;9)(p22.2;p24.1) | |||
|''OFD1-JAK2'' on der(9) | |||
|NO (SUBTLE) | |||
| | |||
| | |||
|- | |||
|''PAX5'' | |||
|inv(9)(p13.2p24.1) | |||
|''PAX5-JAK2'' | |||
|YES | |||
| | |||
|An inversion is required as genes are oriented in opposite directions | |||
|- | |||
|''[[PCM1]]'' | |||
|t(8;9)(p22;p24.1) | |||
|''PCM1-JAK2'' on der(9) | |||
|YES (SUBTLE) | |||
| | |||
|Seen also in myeloid/lymphoid neoplasms with eosinophilia | |||
|- | |||
|''PPFIBP1'' | |||
|t(9;12)(p24.1;p11.2) | |||
|''PPFIBP1-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''RFX3'' | |||
|inv(9)(p24.1p24.2) | |||
|''RFX3-JAK2'' | |||
|NO | |||
| | |||
|An inversion is required as genes are oriented in opposite directions | |||
|- | |||
|''SMU1'' | |||
|inv(9)(p21.1p24.1) | |||
|''SMU1-JAK2'' | |||
|NO | |||
| | |||
|An inversion is required as genes are oriented in opposite directions | |||
|- | |||
|''SNX29'' | |||
|t(9;16)(p24.1;p13.1) | |||
|''SNX29-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SPAG9'' | |||
|t(9;17)(p24.1;q21.3) | |||
|''SPAG9-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SSBP2'' | |||
|t(5;9)(q14.1;p24.1) | |||
|''SSBP2-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''STRN3'' | |||
|t(9;14)(p24.1;q12) | |||
|''STRN3-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''TERF2'' | |||
|t(9;16)(p24.1;q22.1) | |||
|''TERF2-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''TPR'' | |||
|t(1;9)(q31.1;p24.1) | |||
|''TPR-JAK2'' on der(9) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''USP25'' | |||
|t(9;21)(p24.1;q21.1) | |||
|''USP25-JAK2'' | |||
|? YES | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''ZBTB46'' | |||
|t(9;20)(p24.1;q13.3) | |||
|''ZBTB46-JAK2'' on der(9) | |||
|NO | |||
| | |||
| | |||
|- | |||
|''ZNF274'' | |||
|t(9;19)(p24.1;q13.4) | |||
|''ZNF274-JAK2'' | |||
|NO | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''ZNF340'' | |||
|t(9;20)(p24.1;q13.3) | |||
|''ZNF340-JAK2'' on der(9) | |||
|NO | |||
| | |||
| | |||
|- | |||
|'''''[[PDGFRA]]''''' | |||
(4q12) | |||
|''FIP1L1'' | |||
|del(4)(q12q12) | |||
|''FIP1L1-PDGFRA'' | |||
|NO | |||
| | |||
|Interstitial deletion. Seen also in myeloid/lymphoid neoplasms with eosinophilia | |||
|- | |||
| rowspan="8" |'''''[[PDGFRB]]''''' (5q32) | |||
|''ATF7IP'' | |||
|t(5;12)(q32;p13.1) | |||
|''ATF7IP-PDGFRB'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''EBF1'' | |||
|del(5)(q32q33.3) | |||
|''EBF1-PDGFRB'' | |||
|NO | |||
| | |||
|Interstitial deletion | |||
|- | |||
|''[[ETV6]]'' | |||
|t(5;12)(q32;p13.2) | |||
|''ETV6-PDGFRB'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SNX29'' | |||
|t(5;16)(q32;p13.1) | |||
|''SNX29-PDGFRB'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SSBP2'' | |||
|t(5;5)(q14.1;q32) | |||
|''SSBP2-PDGFRB'' | |||
|? YES | |||
| | |||
|On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | |||
|- | |||
|''TNIP1'' | |||
|del(5)(q32q33.1) | |||
|''TNIP1-PDGFRB'' | |||
|NO | |||
| | |||
|Interstitial deletion. Seen also in myeloid/lymphoid neoplasms with eosinophilia | |||
|- | |||
|''ZEB2'' | |||
|t(2;5)(q22.3;q32) | |||
|''ZEB2-PDGFRB'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''ZMYND8'' | |||
|t(5;20)(q32;q13.1) | |||
|''ZMYND8-PDGFRB'' on der(5) | |||
|YES | |||
| | |||
| | |||
|- | |||
| rowspan="3" |'''''PTK2B''''' (8p21.2) | |||
|''[[KDM6A]]'' | |||
|t(X;8)(p11.3;p21.2) | |||
|''KDM6A-PTK2B'' on der(8) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''[[STAG2]]'' | |||
|t(X;8)(q25;p21.2) | |||
|''STAG2-PTK2B'' | |||
|YES | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|- | |||
|''TMEM2'' | |||
|t(8;9)(p21.2;q21.1) | |||
|''TMEM2-PTK2B'' on der(8) | |||
|YES | |||
| | |||
| | |||
|- | |||
| rowspan="3" |'''''TYK2''''' (19p13.2) | |||
|''MYB'' | |||
|t(6;19)(q23.3;p13.2) | |||
|''MYB-TYK2'' on der(6) | |||
|YES | |||
| | |||
| | |||
|- | |||
|''SMARCA4'' | |||
|inv(19)(p13.2p13.2) | |||
|''SMARCA4-TYK2'' | |||
|NO | |||
| | |||
| | |||
|- | |||
|''ZNF340'' | |||
|t(19;20)(p13.2;q13.3) | |||
|''ZNF340-TYK2'' | |||
|NO | |||
| | |||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |||
|} | |||
| Line 112: | Line 586: | ||
Tyrosine kinase-type translocations are common and involve ''ABL1'' and other kinases (such as ''ABL2'', ''EPOR'', ''JAK2'', ''PDGFRB'', and ''CSF1R''); more than 30 gene partners have been described. Frequently reported examples include ''IGH''–''EPOR'' of the t(14;19)(q32;p13)/ins(14;19)(q32;p13), ''EBF1''–''PDGFRB'' of the del(5)(q32q33.3), ''NUP214''–''ABL1'' of the t(9;9)(q34;q34)/del(9)(q34q34), and ''ETV6''–''ABL1'' of the t(9;12)(q34;p13). Other notable fusions are ''BCR''–''JAK2'', ''PAX5''–''JAK2'', ''STRN3''–''JAK2'', ''RANBP2''–''ABL1'', ''RCSD1''–''ABL1'', and ''MEF2D''–''CSF1R''<ref>Heim S & Mitelman F. Cancer Cytogenetics: Chromosomal and Molecular Genetic Aberrations of Tumor Cells. John Wiley & Sons, Incorporated: Chichester, United Kingdom. 2015.</ref>. | Tyrosine kinase-type translocations are common and involve ''ABL1'' and other kinases (such as ''ABL2'', ''EPOR'', ''JAK2'', ''PDGFRB'', and ''CSF1R''); more than 30 gene partners have been described. Frequently reported examples include ''IGH''–''EPOR'' of the t(14;19)(q32;p13)/ins(14;19)(q32;p13), ''EBF1''–''PDGFRB'' of the del(5)(q32q33.3), ''NUP214''–''ABL1'' of the t(9;9)(q34;q34)/del(9)(q34q34), and ''ETV6''–''ABL1'' of the t(9;12)(q34;p13). Other notable fusions are ''BCR''–''JAK2'', ''PAX5''–''JAK2'', ''STRN3''–''JAK2'', ''RANBP2''–''ABL1'', ''RCSD1''–''ABL1'', and ''MEF2D''–''CSF1R''<ref>Heim S & Mitelman F. Cancer Cytogenetics: Chromosomal and Molecular Genetic Aberrations of Tumor Cells. John Wiley & Sons, Incorporated: Chichester, United Kingdom. 2015.</ref>. | ||
<blockquote class="blockedit"> | <blockquote class="blockedit"><center><span style="color:Maroon">'''End of V4 Section'''</span> | ||
<center><span style="color:Maroon">'''End of V4 Section'''</span> | |||
---- | ---- | ||
</blockquote> | </blockquote> | ||
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[[File:FISH 1.jpg|thumb|none]] | [[File:FISH 1.jpg|thumb|none]] | ||
[[File:FISH 2.jpg|thumb|none]] | [[File:FISH 2.jpg|thumb|none|link=Special:FilePath/FISH_2.jpg]] | ||
[Abnormal FISH results in interphase nuclei from a bone marrow sample using the ''CRLF2'' dual-color, break-apart (Cytocell) and ''IGH'' dual-color, break-apart probes, reflective of ''IGH''-''CRLF2'' fusion] | [Abnormal FISH results in interphase nuclei from a bone marrow sample using the ''CRLF2'' dual-color, break-apart (Cytocell) and ''IGH'' dual-color, break-apart probes, reflective of ''IGH''-''CRLF2'' fusion] | ||