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Query: UMLS:C0023467 (
acute myeloid leukemia
)
35,200
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
We have developed a restriction map of the chromosome 21 breakpoint region involved in t(8;21)(q22;q22.3)
acute myelogenous leukemia
(
AML
) and have isolated a genomic junction clone containing chromosome 8 and 21 material. Using probes from these regions, rearrangements have been identified in each of nine cases of t(8;21)
AML
examined. In addition, we have isolated cDNA clones from a t(8;21)
AML
cDNA library that contain fused sequences from chromosome 8 and 21. The chromosome 8 component, referred to as
ETO
(for eight twenty-one), is encoded over a large genomic region, as suggested by the analysis of corresponding yeast artificial chromosomes (YACs). The DNA sequence of the chromosome 21 portion of the fusion transcript is derived from the normal AML1 gene. A striking similarity (67% identity over 387 bp, with a corresponding 69% amino acid identity) was detected between AML1 and the Drosophila segmentation gene, runt. The critical consequence of the translocation is the juxtaposition of 5' sequences of AML1 to 3' sequences of
ETO
, oriented telomere to centromere on the der(8) chromosome.
...
PMID:Identification of breakpoints in t(8;21) acute myelogenous leukemia and isolation of a fusion transcript, AML1/ETO, with similarity to Drosophila segmentation gene, runt. 139 46
The
AML
-1/
ETO
fusion protein is created by the (8;21) translocation, the second most frequent chromosomal abnormality associated with
acute myeloid leukemia
. In the fusion protein the
AML
-1 runt homology domain, which is responsible for DNA binding and CBF beta interaction, is linked to
ETO
, a gene of unknown function. The primary sequences of the runt homology domain indicates no known DNA binding motifs, but is predicted to contain six beta-strands, two alpha-helices and a nucleotide binding motif. Mutagenesis of
AML
-1/
ETO
was performed to delimit the functional domains of the chimeric protein. Most mutations in the runt homology domain that resulted in reduced CBF beta binding also inhibited DNA binding, indicating that the DNA and CBF beta binding sequences are tightly linked. However, these activities were separated by a point mutation of residue 144, within the putative ATP binding motif, which nearly eliminated DNA binding, but did not affect CBF beta binding. Random mutagenesis identified the hydrophobic face of the amphipathic fifth beta-strand, adjacent to the putative ATP binding motif, as critical for both DNA and CBF beta binding. C-terminal deletion mutants of
AML
-1/
ETO
indicated that
ETO
sequences are essential for interference with AML-1B-mediated transcriptional activation, and that residue 540 defines the C-terminal boundary of a potential repression domain. Thus, these mutational analyses define the regions of
AML
-1/
ETO
which regulate its function and that may be important in promoting leukemia.
...
PMID:Functional domains of the t(8;21) fusion protein, AML-1/ETO. 747 4
The AML1/
MTG8
fusion gene is thought to have a critical role in the leukemogenesis of
AML
with t(8;21)(q22;q22). To specifically inhibit the proliferation of leukemic cells having the AML1/
MTG8
fusion gene, we constructed two hammerhead ribozymes against AML1/
MTG8
. Two cleavage sites were targeted as follows: site 1 for ribozyme 1(Rz1), a CUC located 3 bases upstream from the fusion site; site 2 for ribozyme 2(Rz2), an AUC located 3 bases downstream from the fusion site. In a cell-free system, Rz1 and Rz2 specifically cleaved AML1/
MTG8
substrate, dependent on the concentration of ribozymes. When these ribozymes were transfected to Kasumi-1 cells, an
AML
cell line with AML1/
MTG8
, they were able to inhibit the cell growth. These data suggest that Rz1 and Rz2 may be applied as a new therapeutic agent in the treatment of
AML
with t(8;21).
...
PMID:Ribozymes cleave the AML1/MTG8 fusion transcript and inhibit proliferation of leukemic cells with t(8;21). 748 74
1. The (8;21) translocation, which is consistently associated with a subgroup of
acute myeloid leukaemia
, involves two loci: runt on chromosome 21 and
MTG8
on chromosome 8. 2. Breakpoints in runt fall within a single intron that is located immediately downstream of a phylogenetically conserved DNA-binding domain (the 'runt box'). 3. We now show that most breakpoints on chromosome 8 fall within a region between two alternative 5'
MTG8
exons. Thus, we predict that chimaeric genes on both the derivative(8) and the derivative(21) chromosomes have the potential to be transcriptionally active.
...
PMID:t(8;21) breakpoints are clustered between alternatively spliced exons of MTG8. 749 14
AML
with eosinophilia belongs to the morphologic cytogenetic entity M1/M2 t(8;21) with the involvement of the genes AML1/
ETO
. These eosinophils differ only slightly from normal eosinophils with one rare exception i.e. Auer rods in eosinophils which has only been found on peroxidase staining: This subtype belongs to the good prognosis group of
AML
.
AML
with inv(16) (mostly M4Eo) per se is a morphologic-cytogenetic entity with inv(16),--rarely t(16;16), and the genes MYL 11/CBF beta involved. The eosinophils show special abnormalities.
AML
with inv(16) also belongs to the good prognosis group of
AML
.
...
PMID:AML M1 and M2 with eosinophilia and AML M4Eo: diagnostic and clinical aspects. 749 57
The nonrandom chromosomal translocation t(8;21)(q22;q22) can be found frequently in
acute myelogenous leukemia
with maturation (
AML
-M2). The breakpoint of this translocation has been cloned and characterized, and fusion transcript AML1/
ETO
has been identified. Reverse transcription polymerase chain reaction (RT-PCR) can be used to amplify the breakpoint site of AML1/
ETO
in t(8;21)-positive
AML
-M2 patients. The chimeric transcript can be detected in all 16 (100%) t(8;21)-positive
AML
-M2 patients. In all samples, the size of the amplified DNA fragments and pattern of restriction digest were identical, indicating that the t(8;21) translocation breakpoint occurs within a single intron of the AML1 and
ETO
genes. Interestingly, this fusion transcript was also detected in one of 13
AML
-M2 patients without the t(8;21) translocation, indicating that a masked translocation involving chromosomes 8 and 21, exists in
AML
. Minimal residual disease was detected by semi-nested RT-PCR in all four patients tested, who had been in complete remission for 12, 15, 34, and 52 months, respectively. These results indicate that RT-PCR amplification of the AML1/
ETO
fusion transcript is a powerful tool for diagnosing and monitoring minimal residual disease in
AML
-M2 patients.
...
PMID:Detection of AML1/ETO fusion transcript as a tool for diagnosing t(8;21) positive acute myelogenous leukemia. 750 93
Rearrangements of the
AML
-1 gene on chromosome 21 as well as transcriptional expression of
AML
-1-
ETO
fusion gene were studied in 35 leukemic patients with t(8;21)(q22;q22). A panel of probes generated from the
AML
-1 gene regions flanking the breakpoint on chromosome 21 allowed us to detect the rearrangement in 24 out of 29 patients. A specific nested reverse transcriptase/polymerase chain reaction (RT/PCR) was developed to detect the t(8;21), either at diagnosis or as minimal residual disease. PCR amplification products were obtained in ten out of 11 patients investigated, and the sensitivity of the reaction was estimated to be between 1 x 10(4) and 1 x 10(-5) cell. An
AML
-1 rearrangement was also detected in one patient with 8q- and only one chromosome 21, but without 21q+. This indicated that the molecular rearrangement of the der(8) chromosome is more important than the reciprocal one in the malignant process.
...
PMID:AML-1 gene rearrangement and AML-1-ETO gene expression as molecular markers of acute myeloblastic leukemia with t(8;21). 751 41
The chromosomal translocation t(8;21)(q22;q22) in
acute myeloid leukemia
(
AML
) can be detected by a reverse transcription-polymerase chain reaction (RT-PCR) for the chimeric AML1/
ETO
transcript. We have evaluated the clinical relevance of this method for monitoring and detection of minimal residual disease (MRD) in seven patients who reached a complete hematological remission (CHR) after chemotherapy or autologous bone marrow transplantation (ABMT). Peripheral blood (PB) samples of five patients in first continuous complete remission (CCR) were still PCR-positive at a frequency of 1 in 10(5) cells after 7, 8, 8, 10 or 66 months. Chemotherapy led to a reduction from first- to second-step PCR-positivity in three serially monitored patients. AML1/
ETO
mRNA was also detected in the PB of two patients in CCR, 10 or 12 months after ABMT. PB and bone marrow (BM) showed identical results in all samples tested simultaneously. AML1/
ETO
fusion transcripts were neither found in the PB and BM of a healthy individual, nor in the PB of a patient after allogeneic BMT for cytogenetically proven t(8;21)-leukemia. Our results indicate the presence of cells carrying the AML1/
ETO
rearrangement in the PB and BM of all patients in CHR after chemotherapy or ABMT for t(8;21)-positive
AML
. While this finding raises interesting questions about the biology of acute leukemia, it limits the value of the
AML
/
ETO
RT-PCR for the prediction of impending relapse.
...
PMID:AML1/ETO fusion mRNA can be detected in remission blood samples of all patients with t(8;21) acute myeloid leukemia after chemotherapy or autologous bone marrow transplantation. 751 42
The 8;21 chromosomal translocation involves the AML1 gene on chromosome 21 and the
ETO
gene on chromosome 8 and results in the transcription of a chimeric message. This translocation is most often associated with
acute myelogenous leukemia
with maturation (
AML
-M2). The leukemic cells of patients carrying t(8;21) often exhibit several characteristic morphologic features. We identified four cases in which the morphology led us to suspect a t(8;21), but in which this translocation was not observed by cytogenetic analysis. In two of the four cases, an AML1/
ETO
chimeric fragment was detected by reverse transcription and polymerase chain reaction (RT-PCR), and its sequence was found to be identical to that from patients with a cytogenetically proved t(8;21). Marrow specimens of the four patients lacking the t(8;21) cytogenetically were reviewed retrospectively with regard to seven morphologic features commonly reported to be associated with this translocation, and the results were compared to 13 morphologic controls with the t(8;21). Although none of the 13 controls had all of the characteristic morphologic features, all had at least six, as did the two t(8;21)-negative but RT-PCR-positive patients. The two patients who lacked the t(8;21) and who were RT-PCR-negative showed only three and four of these morphologic features, respectively. Both of the RT-PCR-positive patients had deletions of the long arm of chromosome 9, a common change associated with a t(8;21), supporting our assessment of these patients as having a cytogenetically undetected t(8;21).
...
PMID:Correlation between cell morphology and expression of the AML1/ETO chimeric transcript in patients with acute myeloid leukemia without the t(8;21). 752 91
Patients with
acute myeloid leukaemia
with maturation (
AML
-M2) that carried the t(8;21) were tested for the presence of chimeric AML1/
ETO
mRNA. After RT-PCR, an expected band of 208 bp was observed on gel, as well as some slower migrating bands. The base composition of one of the additional products was determined and was found to contain a new 68-bp
ETO
sequence present at the fusion of AML1 and
ETO
genes. The derived protein sequence results in a truncated AML1 gene still containing the putative DNA binding domain. Molecular diversity in the AML1-ETO transcripts will have consequences for the detection of minimal residual disease and antisense studies.
...
PMID:Molecular diversity in AML1/ETO fusion transcripts in patients with t(8;21) positive acute myeloid leukaemia. 752 1
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