Molecular dissection of a hyper-aggressive CBFB-MYH11/FLT3-ITD-positive acute myeloid leukemia.


Journal

Journal of translational medicine
ISSN: 1479-5876
Titre abrégé: J Transl Med
Pays: England
ID NLM: 101190741

Informations de publication

Date de publication:
06 07 2022
Historique:
received: 09 06 2022
accepted: 13 06 2022
entrez: 6 7 2022
pubmed: 7 7 2022
medline: 9 7 2022
Statut: epublish

Résumé

Acute Myeloid Leukaemia (AML) is a haematological malignancy showing a hypervariable landscape of clinical outcomes and phenotypic differences, explainable by heterogeneity at the cellular and molecular level. Among the most common genomic alterations, CBFB-MYH11 rearrangement and FLT3-ITD gene mutations, have opposite clinical significance and are unfrequently associated. We present here a Molecular Case Report in which these two events co-exist an ultra-aggressive phenotype resulting in death in 4 days from hospital admittance. Somatic and germline Whole Exome Sequencing analysis was performed to uncover other putative driver mutations, de-novo genomic structural events or germline clusters increasing cancer insurgence. Only three mutations in LTK, BCAS2 and LGAS9 were found, unlikely causative of the exhibited phenotype, prompting to additional investigation of the rare CBFB-MYH11/ FLT3-ITD scenario.

Identifiants

pubmed: 35794567
doi: 10.1186/s12967-022-03486-5
pii: 10.1186/s12967-022-03486-5
pmc: PMC9258203
doi:

Substances chimiques

CBFB protein, human 0
Core Binding Factor beta Subunit 0
MYH11 protein, human 0
FLT3 protein, human EC 2.7.10.1
fms-Like Tyrosine Kinase 3 EC 2.7.10.1
Myosin Heavy Chains EC 3.6.4.1

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

311

Informations de copyright

© 2022. The Author(s).

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Auteurs

Gabriele Lo Iudice (G)

SAFU Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Eleonora De Bellis (E)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Department of Onco-Hematology, Policlinico Tor Vergata, Rome, Italy.

Arianna Savi (A)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Department of Onco-Hematology, Policlinico Tor Vergata, Rome, Italy.

Luca Guarnera (L)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Department of Onco-Hematology, Policlinico Tor Vergata, Rome, Italy.

Alice Massacci (A)

Biostatistics, Bioinformatics and Clinical Trial Center, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Francesca De Nicola (F)

SAFU Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Frauke Goeman (F)

SAFU Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Tiziana Ottone (T)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Santa Lucia Foundation, IRCCS, Neuro-Oncohematology, Rome, Italy.

Mariadomenica Divona (M)

Laboratory of Advanced Diagnostics in Oncohematology, Hematology Department, Tor Vergata Hospital, Rome, Italy.

Matteo Pallocca (M)

Biostatistics, Bioinformatics and Clinical Trial Center, IRCCS Regina Elena National Cancer Institute, Rome, Italy. matteo.pallocca@ifo.it.

Maurizio Fanciulli (M)

SAFU Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Maria Teresa Voso (MT)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.

Gennaro Ciliberto (G)

Scientific Direction, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

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Classifications MeSH