4.3 Article

Chimeric NUP98-NSD1 transcripts from the cryptic t(5;11)(q35.2;p15.4) in adult de novo acute myeloid leukemia

Journal

LEUKEMIA & LYMPHOMA
Volume 59, Issue 3, Pages 725-732

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/10428194.2017.1357174

Keywords

NUP98; NSD1; 11p15.5 translocation; acute myeloid leukemia; alternative splicing

Funding

  1. Tekes: Finnish Funding Agency for Innovation [40336/09]
  2. Syopasaatio
  3. European Regional Development Fund [A31859]
  4. Vare Foundation for Pediatric Cancer Research
  5. Emil Aaltonen Foundation (JK)

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The t(5;11)(q35;p15.4) is a clinically significant marker of poor prognosis in acute myeloid leukemia (AML), which is difficult to detect due to sub-telomeric localization of the breakpoints. To facilitate the detection of this rearrangement, we studied NUP98-NSD1 transcript variants in patients with the t(5;11) using paired-end RNA sequencing and standard molecular biology techniques. We discovered three NUP98-NSD1 transcripts with two fusion junctions (NUP98 exon 11-12/NSD1 exon 6), alternative 5' donor site in NUP98 exon 7, and NSD1 exon 7 skipping. Two of the transcripts were in-frame and occurred in all t(5;11) samples (N=5). The exonic splicing events were present in all samples (N=23) regardless of the NUP98-NSD1 suggesting that these novel splice events are unassociated with t(5;11). In conclusion, we provide evidence of two different NUP98-NSD1 fusion transcripts in adult AML, which result in functional proteins and represent suitable molecular entities for monitoring t(5;11) AML patients.

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