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Unbalanced chromosome 1 abnormalities leading to partial trisomy 1q in four infants with Down syndrome and acute megakaryocytic leukemia

Maria Luiza Macedo Silva1 email, Maria do Socorro Pombo-de-Oliveira2 email, Susana C Raimondi3 email, Hasmik Mkrtchyan4 email, Eliana Abdelhay1 email, Amanda Faria de Figueiredo1 email, Mariana Tavares de Souza1 email, Daniela Ribeiro Ney Garcia1 email, Eliane Maria Soares de Ventura5 email, Adriana Martins de Sousa6 email and Thomas Liehr4 email

Department of Cytogenetic, The National Center for Bone Marrow Transplantation (CEMO-INCa), National Cancer Institute (INCa), Rio de Janeiro, RJ, Brazil

Department of Experimental Medicine, National Cancer Institute (INCa), Rio de Janeiro, Brazil

Department of Pathology, St Jude Children's Research Hospital, Memphis, TN, USA

Institute of Human Genetics and Anthropology, Jena, Germany

Pediatric Oncohematology Center, Hospital Oswaldo Cruz, Pernambuco University, Recife, Brazil

Martagão Gesteira Institute of Pediatrics and Child Development, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

author email corresponding author email

Molecular Cytogenetics 2009, 2:7doi:10.1186/1755-8166-2-7

Published: 19 February 2009

Abstract

Background

Children with Down syndrome (DS) have an increased risk of childhood acute leukemia, especially acute megakaryoblastic leukemia (AMKL) also called acute myeloid leukemia (AML) type M7. Here four yet unreported infants with such malignancies are reported.

Results

An unbalanced translocation involving chromosome 1 was identified by GTG banding in all cases. These were characterized in more detail by molecular cytogenetic approaches. Additional molecular analysis revealed in three of the four cases mutations in exon 2 of the GATA binding protein 1 (globin transcription factor 1), located in Xp11.23.

Conclusion

Our results corroborate that abnormalities of chromosome 1 are common in DS-associated AMKL. Whether this chromosomal region contains gene(s) involved in hematopoietic malignant transformation remains to be determined.


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