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TEL/AML-1 dimerizes and is associated with a favorable outcome in childhood acute lymphoblastic leukemia

  • Thomas W. McLean
  • , Sarah Ringold
  • , Donna Neuberg
  • , Kimberly Stegmaier
  • , Ramana Tantravahi
  • , Jerome Ritz
  • , H. Phillip Koeffler
  • , Seisho Takeuchi
  • , Johannes W.G. Janssen
  • , Taku Seriu
  • , Claus R. Bartram
  • , Stephen E. Sallan
  • , D. Gary Gilliland
  • , Todd R. Golub

Research output: Contribution to journalArticlepeer-review

308 Scopus citations

Abstract

Polymerase chain reaction-based screening of childhood acute lymphoblastic leukemia (ALL) samples showed that a TEL/AML1 fusion transcript was detected in 27% of all cases, representing the most common known gene rearrangement in childhood cancer. The TEL/AML1 fusion results from a t(12;21)(p13;q22) chromosomal translocation, but was undetectable at the routine cytogenetic level. TEL/AML1-positive patients had exclusively B- lineage ALL, and most patients were between the ages of 2 and 9 years at diagnosis. Only 3/89 (3.4%) adult ALL patients were TEL/AML1-positive. Most importantly, TEL/AML1-positive children had a significantly lower rate of relapse compared with TEL/AML1-negative patients (6/22 v 16/54, P = .004). Co-immunoprecipitation experiments demonstrated that TEL/AML-1 formed homodimers in vitro, and heterodimerized with the normal TEL protein when the two proteins were expressed together. The elucidation of the precise mechanism of transformation by TEL/AML1 and the role of TEL/AML1 testing in the treatment of childhood ALL will require additional studies.

Original languageEnglish
Pages (from-to)4252-4258
Number of pages7
JournalBlood
Volume88
Issue number11
DOIs
StatePublished - 1 Dec 1996

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