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New variant of acute promyelocytic leukemia with IRF 2 BP 2– RARA fusion
We present an acute promyelocytic leukemia ( APL ) patient with two subtypes of IRF 2 BP 2– RARA , in which the IRF 2 BP 2 gene showed completely new breakpoints. Bone marrow examination revealed morphologic features indicative of APL . However, promyelocytic leukemia – RARA fusion was not detected....
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Published in: | Cancer science 2016-08, Vol.107 (8), p.1165-1168 |
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Main Authors: | , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | We present an acute promyelocytic leukemia (
APL
) patient with two subtypes of
IRF
2
BP
2–
RARA
, in which the
IRF
2
BP
2
gene showed completely new breakpoints. Bone marrow examination revealed morphologic features indicative of
APL
. However, promyelocytic leukemia
–
RARA
fusion was not detected. A paired‐end
mRNA
sequencing followed by
RT
‐
PCR
and direct sequencing revealed two types of fusion transcripts between exon 1B of
IRF
2
BP
2
and exon 3 of
RARA
. The patient received all‐trans retinoic acid and conventional chemotherapy, but showed resistance. This is the second report of
IRF
2
BP
2
involvement in
APL
, and we describe various breakpoints for the
IRF
2
BP
2–
RARA
fusion gene. |
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ISSN: | 1347-9032 1349-7006 |
DOI: | 10.1111/cas.12970 |