The t(16;21)(p11;q22) translocation is a non-random chromothe fused FUS/ERG protein is shown to function as a transcripsomal aberration observed in several types of human acute tional regulator. 8,11 myeloblastic leukemia (AML), whereas the der(16)t(1;16) and On the other hand, the der (16) A 46-year-old male engineer was admitted to our hospital because of fever in June 1994. Peripheral blood examination Introduction showed white blood cells 120 × 10 9 /l with 91% myeloblasts, hemoglobin 8.3 g/dl and platelets 104 × 10 9 /l. Bone marrow Chromosomal translocations in specific subtypes of leukemia examination revealed 91% myeloblasts that were positive for are recognized to play an important role in the process of myeloperoxidase (MPO) but negative for ␣-naphthyl butylate leukemogenesis by synthesis of chimeric proteins. 1,2 The esterase (␣-NBE) and chloroacetate esterase (CAE) stainings. t(16;21)(p11;q22) translocation is one of the non-random There was no abnormal feature in the eosinophils or monochromosomal aberrations observed in human acute myelocytes. In surface marker analysis the blasts from bone marrow blastic leukemia (AML), blastic crisis of chronic myelogenous were positive for CD13 (79.5%), CD33 (93.3%) and CD34 leukemia (CML) and myelodysplastic syndrome (MDS) that (64.5%). Chromosome analysis of bone marrow cells showed progressed to AML. 3-10 AML with t(16;21) has been classified 46,XY, der(16)t(16;21)(p11;q22)t(1;16)(q12;q13), der (21) An induction therapy was started with enocitabine, daunoruberythrophagocytosis. 3,4 Clinical prognosis of AML with icin, 6-mercaptopurine and prednisolone and complete t(16;21) seems to be poor. Recently, molecular characterizremission (CR) was achieved with normal karyotype. Despite ation of this translocation has revealed that the FUS gene (also two courses of consolidation therapy, the patient relapsed called TLS) encoding an RNA-binding protein on chromosome after 3 months from remission. The second CR was obtained 16 is fused with the ERG gene, a member of the ets gene by low-dose etoposide and aclarubicin treatment in March superfamily, on chromosome 21 to produce the FUS/ERG 1995. However, the second relapse occurred after 1 month chimeric transcript. [7][8][9][10][11] As a result, the RNA-binding domain with blastoma in the colon. The patient died of progressive of FUS is replaced with the DNA-binding domain of ERG and disease and pneumonia in May 1995.
CytokinesCorrespondence: H Hamaguchi, Department of Hematology, Musashino Red Cross Hospital, 1-26-1 Kyonan-cho, Musashino-shi, TokyoAll cytokines used in this study, ie recombinant human gra-180, Japan