The most common nonrandom translocation found among childhood pre-B acute lymphoblastic leukemias (ALL) is t(1;19)(q23;p13), which frequently results in fusion of E2A with PBX1. However, rare cases of childhood ALL and various other hematological diseases with t(1;19) lack the E2A-PBX1 fusion. Analyzing a cell line with pre-B-cell phenotype, TS-2, that carries t(1;19)(q23;p13) but lacks the E2A-PBX1 fusion, we successfully cloned the breakpoints, which fell within introns of MEF2D and DAZAP1. Both chimeric transcripts, MEF2D-DAZAP1 and DAZAP1-MEF2D, whose sequences indicated in-frame fusions between MEF2D and DAZAP1, were expressed in TS-2 cells and in bonemarrow cells of the patient from whom the TS-2 was established. MEF2D-DAZAP1 and DAZAP1-MEF2D proteins were both located in the nucleus, and MEF2D-DAZAP1 was able to form dimers with MEF2D and HDAC4. In addition, exogenous expression of MEF2D-DAZAP1 and DAZAP1-MEF2D promoted the growth of HeLa cells. Given the frequency of t(1;19) without the E2A-PBX1 fusion in hematological malignancies, we suggest that MEF2D/DAZAP1 rearrangements might be involved in the pathogenesis of those diseases. (Cancer Sci 2004; 95: 503-507) he most common type of childhood leukemia is acute lymphoblastic leukemia (ALL), which has a B-cell precursor phenotype.1) The main subtypes of ALL involve multiple genetic alterations including point mutations and deletions, and are also characterized by gross chromosomal changes such as translocations, which are likely to cause illegitimate recombination or juxtaposition of normally separated genes. In leukemias an in-frame fusion gene is often created, generating a hybrid protein with altered properties. Although more than 200 genes are known to be involved in translocations in leukemias, certain genes predominate in those events and the others are involved only rarely.
1)The most common nonrandom translocation in childhood pre-B ALL is t(1;19)(q23;p13), usually involving fusion between PBX1 at 1q23 and E2A at 19p13.3. The chimeric gene, E2A-PBX1, encodes a protein that contains the transactivation domain of E2A and the DNA-binding homeodomain of PBX1.
2)Although an identical E2A-PBX1 chimeric gene can be detected in more than 95% of ALL cases with t(1;19), in rare cases the E2A-PBX1 fusion gene is absent. 3,4)