2012
DOI: 10.1038/nature10725
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The genetic basis of early T-cell precursor acute lymphoblastic leukaemia

Abstract: Early T-cell precursor acute lymphoblastic leukaemia (ETP ALL) is an aggressive malignancy of unknown genetic basis. We performed whole-genome sequencing of 12 ETP ALL cases and assessed the frequency of the identified somatic mutations in 94 T-cell acute lymphoblastic leukaemia cases. ETP ALL was characterized by activating mutations in genes regulating cytokine receptor and RAS signalling (67% of cases; NRAS, KRAS, FLT3, IL7R, JAK3, JAK1, SH2B3 and BRAF), inactivating lesions disrupting haematopoietic develo… Show more

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Cited by 1,455 publications
(1,637 citation statements)
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References 41 publications
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“…[30][31][32] It is possible that high expression of ERG, BAALC, or WT1 signifies stem cell-like properties that protect these tumors against chemotherapy. In fact, T-ALL/ LBL with an ETP immunophenotype has a genetic profile more akin to normal hematopoietic and myeloid leukemic stem cells 33 and may carry FLT3-ITD mutation, a feature typically associated with AML. 34 TdT is normally expressed in committed T-lymphocytic progenitors.…”
Section: Discussionmentioning
confidence: 99%
“…[30][31][32] It is possible that high expression of ERG, BAALC, or WT1 signifies stem cell-like properties that protect these tumors against chemotherapy. In fact, T-ALL/ LBL with an ETP immunophenotype has a genetic profile more akin to normal hematopoietic and myeloid leukemic stem cells 33 and may carry FLT3-ITD mutation, a feature typically associated with AML. 34 TdT is normally expressed in committed T-lymphocytic progenitors.…”
Section: Discussionmentioning
confidence: 99%
“…A gain-of-function mutation for EZH2 has been described in large cell lymphoma (28). On the other hand, heterozygous and homozygous mutation and/or deletion of EZH2 has been described in some hematologic malignancies (8)(9)(10)(11)(12)29), but is not typically seen in AML. Understanding of PRC2 biology in cancer is limited by the heterogeneity of clinical samples and the pleiotropy of genetic programs controlled by PRC2.…”
Section: Discussionmentioning
confidence: 99%
“…In the hematopoietic system, forced expression of Ezh2 increases serial transplantation potential in hematopoietic stem cells (6) and enhances transformation in a model of multiple myeloma (7). Intriguingly, heterozygous loss of function of EZH2 has been associated with adverse prognosis in myelofibrosis (8), and heterozygous and homozygous inactivation of EZH2 has been described in myelodysplastic syndromes and more recently in Tlineage lymphoblastic leukemia (9)(10)(11)(12). In contrast, EZH2 alterations appear to be rare events in acute myeloid leukemia (AML).…”
mentioning
confidence: 99%
“…The paradoxical role of EZH2 in tumorigenesis has been observed in several human cancers (16). Although its oncogenic role in promoting cancer progression has been well documented, in certain contexts it also can function as a tumor suppressor (17,20,(58)(59)(60)(61). In addition to leukemia, a tumor-suppressive role for EZH2 has been found in solid tumors such as pancreatic (61) and renal cancer (60).…”
Section: Discussionmentioning
confidence: 99%