Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Cytogenetics and Molecular Genetics

Disruption of ETV6 in intron 2 results in upregulatory and insertional events in childhood acute lymphoblastic leukaemia

Abstract

We describe four cases of childhood B-cell progenitor acute lymphoblastic leukaemia (BCP-ALL) and one of T-cell (T-ALL) with unexpected numbers of interphase signals for ETV6 with an ETV6–RUNX1 fusion probe. Three fusion negative cases each had a telomeric part of 12p terminating within intron 2 of ETV6, attached to sequences from 5q, 7p and 7q, respectively. Two fusion positive cases, with partial insertions of ETV6 into chromosome 21, also had a breakpoint in intron 2. Fluorescence in situ hybridisation (FISH), array comparative genomic hybridization (aCGH) and Molecular Copy-Number Counting (MCC) results were concordant for the T-cell case. Sequences downstream of TLX3 on chromosome 5 were deleted, leaving the intact gene closely apposed to the first two exons of ETV6 and its upstream promoter. qRT-PCR showed a significant upregulation of TLX3. In this study we provide the first incontrovertible evidence that the upstream promoter of ETV6 attached to the first two exons of the gene was responsible for the ectopic expression of a proto-oncogene that became abnormally close as the result of deletion and translocation. We have also shown breakpoints in intron 2 of ETV6 in two cases of insertion with ETV6–RUNX1 fusion.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Kobayashi H, Rowley JD . Identification of cytogenetically undetected 12p13 translocations and associated deletions with fluorescence in situ hybridization. Genes Chromosomes Cancer 1995; 12: 66–69.

    Article  CAS  Google Scholar 

  2. Hoglund M, Johansson B, Pedersen-Bjergaard J, Marynen P, Mitelman F . Molecular characterization of 12p abnormalities in hematologic malignancies: deletion of KIP1, rearrangement of TEL, and amplification of CCND2. Blood 1996; 87: 324–330.

    CAS  Google Scholar 

  3. Raynaud SD, Cave H, Baens M, Bastard C, Cacheux V, Grosgeorge J et al. The 12;21 translocation involving TEL and deletion of the other TEL allele: two frequently associated alterations found in childhood acute lymphoblastic leukemia. Blood 1996; 87: 2891–2899.

    CAS  Google Scholar 

  4. Berger R, Le Coniat M, Daniel M-T, Lessard M, Berthou C, Maryen P et al. Chromosome abnormalities of the short arm of chromosome 12 in hematopoietic malignancies: a report including 3 novel translocations involving the ETV6 gene. Leukemia 1997; 11: 1400–1403.

    Article  CAS  Google Scholar 

  5. Takeuchi S, Seriu T, Bartram CR, Golub TR, Reiter A, Miyoshi I et al. TEL is one of the targets for deletion on 12p in many cases of childhood B-lineage acute lymphoblastic leukemia. Leukemia 1997; 11: 1220–1223.

    Article  CAS  Google Scholar 

  6. Sato Y, Bohlander SK, Kobayashi H, Reshmi S, Suto Y, Davis EM et al. Heterogeneity in the breakpoints in balanced rearrangements involving band 12p13 in hematologic malignancies identified by fluorescence in situ hybridization: TEL (ETV6) is involved in only one half. Blood 1997; 90: 4886–4893.

    CAS  Google Scholar 

  7. Andreasson P, Johansson B, Billstrom R, Garwicz S, Mitelman F, Hoglund M . Fluorescence in situ hybridization analyses of hematologic malignancies reveal frequent cytogenetically unrecognized 12p rearrangements. Leukemia 1998; 12: 390–400.

    Article  CAS  Google Scholar 

  8. Wlodarska I, La Starza R, Baens M, Dierlamm J, Uyttebroeck A, Selleslag D et al. Fluorescence in situ hybridization characterization of new translocations involving TEL (ETV6) in a wide spectrum of hematologic malignancies. Blood 1998; 91: 1399–1406.

    CAS  Google Scholar 

  9. Sato Y, Kobayashi H, Suto Y, Olney HJ, Davis EM, Super HG et al. Chromosomal instability in chromosome band 12p13: multiple breaks leading to complex rearrangements including cytogenetically undetectable sub-clones. Leukemia 2001; 15: 1193–1202.

    Article  CAS  Google Scholar 

  10. Odero MD, Carlson K, Calasanz MJ, Lahortiga I, Chinwalla V, Rowley JD . Identification of new translocations involving ETV6 in hematologic malignancies by fluorescence in situ hybridization and spectral karyotyping. Genes Chromosomes Cancer 2001; 31: 134–142.

    Article  CAS  Google Scholar 

  11. Odero MD, Carlson K, Lahortiga I, Calasanz MJ, Rowley JD . Molecular cytogenetic characterization of breakpoints in 19 patients with hematologic malignancies and 12p unbalanced translocations. Cancer Genet Cytogenet 2003; 142: 115–119.

    Article  CAS  Google Scholar 

  12. Vieira L, Marques B, Cavaleiro C, Ambrosio AP, Jorge M, Neto A et al. Molecular cytogenetic characterization of rearrangements involving 12p in leukemia. Cancer Genet Cytogenet 2005; 157: 134–139.

    Article  CAS  Google Scholar 

  13. Bohlander SK . ETV6: a versatile player in leukemogenesis. Semin Cancer Biol 2005; 15: 162–174.

    Article  CAS  Google Scholar 

  14. Cools J, Mentens N, Odero MD, Peeters P, Wlodarska I, Delforge M et al. Evidence for position effects as a variant ETV6-mediated leukemogenic mechanism in myeloid leukemias with a t(4;12)(q11–q12;p13) or t(5;12)(q31;p13). Blood 2002; 99: 1776–1784.

    Article  CAS  Google Scholar 

  15. Beverloo HB, Panagopoulos I, Isaksson M, van Wering E, van Drunen E, de Klein A et al. Fusion of the homeobox gene HLXB9 and the ETV6 gene in infant acute myeloid leukemias with the t(7;12)(q36;p13). Cancer Res 2001; 61: 5374–5377.

    CAS  Google Scholar 

  16. Tosi S, Hughes J, Scherer SW, Nakabayashi K, Harbott J, Haas OA et al. Heterogeneity of the 7q36 breakpoints in the t(7;12) involving ETV6 in infant leukemia. Genes Chromosomes Cancer 2003; 38: 191–200.

    Article  CAS  Google Scholar 

  17. von Bergh AR, van DE, van Wering ER, van Zutven LJ, Hainmann I, Lonnerholm G et al. High incidence of t(7;12)(q36;p13) in infant AML but not in infant ALL, with a dismal outcome and ectopic expression of HLXB9. Genes Chromosomes Cancer 2006; 45: 731–739.

    Article  CAS  Google Scholar 

  18. Cazzaniga G, Daniotti M, Tosi S, Giudici G, Aloisi A, Pogliani E et al. The paired box domain gene PAX5 is fused to ETV6/TEL in an acute lymphoblastic leukemia case. Cancer Res 2001; 61: 4666–4670.

    CAS  Google Scholar 

  19. Strehl S, Konig M, Dworzak MN, Kalwak K, Haas OA . PAX5/ETV6 fusion defines cytogenetic entity dic(9;12)(p13;p13). Leukemia 2003; 17: 1121–1123.

    Article  CAS  Google Scholar 

  20. Buijs A, Sherr S, van Baal S, van Bezouw S, van der Plas D, Geurts van Kessel A et al. Translocation (12;22) (p13;q11) in myeloproliferative disorders results in fusion of the ETS-like TEL gene on 12p13 to the MN1 gene on 22q11. Oncogene 1995; 10: 1511–1519.

    CAS  Google Scholar 

  21. Buijs A, Van Rompaey L, Molijn AC, Davis JN, Vertegaal AC, Potter MD et al. The MN1-TEL fusion protein, encoded by the translocation (12;22)(p13;q11) in myeloid leukemia, is a transcription factor with transforming activity. Mol Cell Biol 2000; 20: 9281–9293.

    Article  CAS  Google Scholar 

  22. Carella C, Bonten J, Rehg J, Grosveld GC . MN1-TEL, the product of the t(12;22) in human myeloid leukemia, immortalizes murine myeloid cells and causes myeloid malignancy in mice. Leukemia 2006; 20: 1582–1592.

    Article  CAS  Google Scholar 

  23. Odero MD, Vizmanos JL, Roman JP, Lahortiga I, Panizo C, Calasanz MJ et al. A novel gene, MDS2, is fused to ETV6/TEL in a t(1;12)(p36.1;p13) in a patient with myelodysplastic syndrome. Genes Chromosomes Cancer 2002; 35: 11–19.

    Article  CAS  Google Scholar 

  24. Peeters P, Wlodarska I, Baens M, Criel A, Selleslag D, Hagemeijer A et al. Fusion of ETV6 to MDS1/EVI1 as a result of t(3;12)(q26;p13) in myeloproliferative disorders. Cancer Res 1997; 57: 564–569.

    CAS  Google Scholar 

  25. Nakamura Y, Nakazato H, Sato Y, Furusawa S, Mitani K . Expression of the TEL/EVI1 fusion transcript in a patient with chronic myelogenous leukemia with t(3;12)(q26;p13). Am J Hematol 2002; 69: 80–82.

    Article  CAS  Google Scholar 

  26. Suto Y, Sato Y, Smith SD, Rowley JD, Bohlander SK . A t(6;12)(q23;p13) results in the fusion of ETV6 to a novel gene, STL, in a B-cell ALL cell line. Genes Chromosomes Cancer 1997; 18: 254–268.

    Article  CAS  Google Scholar 

  27. Yuji K, Mitani K, Ueno H, Sato Y, Ikawa S, Qiao Y et al. A new partner gene of the TEL/ETV6, AF7p15, cloned in acute myeloid leukemia with t(7;12)(p15;p13). Blood 2000; 96: 693a (abstract 2986).

    Google Scholar 

  28. Janssen H, Wlodarska I, Mecucci C, Hagemeijer A, Vandenberghe P, Marynen P et al. Fusion of ETV6 to GOT1 in a case with myelodysplastic syndrome and t(10;12)(q24;p13). Haematologica 2006; 91: 949–951.

    CAS  Google Scholar 

  29. Panagopoulos I, Strombeck B, Isaksson M, Heldrup J, Olofsson T, Johansson B . Fusion of ETV6 with an intronic sequence of the BAZ2A gene in a paediatric pre-B acute lymphoblastic leukaemia with a cryptic chromosome 12 rearrangement. Br J Haematol 2006; 133: 270–275.

    Article  CAS  Google Scholar 

  30. Chase A, Reiter A, Burci L, Cazzaniga G, Biondi A, Pickard J et al. Fusion of ETV6 to the caudal-related homeobox gene CDX2 in acute myeloid leukemia with the t(12;13)(p13;q12). Blood 1999; 93: 1025–1031.

    CAS  Google Scholar 

  31. Reddy KS, Yang X, Mak L, Wang S, Johnston M . A child with ALL and ETV6/AML1 fusion on a chromosome 12 due to an insertion of AML1 and loss of ETV6 from the homolog involved in a t(12;15)(p13;q15). Genes Chromosomes Cancer 2000; 29: 106–109.

    Article  CAS  Google Scholar 

  32. Jalali GR, Martineau M, Ford AM, Greaves M, Stevens RF, Harrison CJ . A unique variant of ETV6/AML1 fusion in a child with acute lymphoblastic leukemia. Leukemia 2003; 17: 993–995.

    Article  CAS  Google Scholar 

  33. Poppe B, Cauwelier B, Van LH, Yigit N, Philippe J, Verhasselt B et al. Novel cryptic chromosomal rearrangements in childhood acute lymphoblastic leukemia detected by multiple color fluorescent in situ hybridization. Haematologica 2005; 90: 1179–1185.

    CAS  Google Scholar 

  34. Douet-Guilbert N, Morel F, Le Bris MJ, Herry A, Le Calvez G, Marion V et al. Translocation (12;21) followed by insertion of chromosome 3 material in the derivative chromosome 12 in a case of childhood acute lymphoblastic leukemia. Cancer Genet Cytogenet 2003; 142: 120–123.

    Article  CAS  Google Scholar 

  35. Mathew S, Shurtleff SA, Raimondi SC . Novel cryptic, complex rearrangements involving ETV6-CBFA2 (TEL-AML1) genes identified by fluorescence in situ hybridization in pediatric patients with acute lymphoblastic leukemia. Genes Chromosomes Cancer 2001; 32: 188–193.

    Article  CAS  Google Scholar 

  36. Andreasson P, Johansson B, Carlsson M, Jarlsfelt I, Fioretos T, Mitelman F et al. BCR/ABL-negative chronic myeloid leukemia with ETV6/ABL fusion. Genes Chromosomes Cancer 1997; 20: 299–304.

    Article  CAS  Google Scholar 

  37. Meyer-Monard S, Muhlematter D, Streit A, Chase AJ, Gratwohl A, Cross NC et al. Broad molecular screening of an unclassifiable myeloproliferative disorder reveals an unexpected ETV6/ABL1 fusion transcript. Leukemia 2005; 19: 1096–1099.

    Article  CAS  Google Scholar 

  38. Gamerdinger U, Teigler-Schlegel A, Pils S, Bruch J, Viehmann S, Keller M et al. Cryptic chromosomal aberrations leading to an AML1/ETO rearrangement are frequently caused by small insertions. Genes Chromosomes Cancer 2003; 36: 261–272.

    Article  CAS  Google Scholar 

  39. Specchia G, Albano F, Anelli L, Zagaria A, Liso A, La SR et al. Insertions generating the 5′RUNX1/3′CBFA2T1 gene in acute myeloid leukemia cases show variable breakpoints. Genes Chromosomes Cancer 2004; 41: 86–91.

    Article  CAS  Google Scholar 

  40. Harrison CJ, Moorman AV, Barber KE, Broadfield ZJ, Cheung KL, Harris RL et al. Interphase molecular cytogenetic screening for chromosomal abnormalities of prognostic significance in childhood acute lymphoblastic leukaemia: a UK Cancer Cytogenetics Group Study. Br J Haematol 2005; 129: 520–530.

    Article  Google Scholar 

  41. Harrison CJ, Martineau M, Secker-Walker LM . The Leukaemia Research Fund/United Kingdom Cancer Cytogenetics Group Karyotype Database in acute lymphoblastic leukaemia: a valuable resource for patient management. Br J Haematol 2001; 113: 3–10.

    Article  CAS  Google Scholar 

  42. ISCN. An International System for Human Cytogenetic Nomenclature, 1st edn. S. Karger: Basel, 1995.

  43. Barrett MT, Scheffer A, Ben-Dor A, Sampas N, Lipson D, Kincaid R et al. Comparative genomic hybridization using oligonucleotide microarrays and total genomic DNA. Proc Natl Acad Sci USA 2004; 101: 17765–17770.

    Article  CAS  Google Scholar 

  44. Daser A, Thangavelu M, Pannell R, Forster A, Sparrow L, Chung G et al. Interrogation of genomes by molecular copy-number counting (MCC). Nat Methods 2006; 3: 447–453.

    Article  CAS  Google Scholar 

  45. Willis TG, Jadayel DM, Coignet LJ, Abdul-Rauf M, Treleaven JG, Catovsky D et al. Rapid molecular cloning of rearrangements of the IGHJ locus using long-distance inverse polymerase chain reaction. Blood 1997; 90: 2456–2464.

    CAS  Google Scholar 

  46. Strefford JC, van Delft FW, Robinson HM, Worley H, Yiannikouris O, Selzer R et al. Complex genomic alterations and gene expression in acute lymphoblastic leukemia with intrachromosomal amplification of chromosome 21. Proc Natl Acad Sci USA 2006; 103: 8167–8172.

    Article  CAS  Google Scholar 

  47. Hosoya N, Sanada M, Nannya Y, Nakazaki K, Wang L, Hangaishi A et al. Genomewide screening of DNA copy number changes in chronic myelogenous leukemia with the use of high-resolution array-based comparative genomic hybridization. Genes Chromosomes Cancer 2006; 45: 482–494.

    Article  CAS  Google Scholar 

  48. Baens M, Peeters P, Guo C, Aerssens J, Marynen P . Genomic organization of TEL: the human ETS-variant gene 6. Genome Res 1996; 6: 404–413.

    Article  CAS  Google Scholar 

  49. Matthaei A, Werner W, Gerlach EM, Koerner U, Tinschert S, Nitz I et al. Small reciprocal insertion detected by spectral karyotyping (SKY) and delimited by array-CGH analysis. Eur J Med Genet 2005; 48: 328–338.

    Article  Google Scholar 

  50. Aurich J, Dastugue N, Duchayne E, Schlaifer D, Rigal-Huguet F, Caballin MR . Location of the BCR-ABL fusion gene on the 9q34 band in two cases of Ph-positive chronic myeloid leukemia. Genes Chromosomes Cancer 1997; 20: 148–154.

    Article  CAS  Google Scholar 

  51. Grimwade D, Biondi A, Mozziconacci MJ, Hagemeijer A, Berger R, Neat M et al. Characterization of acute promyelocytic leukemia cases lacking the classic t(15;17): results of the European Working Party. Groupe Francais de Cytogenetique Hematologique, Groupe de Francais d'Hematologie Cellulaire, UK Cancer Cytogenetics Group and BIOMED 1 European Community-Concerted Action ‘Molecular Cytogenetic Diagnosis in Haematological Malignancies’. Blood 2000; 96: 1297–1308.

    CAS  Google Scholar 

  52. Robinson HM, Martineau M, Harris RL, Barber KE, Jalali GR, Moorman AV et al. Derivative chromosome 9 deletions are a significant feature of childhood Philadelphia chromosome positive acute lymphoblastic leukaemia. Leukemia 2005; 19: 564–571.

    Article  CAS  Google Scholar 

  53. Rawat VP, Cusan M, Deshpande A, Hiddemann W, Quintanilla-Martinez L, Humphries RK et al. Ectopic expression of the homeobox gene Cdx2 is the transforming event in a mouse model of t(12;13)(p13;q12) acute myeloid leukemia. Proc Natl Acad Sci USA 2004; 101: 817–822.

    Article  CAS  Google Scholar 

  54. Bernard OA, Busson-LeConiat M, Ballerini P, Mauchauffe M, Della VV, Monni R et al. A new recurrent and specific cryptic translocation, t(5;14)(q35;q32), is associated with expression of the Hox11L2 gene in T acute lymphoblastic leukemia. Leukemia 2001; 15: 1495–1504.

    Article  CAS  Google Scholar 

  55. MacLeod RA, Nagel S, Kaufmann M, Janssen JW, Drexler HG . Activation of HOX11L2 by juxtaposition with 3′-BCL11B in an acute lymphoblastic leukemia cell line (HPB-ALL) with t(5;14)(q35;q32.2). Genes Chromosomes Cancer 2003; 37: 84–91.

    Article  CAS  Google Scholar 

  56. Su XY, Busson M, Della VV, Ballerini P, Dastugue N, Talmant P et al. Various types of rearrangements target TLX3 locus in T-cell acute lymphoblastic leukemia. Genes Chromosomes Cancer 2004; 41: 243–249.

    Article  CAS  Google Scholar 

  57. Su XY, la-Valle V, ndre-Schmutz I, Lemercier C, Radford-Weiss I, Ballerini P et al. HOX11L2/TLX3 is transcriptionally activated through T-cell regulatory elements downstream of BCL11B as a result of the t(5;14)(q35;q32). Blood 2006; 108: 4198–4201.

    Article  CAS  Google Scholar 

  58. Nagel S, Scherr M, Kel A, Hornischer K, Crawford GE, Kaufmann M et al. Activation of TLX3 and NKX2-5 in t(5;14)(q35;q32) T-cell acute lymphoblastic leukemia by remote 3′-BCL11B enhancers and coregulation by PU.1 and HMGA1. Cancer Res 2007; 67: 1461–1471.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Marina Lafage-Pochitaloff and David Grimwade for helpful discussion and Dr Peter Marynen for the ETV6 cosmid probes. This work was supported by Leukaemia Research UK.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M Martineau.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jalali, G., An, Q., Konn, Z. et al. Disruption of ETV6 in intron 2 results in upregulatory and insertional events in childhood acute lymphoblastic leukaemia. Leukemia 22, 114–123 (2008). https://doi.org/10.1038/sj.leu.2404994

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.leu.2404994

Keywords

This article is cited by

Search

Quick links