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Hematology  primeFISH Products


                HEMATOLOGY
                PANEL



                17-043 PML-RARA t(15;17)



                Translocations involving the PML (promyelocytic leukemia,   are  NPMl  at  5q35,  NUMAl  at  11q13,  ZBTB16  (PLZF)  at
                also known as MYL) gene and the PARA (retinoic acid re-  11q23, STAT5B at 17q21, PRKARlA at 17q24, FIPlll at 4q12,
                ceptor alpha, RARa) gene are thought to be characteristic   and  BCOR  at  Xpll.  Because  the  PML/RARA  fusion  is
                of acute promyelocyt  ic leukemia (APL), a subtype of acute   responsible  for  the  response  of  these  neoplasms  to
                myeloid leukemia. The PML-RARA fusion gene is created   alltrans  retinoic  acid  (ATRA)  therapy  and  other
                by the t(15;17)(q24;q21) translocation found in 90% of APL   conventional  chemotherapy,  it  is  important  to
                cases, a leukemia that accounts for 5-8% of acute myeloid   correctly  distinguish  between  t(15;17)  translocations
                leukemia (AML) cases. Variant RARA translocations may   and those involving other RARA partners.
                be observed in a subset of cases. Known fusion partners











                                                                                              TRANSLOCATION






                                         SHGC-144626    RH45099
                                                  5'  3'
                                       Cent                   Tel
                                                  PML
                                                 589 kb                           NORMAL

                       15q24.1

                                          D17S1215      RH12872
                                                  5'  3'
                                       Cent                   Tel
                                                 RARA                         TRANSLOCATION
                    17q12-q21.2                  685 kb








                                                (Not to scale)




       www.diagen.com.tr  References
                Sanz MA, et al. (2009) Blood 113: 1875-91.
                Kievits T, et al. (1990) Cytogenet Cell Genet 53: 134-6.
                Swerdlow et al., (eds,) WHO Classification of Tumours of Haematopoietic and Lymphoid Tissue, Lyon, France, 4th edition, IARC,2017
                Zhang et al., Blood Reviews 2015;29(2):101-125
                Tomita et al., International Journal of Haematology 2013;97(6):717-725



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