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Hematology  primeFISH Products


                HEMATOLOGY
                PANEL



                17-002 MLL (11q23) Breakapart



                Up to 1-15% of cancer patients treated with KMT2A gene   the most common translocations are t(4;11) and t(11;19)
                rearrangements with a DNA topoisomerase II inhibitor   in  ALL  patients,  t(6;11),  t(9;11)  and  t(11;19)  in  AML
                develop therapy-associated leukemia (t-AML) associated   patients.   Overall,   the   finding   of   KMT2A
                with KMT2A translocations. Translocations involving the   re-arrangements  in  patients  with  acute  leukemia
                KMT2A gene are detected in 5-6% of all acute myeloid   indicates  a  less  favorable  prognosis.  However,  recent
                leukemias (AML) and 5-10% of all acute lymphoblastic   studies  suggest  that  the  specific  KMT2A  translocation
                leukemias (ALL). The frequency of translocations involving   partner  may  have  an  impact  on  response  to  therapy
                the  KMT2A  gene  is  significantly  higher  in  infants  with   and  overall  prognosis,  depending  on  the  clinical
                AML (50%) and ALL (80%). Over 30 fusion partners have   concept.
                been documented tor KMT2A;









                                                                                                 BREAKAPART












                            RH52370  RH99291       RH52087  RH93709
                                             5'  3'
                                                                                   NORMAL
                          Cent                                   Tel
                                            KMT2A

                                 730 kb                 821 kb


                                                                                RE-ARRANGEMENT





                       11q23.3




                  (Not to scale)


       www.diagen.com.tr  References
                Gindin T, et al. (2015) Hematol Oncol 33(4) 239-46.
                Arsham, MS., Barch, MJ. and Lawce HJ. (eds.) (2017) The AGT Cytogenetics Laboratory Manual. New Jersey: John Wiley & Sons Inc.
                Burns et al (2018) Hematology (7th ed) Ch 64: Pathobiology of acute lymphoblastic leukemia:1005–1019.e11





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