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primeFISH Products               Hematology

                                                                               HEMATOLOGY
                                                                                              PANEL



                                                                              17-069 IGH-FGFR3 t(4;14)



          The FGFR3 (fibroblast growth factor receptor 3) gene is   are observed in approximately 15-20% of MM patients.
          located   in   the   4p16.3   region,   and   the   IGH   Breakpoints  for  the  4p16.3  locus  are  located
          (immunoglobulin  heavy  locus)  is  located  in  the   between the FGFR3 gene and the 5’ end of the NSD2
          14q32.33  region.  FGFR3  encodes  a  receptor  tyrosine   gene.   The   t(4;14)(p16.3;q32.3)   translocation   is
          kinase  that  regulates  the  downstream signaling chain   associated  with  up-regulation of FGFR3 and myeloma
          after ligand binding. Fusion of several part  ner genes   NSD2  (also  known  as  MMSET)  portion  protein.
          (including  the  IGH  locus),  often  found  in  multiple   Patients  with  the  FGFR3/IGH  translocation  show  an
          myeloma  (MM),  can  lead  to  ligand-in    dependent   overall  poor  prognosis,  which  is  only  partially
          activation  of  the  tyrosine  kinase  of  the  re-sulting   alleviated by the use of the newer agents bortezomib
          FGFR3 fusion protein. FGFR3/IGH trans  locations   and lenalidomide.









                                                                                        TRANSLOCATION

               4p16.3
                                    SHGC-68972      RH91968
                                             5'  3'
                                  Tel                      Cent
                                            FGFR3
                                            726 kb


                                    RH65489        SHGC-144461                  NORMAL
                                           3'     5'
                                 Cent                     Tel
                                             IGH
                                            1.5 mb

                                                                            TRANSLOCATION


                           14q32.33



                         (Not to scale)





                                                                                             References
                                                                           Kalff A & Spencer A (2012) Blood Cancer J. 7: e89.
                                                                               Walker BA, et al. (2013) Blood 121: 3413-19  www.diagen.com.tr
                                           Arsham, MS., Barch, MJ. and Lawce HJ. (eds.) (2017) The AGT Cytogenetics Laboratory Manual. New
                                                                                        Jersey: John Wiley & Sons Inc.





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