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==Cancer Category/Type==
 
==Cancer Category/Type==
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''[http://www.ccga.io/index.php/Chronic_Myelomonocytic_Leukemia_(CMML) 'chronic myelomonocytic leukemia]'''
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This ETV6 gene, either as a translocation partner with dozens of partner genes or as simple substitution mutations is found at a low level in many cancers [https://cancer.sanger.ac.uk/cosmic/gene/analysis?ln=etv6 see COSMIC]), but is more prominent as a fusion protein in a number of hematological malignancies [1, 2, [http://www.omim.org/entry/600618 see OMIM]].
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t(5;12)(q33;p13) translocation ETV6-PDGFRB (Golub et al. (1994) translocation consisting of the 154 N terminal residues of ETV6 linked to the transmembrane and tyrosine kinase domains of the PDGFRB on chromosome 5q33.
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The translocation t(12;21)(p13;q22) ETV6-RUNX1 has been found in 25% of childhood B-cell acute lymphoblastic leukemia (B-ALL) , but are much less common (only 2%)  in adult B-cell acute lymphoblastic leukemia (B-ALL) [2].  The ETV6-RUNX1 trans -
 
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chronic myeloproliferative disorder ETV6/PDGFRB Apperley et al. (2002)
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acute lymphocytic leukemia ETV6/RUNX1 Golub et al. (1995)
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'''B-cell acute lymphoblastic leukemia (B-ALL)'''
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t(12;21)(p13;q22)25% of childhood B-cell acute lymphoblastic leukemia (B-ALL) bear an ETV6-RUNX1 translocation, but are much less common (on;y 2%)  in adult B-cell acute lymphoblastic leukemia (B-ALL) [2].  The ETV6-RUNX1 trans -
   
location produces a fusion protein that confers a dominant negative effect on the normal RUNX1 protein function (Transcriptional activation become transcriptional repression) (1, 2].  The ETV6-RUNXT1 translocation confers a favourable prognosis with cures
 
location produces a fusion protein that confers a dominant negative effect on the normal RUNX1 protein function (Transcriptional activation become transcriptional repression) (1, 2].  The ETV6-RUNXT1 translocation confers a favourable prognosis with cures
 
seen in >90% of childhood B-ALL [1].
 
seen in >90% of childhood B-ALL [1].
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chronic eosinophilic leukaemia (CEL)
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ETV6 fused with PDGFRB has been found in patients with [http://www.ccga.io/index.php/Chronic_Myelomonocytic_Leukemia_(CMML) 'chronic myelomonocytic leukemia] (Golub et al. (1994) and chronic myeloproliferative disorder Apperley et al. (2002)
 
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acute lymphocytic leukemia ETV6/RUNX1 Golub et al. (1995).  The ETV6-PDGFRA fusion gene has been found in patients with chronic eosinophilic leukaemia (CEL), and these patients responded to low-dose imatinib [1]
ETV6-PDGFRA fusion gene, both with the haematological features of CEL, responded to low-dose imatinib [1]
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t(5;12)(q31~33;p12) with formation of an ETV6-PDGFRB fusion gene
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In cases with t(5;12), and in the variant translocations, there is synthesis of an aberrant, constitutively activated tyrosine kinase. The haematological features are most often those of CMML (usually with eosinophilia) but some patients have been characterized as atypical chronic myeloid leukaemias (aCML) (usually with eosinophilia), CEL and MPN with eosinophilia
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==Gene Overview==
 
==Gene Overview==
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The ETV6 gene encodes one of 29 proteins in the  ETS family of transcription factors ( "ETS" is from "E26 transformation-specific" or "E-twenty-six"). The Etvs6 protein contains two functional domains: a N-terminal pointed (PNT) that is involved in protein-protein interactions with itself and other proteins, and a C-terminal, helix-loop-helix, DNA-binding domain (the ETS domain).  Normally, the Etv6 protein acts as a transcriptional repressor and tumor supressor [2].  Familial genetic studies have shown that the protein is required for hematopoiesis and hematologic and other malignancies [3, 4]. This gene is known to be involved in a large number of chromosomal rearrangements associated with leukemia and congenital fibrosarcoma. ([https://www.ncbi.nlm.nih.gov/gene/2120 addapted from NCBI Gene description]).  In most translocations, the N-terminal PNT domain of ETV6 is fused to a partner gene and acts as an aggregator for other proteins for a variety of effects, including transcriptional repression (eg, EVT6-RUNX1) [1, 2], constitutive Activated tyrosine kinases (eg, ETV6-PDGFRB) [1],
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The ETV6 gene encodes one of 29 proteins in the  ETS family of transcription factors ( "ETS" is from "E26 transformation-specific" or "E-twenty-six"). The Etvs6 protein contains two functional domains: a N-terminal pointed (PNT) that is involved in protein-protein interactions with itself and other proteins, and a C-terminal, helix-loop-helix, DNA-binding domain (the ETS domain).  Normally, the Etv6 protein acts as a transcriptional repressor and tumor supressor [2].  Familial genetic studies have shown that the protein is required for hematopoiesis and hematologic and other malignancies [3, 4]. This gene is known to be involved in a large number of chromosomal rearrangements (over 30 fusion partners) associated with leukemia and congenital fibrosarcoma. ([https://www.ncbi.nlm.nih.gov/gene/2120 adapted from NCBI Gene description]).  In most translocations, the N-terminal PNT domain of ETV6 is fused to a partner gene and acts as an aggregator for other proteins for a variety of effects, including transcriptional repression (eg, EVT6-RUNX1) [1, 2] and constitutive activated tyrosine kinases (eg, ETV6-PDGFRB) [1].
 
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Transcriptional repressor; binds to the DNA sequence 5-CCGGAAGT-3. Plays a role in hematopoiesis and malignant transformation.
      
==Common Alteration Types==
 
==Common Alteration Types==
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ETV6 has been identified as a fusion partner in at least 30 chromosomal translocation genes [3, [http://atlasgeneticsoncology.org/Genes/ETV6ID38.html Atlas of Genetics and Cytogenetics in Oncology and Haematology]].   
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ETV6 has been identified as a fusion partner in at least 30 chromosomal translocation genes [3, [http://atlasgeneticsoncology.org/Genes/ETV6ID38.html Atlas of Genetics and Cytogenetics in Oncology and Haematology], [http://www.omim.org/entry/600618 OMIM]].  In most translocations, the N-terminal PNT domain of ETV6 is fused to a partner gene and acts as an aggregator for other proteins for a variety of effects, including transcriptional repression (eg, EVT6-RUNX1) [1, 2] and constitutive activated tyrosine kinases (eg, ETV6-PDGFRB) [1]. A large number of simple substitution mutations have been found spread throughout the gene and these have been found in a large number of human malignancies at relatively low percentages ([https://cancer.sanger.ac.uk/cosmic/gene/analysis?ln=etv6 see COSMIC and [http://www.cancerindex.org/geneweb/ETV6.htm Cancer Index]).   
    
ETV6/PDGFRB fusion
 
ETV6/PDGFRB fusion
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ETV6/BTL fusion
 
ETV6/BTL fusion
 
ETV6/JAK2 fusion
 
ETV6/JAK2 fusion
ETV6/RUNX1 fusion t(12;21)(p13;q22); ETV6-RUNX1
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ETV6/RUNX1 fusion
    
{| class="wikitable sortable"
 
{| class="wikitable sortable"
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! Copy Number Loss  !! Copy Number Gain  !!  LOH  !!  Loss-of-Function Mutation  !!  Gain-of-Function Mutation  !!  Translocation/Fusion  
 
! Copy Number Loss  !! Copy Number Gain  !!  LOH  !!  Loss-of-Function Mutation  !!  Gain-of-Function Mutation  !!  Translocation/Fusion  
 
|-
 
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| EXAMPLE: X ||EXAMPLE: X  || EXAMPLE: X  || EXAMPLE: X || EXAMPLE: X || EXAMPLE: X
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| ||X  || X  || X || X || X
 
|}
 
|}
    
==Internal Pages==
 
==Internal Pages==
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Put your text here
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EXAMPLE [[Germline Cancer Predisposition Genes]]
      
==External Links==
 
==External Links==
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