HAEM5:B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features: Difference between revisions
Mark.Evans (talk | contribs) mNo edit summary |
No edit summary |
||
| (6 intermediate revisions by 2 users not shown) | |||
| Line 2: | Line 2: | ||
[[HAEM5:Table_of_Contents|Haematolymphoid Tumours (WHO Classification, 5th ed.)]] | [[HAEM5:Table_of_Contents|Haematolymphoid Tumours (WHO Classification, 5th ed.)]] | ||
==Primary Author(s)*== | ==Primary Author(s)*== | ||
Mark G. Evans, MD, Caris Life Sciences | Mark G. Evans, MD, Caris Life Sciences | ||
Sumire Kitahara, MD, Cedars-Sinai, Los Angeles | |||
Sumire | |||
==WHO Classification of Disease== | ==WHO Classification of Disease== | ||
| Line 64: | Line 55: | ||
|'''Comment''' | |'''Comment''' | ||
|- | |- | ||
| rowspan="12" | | | rowspan="12" |''[[ABL1]]'' | ||
(9q34) | (9q34) | ||
|''CENPC1'' | |''CENPC1'' | ||
| Line 150: | Line 141: | ||
| | | | ||
|- | |- | ||
| rowspan="3" | | | rowspan="3" |''[[ABL2]]'' | ||
(1q25.2) | (1q25.2) | ||
|''PAG1'' | |''PAG1'' | ||
| Line 173: | Line 164: | ||
| | | | ||
|- | |- | ||
| rowspan="2" | | | rowspan="2" |''[[CRLF2]]'' | ||
(Xp22.3 & Yp11.3) | (Xp22.3 & Yp11.3) | ||
|''[[IGH]]'' | |''[[IGH]]'' | ||
| Line 190: | Line 181: | ||
| | | | ||
|- | |- | ||
| rowspan="3" | | | rowspan="3" |''CSF1R'' | ||
(5q32) | (5q32) | ||
|''MEF2D'' | |''MEF2D'' | ||
| Line 213: | Line 204: | ||
| | | | ||
|- | |- | ||
| | |''DGKH'' (13q14.1) | ||
|''ZFAND3'' | |''ZFAND3'' | ||
|t(6;13)(p21.2;q14.1) | |t(6;13)(p21.2;q14.1) | ||
| Line 221: | Line 212: | ||
|Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | |Requires complex rearrangement due to incompatible orientation of genes with respect to chromosome arms | ||
|- | |- | ||
| rowspan="4" | | | rowspan="4" |''EPOR'' (19p13.2) | ||
|''[[IGH]]'' | |''[[IGH]]'' | ||
|ins(14;19)(q32;p13.2p13.2) | |ins(14;19)(q32;p13.2p13.2) | ||
| Line 250: | Line 241: | ||
| | | | ||
|- | |- | ||
| | |''IL2RB'' (22q12.3) | ||
|''MYH9'' | |''MYH9'' | ||
|22q12.3 rearrangement | |22q12.3 rearrangement | ||
| Line 258: | Line 249: | ||
|On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | |On the same chromosome arm; however, a simple deletion cannot cause the fusion due to the orientation of genes | ||
|- | |- | ||
| rowspan="22" | | | rowspan="22" |''[[JAK2]]'' | ||
(9p24.1) | (9p24.1) | ||
|''ATF7IP'' | |''ATF7IP'' | ||
| Line 414: | Line 405: | ||
| | | | ||
|- | |- | ||
| | |''[[PDGFRA]]'' | ||
(4q12) | (4q12) | ||
|''FIP1L1'' | |''FIP1L1'' | ||
| Line 423: | Line 414: | ||
|Interstitial deletion. Seen also in myeloid/lymphoid neoplasms with eosinophilia | |Interstitial deletion. Seen also in myeloid/lymphoid neoplasms with eosinophilia | ||
|- | |- | ||
| rowspan="8" | | | rowspan="8" |''[[PDGFRB]]'' (5q32) | ||
|''ATF7IP'' | |''ATF7IP'' | ||
|t(5;12)(q32;p13.1) | |t(5;12)(q32;p13.1) | ||
| Line 480: | Line 471: | ||
| | | | ||
|- | |- | ||
| rowspan="3" | | | rowspan="3" |''PTK2B'' (8p21.2) | ||
|''[[KDM6A]]'' | |''[[KDM6A]]'' | ||
|t(X;8)(p11.3;p21.2) | |t(X;8)(p11.3;p21.2) | ||
| Line 502: | Line 493: | ||
| | | | ||
|- | |- | ||
| rowspan="3" | | | rowspan="3" |''TYK2'' (19p13.2) | ||
|''MYB'' | |''MYB'' | ||
|t(6;19)(q23.3;p13.2) | |t(6;19)(q23.3;p13.2) | ||
| Line 618: | Line 609: | ||
|P | |P | ||
|No | |No | ||
|Chromosome X/Y abnormalities include either translocation of the immunoglobin heavy chain enhance locus into ''CRLF2'' (''IGH''::''CRLF2''—more commonly seen in adults) or a cryptic deletion involving the PAR1 | |Chromosome X/Y abnormalities include either translocation of the immunoglobin heavy chain enhance locus into ''CRLF2'' (''IGH''::''CRLF2''—more commonly seen in adults) or a cryptic deletion involving the PAR1 pseudoautosomal region, resulting in fusion of ''CRLF2'' and ''P2RY8'' (more commonly seen in children); these alterations involving ''CRLF2'' have been associated with poor survival;<ref name=":7">{{Cite journal|last=Konoplev|first=Sergej|last2=Lu|first2=Xinyan|last3=Konopleva|first3=Marina|last4=Jain|first4=Nitin|last5=Ouyang|first5=Juan|last6=Goswami|first6=Maitrayee|last7=Roberts|first7=Kathryn G.|last8=Valentine|first8=Marc|last9=Mullighan|first9=Charles G.|date=2017|title=CRLF2-Positive B-Cell Acute Lymphoblastic Leukemia in Adult Patients: A Single-Institution Experience|url=https://www.ncbi.nlm.nih.gov/pubmed/28340183|journal=American Journal of Clinical Pathology|volume=147|issue=4|pages=357–363|doi=10.1093/ajcp/aqx005|issn=1943-7722|pmid=28340183}}</ref> very rare alternative translocations involving ''CRLF2'' have also been observed. | ||
|- | |- | ||
|Polysomy or iAMP21 | |Polysomy or iAMP21 | ||
| Line 667: | Line 658: | ||
|Unknown | |Unknown | ||
|No | |No | ||
|Half of cases with ''CRLF2'' overexpression have activating mutations in ''JAK1'' or ''JAK2'' that promote downstream JAK-STAT signaling;<ref name=":10" /> the most common mutation, p.R683G, occurs in the pseudokinase domain of ''JAK2'', and less common ''JAK1'' alterations have been detected, which include p.V658F most frequently. | |Half of cases with ''CRLF2'' overexpression have activating mutations in ''JAK1'' or ''JAK2'' that promote downstream JAK-STAT signaling;<ref name=":10" /> the most common mutation, p.R683G, occurs in the pseudokinase domain of ''JAK2'', and less common ''JAK1'' alterations have been detected, which include p.V658F most frequently; clinical trials examining the treatment effects of targeting JAK proteins are currently ongoing.<ref>{{Cite journal|last=Goulart|first=Hannah|last2=Jabbour|first2=Elias|last3=Short|first3=Nicholas J.|last4=Kadia|first4=Tapan M.|last5=Pemmaraju|first5=Naveen|last6=Takahashi|first6=Koichi|last7=Ravandi|first7=Farhad|last8=Konopleva|first8=Marina|last9=Jain|first9=Nitin|date=2025-11|title=A Phase I/II Trial of Ruxolitinib with Chemotherapy for Patients with Relapsed and/or Refractory Philadelphia-like Acute Lymphoblastic Leukemia|url=https://pubmed.ncbi.nlm.nih.gov/40500616|journal=Clinical Lymphoma, Myeloma & Leukemia|volume=25|issue=11|pages=800–807|doi=10.1016/j.clml.2025.05.013|issn=2152-2669|pmid=40500616}}</ref> | ||
|- | |- | ||
|''IL7R'' | |''IL7R'' | ||
| Line 679: | Line 670: | ||
|''SH2B3'' | |''SH2B3'' | ||
''IL2RB'' | ''IL2RB'' | ||
''TYK2'' | ''TYK2'' | ||
''TLSP'' | ''TLSP'' | ||
|Activating mutations | |Activating mutations | ||
| Line 709: | Line 702: | ||
|These result in B-cell progenitor proliferation; may be responsive to TKIs.<ref>{{Cite journal|last=Senapati|first=Jayastu|last2=Jabbour|first2=Elias|last3=Konopleva|first3=Marina|last4=Short|first4=Nicholas J.|last5=Tang|first5=Guilin|last6=Daver|first6=Naval|last7=Kebriaei|first7=Partow|last8=Kadia|first8=Tapan|last9=Pemmaraju|first9=Naveen|date=2023-05|title=Philadelphia-Like Genetic Rearrangements in Adults With B-Cell ALL: Refractoriness to Chemotherapy and Response to Tyrosine Kinase Inhibitor in ABL Class Rearrangements|url=https://pubmed.ncbi.nlm.nih.gov/37196217|journal=JCO precision oncology|volume=7|pages=e2200707|doi=10.1200/PO.22.00707|issn=2473-4284|pmc=10309573|pmid=37196217}}</ref> | |These result in B-cell progenitor proliferation; may be responsive to TKIs.<ref>{{Cite journal|last=Senapati|first=Jayastu|last2=Jabbour|first2=Elias|last3=Konopleva|first3=Marina|last4=Short|first4=Nicholas J.|last5=Tang|first5=Guilin|last6=Daver|first6=Naval|last7=Kebriaei|first7=Partow|last8=Kadia|first8=Tapan|last9=Pemmaraju|first9=Naveen|date=2023-05|title=Philadelphia-Like Genetic Rearrangements in Adults With B-Cell ALL: Refractoriness to Chemotherapy and Response to Tyrosine Kinase Inhibitor in ABL Class Rearrangements|url=https://pubmed.ncbi.nlm.nih.gov/37196217|journal=JCO precision oncology|volume=7|pages=e2200707|doi=10.1200/PO.22.00707|issn=2473-4284|pmc=10309573|pmid=37196217}}</ref> | ||
|- | |- | ||
|''CRLF2'' overexpression; mutations of ''CRLF2'', ''JAK1'', ''IL7R, SH2B3, IL2RB, TYK2,'' and ''TLSP''; ''JAK2'' and ''EPOR'' rearrangements | |''CRLF2'' overexpression; mutations of ''CRLF2'', ''JAK1/2'', ''IL7R, SH2B3, IL2RB, TYK2,'' and ''TLSP''; ''JAK2'' and ''EPOR'' rearrangements | ||
|JAK-STAT signaling | |JAK-STAT signaling | ||
|These potentiate the JAK2-signal transducer and upregulate the transcription 5 pathway;<ref name=":8" /> other mutations not in ''CRLF2'' and ''IL7R'' cause constitutive JAK/STAT activation downstream of CRLF2. | |These potentiate the JAK2-signal transducer and upregulate the transcription 5 pathway;<ref name=":8" /> other mutations not in ''CRLF2'' and ''IL7R'' cause constitutive JAK/STAT activation downstream of CRLF2. | ||
| Line 749: | Line 742: | ||
==References== | ==References== | ||
<references /> | |||
==Notes== | ==Notes== | ||
| Line 756: | Line 749: | ||
Prior Author(s): Fabiola Quintero-Rivera, MD | Prior Author(s): Fabiola Quintero-Rivera, MD | ||
<nowiki>*</nowiki>''Citation of this Page'': “B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features”. Compendium of Cancer Genome Aberrations (CCGA), Cancer Genomics Consortium (CGC), updated {{REVISIONMONTH}}/{{REVISIONDAY}}/{{REVISIONYEAR}}, <nowiki>https://ccga.io/index.php/HAEM5:B-lymphoblastic_leukaemia/lymphoma_with_BCR::ABL1-like_features</nowiki>. | <nowiki>*</nowiki>''Citation of this Page'': Evans MG, Kitahara S. “B-lymphoblastic leukaemia/lymphoma with BCR::ABL1-like features”. Compendium of Cancer Genome Aberrations (CCGA), Cancer Genomics Consortium (CGC), updated {{REVISIONMONTH}}/{{REVISIONDAY}}/{{REVISIONYEAR}}, <nowiki>https://ccga.io/index.php/HAEM5:B-lymphoblastic_leukaemia/lymphoma_with_BCR::ABL1-like_features</nowiki>. | ||
[[Category:HAEM5]] | [[Category:HAEM5]] | ||
[[Category:DISEASE]] | [[Category:DISEASE]] | ||
[[Category:Diseases B]] | [[Category:Diseases B]] | ||