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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1999-9-2
pubmed:abstractText
We examined chromosomes and molecular aberrations in 21 patients with therapy-related leukemias (t-AML) or myelodysplastic syndromes (t-MDS). All patients showed abnormal karyotypes, and chromosomal losses of No. 5 and/or No. 7 (-5/5q- and/or -7/7q-) were identified in 12 patients. Among these 12, six patients (50%) harbored a TP53 mutation, and two of five examined showed microsatellite instability, suggesting replication error (RER+) phenotype. Meanwhile, among the other nine patients without -5/5q- and/or -7/7q-, none harbored a TP53 mutation, and none of five examined showed RER+ phenotype. Thus, TP53 mutations and RER+ phenotype were preferentially associated with specific chromosomal losses in t-AML/MDS. We then screened for mutational events in representative DNA mismatch repair genes; exons 5-7 and 12-15 of the hMSH2 gene and exon 9 of hMLH1. Notably, two unrelated patients showing RER+ phenotype had an identical missense alteration at codon 419 of hMSH2 in their marrow cells and fibroblasts, which were not found in 120 DNA samples from healthy volunteers or patients with other hematological disorders. Consequently, this study revealed a possible relationship of RER+ phenotype accompanying an hMSH2 alteration to the development of therapy-related AML/MDS in association with TP53 mutations and specific chromosomal losses, and suggests that some patients may be predisposed to myelodysplasia after chemotherapy for their primary tumor.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1235-42
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10450752-Adult, pubmed-meshheading:10450752-Aged, pubmed-meshheading:10450752-Aged, 80 and over, pubmed-meshheading:10450752-Base Pair Mismatch, pubmed-meshheading:10450752-Chromosome Deletion, pubmed-meshheading:10450752-Chromosomes, Human, Pair 5, pubmed-meshheading:10450752-Chromosomes, Human, Pair 7, pubmed-meshheading:10450752-DNA, Neoplasm, pubmed-meshheading:10450752-DNA, Satellite, pubmed-meshheading:10450752-DNA Replication, pubmed-meshheading:10450752-Female, pubmed-meshheading:10450752-Humans, pubmed-meshheading:10450752-Leukemia, pubmed-meshheading:10450752-Leukemia, Radiation-Induced, pubmed-meshheading:10450752-Male, pubmed-meshheading:10450752-Middle Aged, pubmed-meshheading:10450752-Myelodysplastic Syndromes, pubmed-meshheading:10450752-Neoplasms, Second Primary, pubmed-meshheading:10450752-Tumor Suppressor Protein p53
pubmed:year
1999
pubmed:articleTitle
Distinct genetic involvement of the TP53 gene in therapy-related leukemia and myelodysplasia with chromosomal losses of Nos 5 and/or 7 and its possible relationship to replication error phenotype.
pubmed:affiliation
Third Department of Internal Medicine, Kyoto Prefectural University of Medicine, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't