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      First Korean Case of Pediatric Acute Megakaryoblastic Leukemia with CBFA2T3::GLIS2 Fusion

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      https://www.riss.kr/link?id=A108962751

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      다국어 초록 (Multilingual Abstract)

      Acute megakaryoblastic leukemia (AMKL) is a rare type of acute myeloid leukemia that evolved from primitive megakaryoblasts. We report a case of non-Down syndrome AMKL with CBFA2T3::GLIS2 fusion that has not been described before in Korea. A 20-month-old girl presented with a fever and was diagnosed with AMKL after a bone marrow study and flow cytometry analysis. An RNA fusion test observed a fusion transcript between exons 9 and 2 of the CBFA2T3 and GLIS2 genes, respectively. The patient achieved complete morphological remission after induction chemotherapy. However, her prognosis was poor as measurable residual disease remained, detected using reverse transcription PCR. RNA fusion analysis could be a helpful tool to identify clinically actionable genomic markers for patient risk stratification and measurable residual disease monitoring.
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      Acute megakaryoblastic leukemia (AMKL) is a rare type of acute myeloid leukemia that evolved from primitive megakaryoblasts. We report a case of non-Down syndrome AMKL with CBFA2T3::GLIS2 fusion that has not been described before in Korea. A 20-month-...

      Acute megakaryoblastic leukemia (AMKL) is a rare type of acute myeloid leukemia that evolved from primitive megakaryoblasts. We report a case of non-Down syndrome AMKL with CBFA2T3::GLIS2 fusion that has not been described before in Korea. A 20-month-old girl presented with a fever and was diagnosed with AMKL after a bone marrow study and flow cytometry analysis. An RNA fusion test observed a fusion transcript between exons 9 and 2 of the CBFA2T3 and GLIS2 genes, respectively. The patient achieved complete morphological remission after induction chemotherapy. However, her prognosis was poor as measurable residual disease remained, detected using reverse transcription PCR. RNA fusion analysis could be a helpful tool to identify clinically actionable genomic markers for patient risk stratification and measurable residual disease monitoring.

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      참고문헌 (Reference)

      1 조현정 ; 박현경 ; 공선영 ; 박규은 ; 김선희 ; 구홍회, "t(1;22)(p13;q13) 핵형에 의해 진단된 급성 거핵아 구성 백혈병 1예" 대한진단검사의학회 23 (23): 371-374, 2003

      2 Khoury JD, "The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours : Myeloid and Histiocytic/Dendritic Neoplasms" 36 : 1703-1719, 2022

      3 Bennett JM, "Proposals for the classification of the acute leukaemias. French-American-British(FAB)co-operative group" 33 : 451-458, 1976

      4 de Rooij JD, "Pediatric non-Down syndrome acute megakaryoblastic leukemia is characterized by distinct genomic subsets with varying outcomes" 49 : 451-456, 2017

      5 Arber DA, "International consensus classification of myeloid neoplasms and acute leukemias : integrating morphologic, clinical, and genomic data" 140 : 1200-1228, 2022

      6 서보영 ; 신명근 ; 최현우 ; 강민구 ; 조덕 ; 기승정 ; 김수현 ; 신종희 ; 서순팔 ; 양동욱, "Constitutional Chromosomal Abnormality Identified in a Sibling Donor After Bone Marrow Stem Cell Transplantation in a Pediatric Patient with Acute Megakaryoblastic Leukemia" 대한진단검사의학회 35 (35): 162-164, 2015

      7 Smith JL, "Comprehensive Transcriptome Profiling of cryptic CBFA2T3-GLIS2 fusion-positive AML defines novel therapeutic options : a COG and TARGET Pediatric AML study" 26 : 726-737, 2020

      8 Thiollier C, "Characterization of novel genomic alterations and therapeutic approaches using acute megakaryoblastic leukemia xenograft models" 209 : 2017-2031, 2012

      9 Masetti R, "CBFA2T3-GLIS2-positive acute myeloid leukaemia. A peculiar paediatric entity" 184 : 337-347, 2019

      10 Masetti R, "CBFA2T3-GLIS2 fusion transcript is a novel common feature in pediatric, cytogenetically normal AML, not restricted to FAB M7 subtype" 121 : 3469-3472, 2013

      1 조현정 ; 박현경 ; 공선영 ; 박규은 ; 김선희 ; 구홍회, "t(1;22)(p13;q13) 핵형에 의해 진단된 급성 거핵아 구성 백혈병 1예" 대한진단검사의학회 23 (23): 371-374, 2003

      2 Khoury JD, "The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours : Myeloid and Histiocytic/Dendritic Neoplasms" 36 : 1703-1719, 2022

      3 Bennett JM, "Proposals for the classification of the acute leukaemias. French-American-British(FAB)co-operative group" 33 : 451-458, 1976

      4 de Rooij JD, "Pediatric non-Down syndrome acute megakaryoblastic leukemia is characterized by distinct genomic subsets with varying outcomes" 49 : 451-456, 2017

      5 Arber DA, "International consensus classification of myeloid neoplasms and acute leukemias : integrating morphologic, clinical, and genomic data" 140 : 1200-1228, 2022

      6 서보영 ; 신명근 ; 최현우 ; 강민구 ; 조덕 ; 기승정 ; 김수현 ; 신종희 ; 서순팔 ; 양동욱, "Constitutional Chromosomal Abnormality Identified in a Sibling Donor After Bone Marrow Stem Cell Transplantation in a Pediatric Patient with Acute Megakaryoblastic Leukemia" 대한진단검사의학회 35 (35): 162-164, 2015

      7 Smith JL, "Comprehensive Transcriptome Profiling of cryptic CBFA2T3-GLIS2 fusion-positive AML defines novel therapeutic options : a COG and TARGET Pediatric AML study" 26 : 726-737, 2020

      8 Thiollier C, "Characterization of novel genomic alterations and therapeutic approaches using acute megakaryoblastic leukemia xenograft models" 209 : 2017-2031, 2012

      9 Masetti R, "CBFA2T3-GLIS2-positive acute myeloid leukaemia. A peculiar paediatric entity" 184 : 337-347, 2019

      10 Masetti R, "CBFA2T3-GLIS2 fusion transcript is a novel common feature in pediatric, cytogenetically normal AML, not restricted to FAB M7 subtype" 121 : 3469-3472, 2013

      11 Gruber TA, "An Inv(16)(p13. 3q24. 3)-encoded CBFA2T3-GLIS2 fusion protein defines an aggressive subtype of pediatric acute megakaryoblastic leukemia" 22 : 683-697, 2012

      12 Haas BJ, "Accuracy assessment of fusion transcript detection via read-mapping and de novo fusion transcript assembly-based methods" 20 : 213-, 2019

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