Table 6.

11q23 Partner Chromosome Breakpoints and Fusion Transcripts in ALL

Chromosome Breakpoint Gene Involved Fusion Transcript Comments
1p32  AF1p  AF1p-MLL  Normally expressed as 4.4 kb transcript in various tissues 
   No known similarity with other genes known to fuse withMLL, but 88% homology with eps15 (refs 133, 134) 
4q21  AF4 (FEL,  MLLT2)  AF4-MLL  Expressed as two 12-kb and 10.5-kb transcripts in various tissues 
   Encodes protein of 140 kD with putative nuclear targeting sequence and consensus sequence for ATP/GTP binding 
   Proline/serine-rich protein  
   Most common 11q23 fusion gene (refs 133, 134)  
10p12-14  AF10 AF10-MLL  5.5-kb mRNA encoding for protein of 1,027 amino acids  
   Contains zinc-finger motif near N-terminus and leucine-zipper motif near C-terminus  
   High degree of similarity with AF17 
   IL-2 gene maps to breakpoint region (refs 133, 134)  
19p13  ENL (MLLT1,  LTG19)  MLL-ENL  4.7-kb mRNA encoding for protein of 559 amino acids  
   Contains putative nuclear targeting sequence and consensus sequence for ATP/GTP binding 
   Proline/serine-rich protein  
   56% identical with AF9 (refs 133, 134) 
Chromosome Breakpoint Gene Involved Fusion Transcript Comments
1p32  AF1p  AF1p-MLL  Normally expressed as 4.4 kb transcript in various tissues 
   No known similarity with other genes known to fuse withMLL, but 88% homology with eps15 (refs 133, 134) 
4q21  AF4 (FEL,  MLLT2)  AF4-MLL  Expressed as two 12-kb and 10.5-kb transcripts in various tissues 
   Encodes protein of 140 kD with putative nuclear targeting sequence and consensus sequence for ATP/GTP binding 
   Proline/serine-rich protein  
   Most common 11q23 fusion gene (refs 133, 134)  
10p12-14  AF10 AF10-MLL  5.5-kb mRNA encoding for protein of 1,027 amino acids  
   Contains zinc-finger motif near N-terminus and leucine-zipper motif near C-terminus  
   High degree of similarity with AF17 
   IL-2 gene maps to breakpoint region (refs 133, 134)  
19p13  ENL (MLLT1,  LTG19)  MLL-ENL  4.7-kb mRNA encoding for protein of 559 amino acids  
   Contains putative nuclear targeting sequence and consensus sequence for ATP/GTP binding 
   Proline/serine-rich protein  
   56% identical with AF9 (refs 133, 134) 

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