Prevalence of t(12;21)[ETV6-RUNX1]-positive cells in healthy neonates

Ulrik Lausten-Thomsen1, Hans Ole Madsen, Therese Risom Vestergaard

  • 1Department of Paediatrics, The University Hospital Rigshospitalet, Copenhagen, Denmark.

Blood
|August 18, 2010
PubMed

Insights

The ETV6-RUNX1 fusion gene, linked to childhood leukemia, was investigated in 1417 neonates. Researchers found significantly lower levels of ETV6-RUNX1-positive cells at birth than previously suggested.

Area of Science:

  • Hematology
  • Oncology
  • Genetics

Background:

  • The ETV6-RUNX1 fusion gene, resulting from the t(12;21)(p13;q22) chromosomal translocation, is the most frequent genetic abnormality in childhood acute lymphoblastic leukemia (ALL).
  • Previous research suggested prenatal initiation and high levels of ETV6-RUNX1-positive cells at birth, potentially detectable via Guthrie cards.

Purpose of the Study:

  • To investigate the actual prevalence and levels of ETV6-RUNX1-positive cells in healthy neonates at birth.
  • To re-evaluate the frequency of ETV6-RUNX1 transcripts in umbilical cord blood compared to prior estimates.

Main Methods:

  • Isolation of mononuclear cells from 1417 umbilical cord blood samples collected within 24 hours of birth.
  • Screening for ETV6-RUNX1 transcripts using a sensitive real-time reverse transcription polymerase chain reaction (RT-PCR) assay.
  • Confirmatory analyses including specific hybridization, mRNA re-analysis, and flow cytometric sorting of cell subpopulations.

Main Results:

  • Initial RT-PCR detected ETV6-RUNX1 transcripts in 14 samples (below 10^-5), with specific hybridization confirming 9 cases.
  • Subsequent rigorous analyses, including re-testing stored mRNA and flow cytometry on sorted cell populations (mean 18x10^6 cells), yielded no positive findings.
  • The study indicates that the level and/or frequency of ETV6-RUNX1-positive cells at birth is substantially lower than previously reported.

Conclusions:

  • The prevalence of ETV6-RUNX1-positive cells in healthy neonates is markedly lower than suggested by earlier studies.
  • This finding necessitates a re-evaluation of the role and detection methods for ETV6-RUNX1 in early leukemogenesis.

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