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Updated: May 6, 2026

Oncogenic Gene Fusion Detection Using Anchored Multiplex Polymerase Chain Reaction Followed by Next Generation Sequencing
Published on: July 5, 2019
Do non-genomically encoded fusion transcripts cause recurrent chromosomal translocations?
Eric Kowarz1, Theo Dingermann, Rolf Marschalek
1Institute of Pharmaceutical Biology/ZAFES/DCAL, Goethe-University of Frankfurt, Biocenter, Max-von-Laue-Str. 9, D-60438 Frankfurt/Main, Germany. Rolf.Marschalek@em.uni-frankfurt.de.
Normal cells generate fusion mRNAs from early-terminated transcripts (ETTs), not genomic rearrangements. These ETTs lead to trans-splicing, producing non-genomically encoded fusion transcripts with potential roles in DNA repair.
Area of Science:
- Molecular Biology
- Genetics
- Cancer Research
Background:
- Recent findings indicate normal cells produce fusion mRNAs.
- These fusion mRNAs originate from early-terminated transcripts (ETTs), not genomic rearrangements.
- ETTs arise from premature transcriptional termination within breakpoint cluster regions.
Purpose of the Study:
- To investigate the role of early-terminated transcripts (ETTs) in fusion mRNA generation.
- To explore the mechanisms of trans-splicing in normal and cancer-associated genes.
- To assess the potential of non-genomically encoded fusion transcripts (NGEFTs) in DNA repair.
Main Methods:
- Analysis of transcriptional termination and splicing patterns.
- Experimental investigation of four specific genes: ETV6, NUP98, RUNX1, and EWSR1.
- Comparative analysis of transplicing events across multiple cancer-associated genes.
Main Results:
- ETTs exhibit unsaturated splice donor sites, leading to cryptic exon splicing and trans-splicing (intra- and intergenic).
- Intergenic trans-splicing produces non-genomically encoded fusion transcripts (NGEFTs).
- Investigated genes (ETV6, NUP98, RUNX1, EWSR1) and previously studied genes (MLL, AF4, AF9, ENL, ELL) all show ETTs and trans-spliced mRNA species.
Conclusions:
- Trans-splicing via ETTs is a genuine mechanism for generating fusion transcripts from genes involved in translocations.
- NGEFTs may influence DNA repair processes by acting as guidance RNA.
- This mechanism provides a new perspective on gene expression regulation and potential oncogenic pathways.
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