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Mechanisms associated with t(7;12) acute myeloid leukaemia: from genetics to potential treatment targets
Denise Ragusa1,2, Liza Dijkhuis1, Cristina Pina1,2
1College of Health, Medicine and Life Sciences, Division of Biosciences, Brunel University London, Uxbridge, UB8 3PH, U.K.
Insights
Infant acute myeloid leukaemia (AML) with t(7;12) translocation is poorly understood. This review explores its biology and recent advances, offering potential therapeutic insights for this high-risk subtype.
Area of Science:
- Hematology
- Pediatric Oncology
- Molecular Biology
Background:
- Acute myeloid leukaemia (AML) in infants is rare but aggressive.
- The t(7;12) translocation is a high-risk AML subtype specific to infants, with unclear leukaemogenesis mechanisms.
- Ectopic MNX1 expression is a hallmark of t(7;12) AML, but its role in transformation remains elusive.
Approach:
- Reviewing current literature on t(7;12) AML.
- Analyzing recent studies utilizing advanced genome editing and murine models.
- Investigating the biological features and mechanistic understanding of t(7;12) leukaemogenesis.
Key Points:
- The t(7;12) translocation involves the MNX1 gene, but fusion transcripts are inconsistent.
- Advances in genome editing enable precise recreation of the t(7;12) rearrangement.
- Murine models provide valuable platforms for studying t(7;12) AML biology.
Conclusions:
- Understanding t(7;12) biology is crucial for developing targeted therapies.
- Recent mechanistic insights may lead to improved treatment strategies for infant AML.
- Further research into this rare but aggressive AML subtype holds promise for better patient outcomes.
Abstract:
Acute myeloid leukaemia (AML), typically a disease of elderly adults, affects 8 children per million each year, with the highest paediatric incidence in infants aged 0-2 of 18 per million. Recurrent cytogenetic abnormalities contribute to leukaemia pathogenesis and are an important determinant of leukaemia classification. The t(7;12)(q36;p13) translocation is a high-risk AML subtype exclusively associated with infants and represents the second most common abnormality in this age group. Mechanisms of t(7;12) leukaemogenesis remain poorly understood. The translocation relocates the entire MNX1 gene within the ETV6 locus, but a fusion transcript is present in only half of the patients and its significance is unclear. Instead, research has focused on ectopic MNX1 expression, a defining feature of t(7;12) leukaemia, which has nevertheless failed to produce transformation in conventional disease models. Recently, advances in genome editing technologies have made it possible to recreate the t(7;12) rearrangement at the chromosomal level. Together with recent studies of MNX1 involvement using murine in vivo, in vitro, and organoid-based leukaemia models, specific investigation on the biology of t(7;12) can provide new insights into this AML subtype. In this review, we provide a comprehensive up-to-date analysis of the biological features of t(7;12), and discuss recent advances in mechanistic understanding of the disease which may deliver much-needed therapeutic opportunities to a leukaemia of notoriously poor prognosis.
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