The Runt domain transcription factor AML1/RUNX1 is essential for the generation of hematopoietic stem cells and is the most frequent target of chromosomal translocations associated with leukemia. Here, we present a new AML1 translocation found in a patient with acute myeloid leukemia M4 with t(8;21)(q24;q22) at the time of relapse. This translocation generated an in-frame chimeric gene consist-
IntroductionAML1/RUNX1 encodes the DNA-binding ␣ subunit of the heterodimeric transcription factor PEBP2/CBF, which interacts with the partner  subunit (PEBP2/CBF) through its evolutionarily conserved Runt domain. 1 AML1 is one of the most frequently mutated genes in human leukemia, 2-4 and was originally identified as a gene on chromosome 21 involved in t(8;21)(q22:q22). 5 To date, 11 AML1-related translocations are known that produce chimeric proteins such as AML1-MTG8/ETO in t(8;21), AML1-EVI1 in t(3;21), and TEL-AML1 in t(12;21). 2,6,7 All these AML1 chimeric proteins retain the Runt domain and inhibit transcriptional activity of wild-type AML1 in a dominant-negative manner. [2][3][4] However, the functional contributions of partner moieties in leukemogenesis remain largely undetermined. Here, we report a new AML1 translocation, t(8;21)(q24;q22), in a patient with acute myeloid leukemia (AML), and present results from functional analyses of the chimeric protein AML1-TRPS1.
Patient, materials, and methods
Patient profileA 56-year-old Japanese man was diagnosed with AML M4 with a normal karyotype in October 1997. He was treated with idarubicin and cytarabine, followed by postremission therapy according to the Japan Adult Leukemia Study Group (JALSG) AML97. 8 In July 1999, his marrow showed 55.6% blasts with t(8;21)(q24;q22) at relapse. Bone marrow cells at diagnosis and relapse showed the similar morphology and immunophenotypes positive for CD13, CD33, CD4, and HLA-DR, but negative for CD34, which were consistent with AML M4. 9 The study was approved by the Institutional Review Board of Kumamoto University School of Medicine, Japan, and informed consent was obtained from the patient, according to the Declaration of Helsinki.
Molecular cloningThe fusion partner gene was cloned by long-distance 3Ј rapid amplification of cDNA ends (RACE) using the SMART RACE kit (Clontech Labs, Mountain View, CA).
Plasmid constructionsThe cloned fusion gene AML1-TRPS1 was inserted into the pEF-Bos expression plasmid 10 or MIG retroviral vector. 11 Mutant constructs were generated by polymerase chain reaction (PCR)-based site-directed mutagenesis.
EMSAElectrophoretic mobility shift assays (EMSAs) were performed using biotin-labeled probes containing the AML1 12 or GATA factor-binding sites. 13 The specificity of the probes are shown in Figure S1, available on the Blood website (see the Supplemental Figure link at the top of the online article). Whole-cell extracts of COS7 cells (1 ϫ 10 6 ) transfected with pEF-Bos expression vectors were subjected to the assay.
Transcription assayThe luciferase reporter constructs pBXH2-LTR-luc and pRBG...