Overexpression of translocation-associated fusion genes of FGFRI, MYC, NPMI, and DEK, but absence of the translocations in acute myeloid leukemia. A microarray analysis

Haematologica. 2002 Jun;87(6):569-77.


Background and objectives: Translocation-associated gene fusions are well recognized in acute myeloid leukemia. Other molecular genetic changes are less well known. The novel cDNA technology has opened the avenue to large-scale gene expression analysis. Our aim was to perform cDNA microarray analysis of acute myeloid leukemia (AML).

Design and methods: We performed cDNA microarray analysis using the Clontech hematology filter (containing 406 genes) on 15 patients to study gene expression profiling in AML. As reference, we used whole bone marrow from 5 healthy donors.

Results: Our results revealed 50 differentially expressed genes in at least 3 out of 15 patients. Twenty-two genes were upregulated (ratio > or =4), whereas 28 genes were downregulated (ratio < or =0.25). All but one of the 13 genes tested by real-time polymerase chain reaction (PCR) showed the same expression profiles. Among the overexpressed genes, several were those earlier associated with chromosomal translocations and gene fusions. These genes were FGFR1, MYC, NPM1, DEC, and BCL2. The expression of two upregulated genes, HOXA4 and CSF1R, was significantly higher in patients with a white blood cell count higher than 30 x 10(9)/L cells. In patients whose white blood cell count was higher than 100 x 10(9)/L cells, both CLC and GRN were significantly underexpressed, whereas HOXA4 and DAPK1 were overexpressed. FGFR1 and CAMLG were more frequently significantly overexpressed in patients with CD56 immunophenoytpe.

Interpretation and conclusions: Clinical and prognostic significance of differential gene expression should be studied with a larger series of patients by using other techniques, such as quantitative real-time PCR.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adaptor Proteins, Signal Transducing*
  • Adult
  • Aged
  • Apoptosis Regulatory Proteins
  • Calcium-Calmodulin-Dependent Protein Kinases / genetics
  • Calcium-Calmodulin-Dependent Protein Kinases / physiology
  • Carrier Proteins / genetics
  • Carrier Proteins / physiology
  • Case-Control Studies
  • Chromosomal Proteins, Non-Histone*
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / physiology
  • Death-Associated Protein Kinases
  • Female
  • Gene Expression Profiling*
  • Gene Expression Regulation / physiology*
  • Genes, bcl-2 / genetics
  • Genes, bcl-2 / physiology
  • Genes, myc / genetics
  • Genes, myc / physiology
  • Homeodomain Proteins
  • Humans
  • Intercellular Signaling Peptides and Proteins*
  • Leukemia, Myeloid / genetics*
  • Male
  • Middle Aged
  • Neoplasm Proteins / genetics*
  • Neoplasm Proteins / physiology
  • Nuclear Proteins / genetics
  • Nuclear Proteins / physiology
  • Nucleophosmin
  • Oncogene Proteins / genetics
  • Oncogenes / physiology*
  • Poly-ADP-Ribose Binding Proteins
  • Progranulins
  • RNA / metabolism
  • Receptor Protein-Tyrosine Kinases / genetics
  • Receptor Protein-Tyrosine Kinases / physiology
  • Receptor, Fibroblast Growth Factor, Type 1
  • Receptor, Macrophage Colony-Stimulating Factor / genetics
  • Receptor, Macrophage Colony-Stimulating Factor / physiology
  • Receptors, Fibroblast Growth Factor / genetics
  • Receptors, Fibroblast Growth Factor / physiology
  • Transcription Factors
  • Translocation, Genetic
  • Viral Proteins / genetics
  • Viral Proteins / physiology


  • Adaptor Proteins, Signal Transducing
  • Apoptosis Regulatory Proteins
  • CAMLG protein, human
  • Carrier Proteins
  • Chromosomal Proteins, Non-Histone
  • DNA-Binding Proteins
  • Dek protein, human
  • Homeodomain Proteins
  • Intercellular Signaling Peptides and Proteins
  • NPM1 protein, human
  • Neoplasm Proteins
  • Nuclear Proteins
  • Oncogene Proteins
  • Poly-ADP-Ribose Binding Proteins
  • Progranulins
  • Receptors, Fibroblast Growth Factor
  • Transcription Factors
  • Viral Proteins
  • Nucleophosmin
  • HOXA4 protein, human
  • RNA
  • FGFR1 protein, human
  • Receptor Protein-Tyrosine Kinases
  • Receptor, Fibroblast Growth Factor, Type 1
  • Receptor, Macrophage Colony-Stimulating Factor
  • DAPK1 protein, human
  • Death-Associated Protein Kinases
  • Calcium-Calmodulin-Dependent Protein Kinases