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一个新型 PML/RARA 短融合转录本的病例,该融合转录本截断了 RARA 基因的转录变体 2。

A case of a novel PML/RARA short fusion transcript with truncated transcription variant 2 of the RARA gene.

机构信息

Center of Molecular Biology and Gene Therapy, Department of Internal Medicine-Hemato-oncology, University Hospital Brno and Masaryk University, Brno, Czech Republic.

出版信息

Mol Diagn Ther. 2010 Apr 1;14(2):113-7. doi: 10.2165/11317400-000000000-00000.

Abstract

Acute promyelocytic leukemia (APL) with atypical breakpoints in the promyelocytic leukemia (PML) and retinoic acid receptor-alpha (RARA) genes represents a rare leukemic event, which occurs preferentially in patients with variant types of the PML/RARA fusion gene. Here we report on a patient with APL with a unique PML/RARA fusion transcript that harbors a short type of this fusion gene, exhibiting unexpected results of standard PCR diagnostics. The detected transcript originates from fusion of PML exon 4 and a truncated form of transcription variant 2 of the RARA gene, with an additional 9 bp insertion. According to our knowledge, this differs from all previously described fusion transcripts.

摘要

急性早幼粒细胞白血病(APL)伴早幼粒细胞白血病(PML)和维甲酸受体-α(RARA)基因的非典型断点代表一种罕见的白血病事件,主要发生在具有 PML/RARA 融合基因变异型的患者中。在这里,我们报告了一例 APL 患者,其 PML/RARA 融合转录本具有这种融合基因的短型,表现出标准 PCR 诊断的意外结果。检测到的转录本源自 PML 外显子 4 与 RARA 基因转录变体 2 的截断形式融合,并有 9 个碱基对的额外插入。据我们所知,这与以前描述的所有融合转录本都不同。

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