IndraLab
Statements
sparser
"In a previously published study of a cohort of 11 pediatric B-ALL patients with the KMT2A-USP2 fusion, three patients presented with central nervous system disease and 8 patients had positive-minimal residual disease at day 33, suggesting a poor prognosis of patients carrying this fusion ( xref )."
sparser
"In other cases, clinical break-apart FISH assays only identified one component of the likely fusion ( NUP98 in sample 0158 and KMT2A in sample 0172), while the partner gene with prognostic significance was only identified after nanopore sequencing, ( NUP98 :: NSD1 and KMT2A::USP2 )."
sparser
"MPAL with KMT2A usually has a B/myeloid immunophenotype (an example case of MPAL with KMT2A::USP2 fusion, B/myeloid (bilineal, pattern 1b, in xref )), although other immunophenotypic variants, including rare cases of AUL and T/myeloid MPAL, have been reported [ xref , xref , xref ]."
sparser
"The KMT2A fluorescence in situ hybridization (FISH) break-apart probe is widely used in clinical laboratories to detect KMT2A rearrangements because this gene has numerous fusion partners, but this approach has limitations, including the inability to detect cryptic fusions, such as KMT2A::USP2 [ xref ], or insertions [ xref , xref ], or partial tandem duplication [ xref ], and FISH also does not provide information regarding specific fusion partners."
sparser
"The power of NARASIMHA lies in the fact that we can detect CGF that are challenging for conventional techniques, such as BCR–ABL1 -like ALL, B-other BCP-ALL, KMT2A -rearranged malignancies as well as cryptic lesions that will be missed by FISH (for e.g., NUP98–NSD1 , DUX4 rearrangements, KMT2A-USP2 fusions)."
sparser
"In other cases, clinical break-apart FISH assays only identified one component of the likely fusion ( NUP98 in sample 0158 and KMT2A in sample 0172), while the partner gene with prognostic significance was only identified after nanopore sequencing, ( NUP98 :: NSD1 and KMT2A::USP2 )."
sparser
"In a prospective study, Meyer et al ( xref ) reported that a very small number of patients with acute leukemia have rearranged USP2 and USP8 genes and that the conserved region of the deubiquitinating enzyme ‘UCH-domain’ fuses to an extended 5´-MLL portion, which formed the fusion proteins MLL-USP2 and MLL-USP8."
sparser
"All 48 detectable cases of KMT2A r transcript results were confirmed by split RT–PCR, which included 24 (50.00%) patients with KMT2A-AFF1 transcripts, 13 (27.08%) patients with KMT2A-MLLT3 transcripts , 5 (10.42%) patients with KMT2A-MLLT1 transcripts, and 1 (2.08%) patient with KMT2A-EPS15 , KMT2A-MLLT10 , KMT2A-FLNA , KMT2A-CLTC , KMT2A-CT45A1 or KMT2A-USP2 transcripts (Table xref )."
sparser
"Rare fusion genes were detected by RNA-seq, including 1 case of KMT2A-USP2 , 4 cases of Ph-like related fusion genes, 5 cases of MEF2D rearrangement, 5 cases of PAX5 rearrangement, 3 cases of ZNF384 rearrangement, as well as several fusion genes whose significance were not clear or had not been reported in children with leukemia."
sparser
"Although the clinical outcome associated with this rearrangement remains unknown, and given the ability of DUBs to impede protein degradation, a MLL–USP2 chimeric protein has been proposed to drive leukemogenesis through USP2-mediated stabilization of the MLL1/MLL complex and/or by USP2-mediated stabilization of its substrates, specifically cyclin D1 [ xref ]."
sparser
"Although patient SJINF066 was an infant (9-month-old) and SJBALL021549_D1 was a 9-year-old child, the expression levels of GATA2 in these two cases were comparable, indicating that trans-activation of GATA2 by KMT2A-USP2 is not influenced by age but rather by the function of this fusion."
sparser
"Considering that the KMT2A fusion trans-activates HOX genes by directly binding to HOX loci ( xref ) and that histone H2A ubiquitination plays a critical function in polycomb-mediated transcriptional repression ( xref , xref ), it is likely that USP2 is relocated to the nucleus by the KMT2A-USP2 fusion and contributes to trans-activation of GATA2 transcription through deubiquitinating H2A and further disrupting gene silencing maintained by polycomb group complexes."