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Molecular Oncology, Markers, Clinical Correlates |
Parker Hughes Cancer Center and Childrens Cancer Group ALL Biology Reference Laboratory, Hughes Institute, St. Paul, Minnesota 55113 [L. S., M-L. C., C. N., A. V., C. M., F. M. U.]; Group Operations Center, Childrens Cancer Group, Arcadia, California 91066 [H. S., M. S.]; Department of Pediatrics, University of Chicago, Chicago, Illinois 60601 [J. N.]; Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, New York 10021 [P. G. S.]; Department of Hematology-Oncology, Childrens Hospital Los Angeles, Los Angeles, California 90027 [P. S. G.]; and Childrens National Medical Center and the George Washington University, Washington, D.C. 20010 [N. S., G. H. R.]
Ikaros, a zinc finger-containing DNA-binding protein, is required for normal lymphocyte development. Germ-line mutant mice that express only non-DNA binding dominant-negative "leukemogenic" Ikaros isoforms lacking critical NH2-terminal zinc fingers develop an aggressive form of T-cell leukemia. We studied Ikaros gene expression in leukemic cells from 18 children with T-cell acute lymphoblastic leukemia (T-ALL). In each of the 18 T-ALL cases as well as JK-E61 and MOLT-3 cell lines, we found high-level expression of dominant-negative isoforms of Ikaros with abnormal subcellular compartmentalization patterns. Nuclear extracts from these cells failed to bind to the IKAROS-specific binding sequence in DNA. PCR cloning and sequencing confirmed that JK-E61 and MOLT-3 cell lines as well as leukemic cells from 9 of 10 patients with T-ALL expressed dominant-negative Ikaros isoforms Ik-4, Ik-7, and Ik-8 that lack critical NH2-terminal zinc fingers. In 6 of 10 patients, we detected a specific mutation leading to an in-frame deletion of 10 amino acids (
KSSMPQKFLG) upstream to the transcription activation domain and adjacent to the COOH-terminal zinc fingers of Ik-2, Ik-4, Ik-7, and Ik-8. Thus, children with T-ALL express high levels of dysfunctional dominant-negative Ikaros isoforms.
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