A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient
Philadelphia (Ph) chromosome (9; 22)(q34;q11) is well established in more than 90% of chronic myeloid leukemia (CML) patients and the remaining 5-8% CML patients show variant and complex translocations, with the involvement of third, fourth or fifth chromosome other then 9;22. However, in very rare...
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doaj-960409f7aaee4742b166f0db2c6ff38f2020-11-24T21:29:09ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2016-05-01610.3389/fonc.2016.00124198479A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patientMuhammad eAsif0Muhammad eAsif1Mohammad Sarwar eJamal2Abdul Rehman Khan3Muhammad Imran Naseer4Abrar eHussain5Hani eChoudhry6Arif eMalik7Shahida Aziz Khan8Maged eMostafa9Maged eMostafa10Ashraf eAli11Saima eIram12Kashif eKamran13Asim eIqbal14Zainularifeen eAbduljaleel15Peter Natesan Pushparaj16Mahmood eRasool17Balochistan University of Information Technology, Engineering and Management Sciences, (BUITEMS)Balochistan University of Information Technology, Engineering and Management SciencesKing Abdulaziz universityUniversity of Azad Jammu & KashmirKing Abdulaziz UniversityBalochistan University of Information Technology, Engineering and Management Sciences, (BUITEMS)King Abdulaziz UniversityThe University of LahoreKing Abdulaziz universityKing Abdulaziz universityDepartment of Molecular Genetics and Enzymology, Division of Human Genetics and Genome Research, National Research Centre, El-Buhouth St., P.O. 12622, Dokki, Giza, Egypt.King Abdulaziz universityBolan Medical Hospital, Quetta, BalochistanFaculty of Life Sciences, University of Balochistan.Faculty of Life Sciences, University of Balochistan.Department of Medical Genetics, College of Medicine, Umm Al-Qura UniversityKing Abdulaziz UniversityKing Abdulaziz UniversityPhiladelphia (Ph) chromosome (9; 22)(q34;q11) is well established in more than 90% of chronic myeloid leukemia (CML) patients and the remaining 5-8% CML patients show variant and complex translocations, with the involvement of third, fourth or fifth chromosome other then 9;22. However, in very rare cases the fourth chromosome is involved. Here, we find a novel case of four way Ph+ chromosome translocation involving 46,XY, t(4;9;19;22)(q25:q34;p13.3;q11.2) with CML in the chronic phase. Complete blood cell count of CML patient was carried out to obtain total leukocytes count, hemoglobin and platelets. Fluorescence In situ hybridization technique was used for the identification of BCR-ABL fusion gene and cryptogenic test for the confirmation of Ph (9; 22)(q34;q11) and the mechanism of variant translocation in the bone marrow. The patient is successfully treated with Imatinib mesylate (Gleevec) with 400mg/day dose. We observed a significant decrease in WBC count after 48 months follow up 11.7 x109/L. Patient started feeling better generally. There was a reduction in the swelling of the body, fatigue and anxiety.http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00124/fullPhiladelphia ChromosomeChronic myeloid leukemiaBCR-ABL genecomplex variant translocationFour way ranslocation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammad eAsif Muhammad eAsif Mohammad Sarwar eJamal Abdul Rehman Khan Muhammad Imran Naseer Abrar eHussain Hani eChoudhry Arif eMalik Shahida Aziz Khan Maged eMostafa Maged eMostafa Ashraf eAli Saima eIram Kashif eKamran Asim eIqbal Zainularifeen eAbduljaleel Peter Natesan Pushparaj Mahmood eRasool |
spellingShingle |
Muhammad eAsif Muhammad eAsif Mohammad Sarwar eJamal Abdul Rehman Khan Muhammad Imran Naseer Abrar eHussain Hani eChoudhry Arif eMalik Shahida Aziz Khan Maged eMostafa Maged eMostafa Ashraf eAli Saima eIram Kashif eKamran Asim eIqbal Zainularifeen eAbduljaleel Peter Natesan Pushparaj Mahmood eRasool A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient Frontiers in Oncology Philadelphia Chromosome Chronic myeloid leukemia BCR-ABL gene complex variant translocation Four way ranslocation |
author_facet |
Muhammad eAsif Muhammad eAsif Mohammad Sarwar eJamal Abdul Rehman Khan Muhammad Imran Naseer Abrar eHussain Hani eChoudhry Arif eMalik Shahida Aziz Khan Maged eMostafa Maged eMostafa Ashraf eAli Saima eIram Kashif eKamran Asim eIqbal Zainularifeen eAbduljaleel Peter Natesan Pushparaj Mahmood eRasool |
author_sort |
Muhammad eAsif |
title |
A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
title_short |
A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
title_full |
A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
title_fullStr |
A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
title_full_unstemmed |
A Novel four-way complex variant translocation involving chromosome 46, XY, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
title_sort |
novel four-way complex variant translocation involving chromosome 46, xy, t(4;9; 19;22)(q25:q34;p13.3;q11.2) in a chronic myeloid leukemia patient |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Oncology |
issn |
2234-943X |
publishDate |
2016-05-01 |
description |
Philadelphia (Ph) chromosome (9; 22)(q34;q11) is well established in more than 90% of chronic myeloid leukemia (CML) patients and the remaining 5-8% CML patients show variant and complex translocations, with the involvement of third, fourth or fifth chromosome other then 9;22. However, in very rare cases the fourth chromosome is involved. Here, we find a novel case of four way Ph+ chromosome translocation involving 46,XY, t(4;9;19;22)(q25:q34;p13.3;q11.2) with CML in the chronic phase. Complete blood cell count of CML patient was carried out to obtain total leukocytes count, hemoglobin and platelets. Fluorescence In situ hybridization technique was used for the identification of BCR-ABL fusion gene and cryptogenic test for the confirmation of Ph (9; 22)(q34;q11) and the mechanism of variant translocation in the bone marrow. The patient is successfully treated with Imatinib mesylate (Gleevec) with 400mg/day dose. We observed a significant decrease in WBC count after 48 months follow up 11.7 x109/L. Patient started feeling better generally. There was a reduction in the swelling of the body, fatigue and anxiety. |
topic |
Philadelphia Chromosome Chronic myeloid leukemia BCR-ABL gene complex variant translocation Four way ranslocation |
url |
http://journal.frontiersin.org/Journal/10.3389/fonc.2016.00124/full |
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