Oncology genes Flashcards
t(8;21)
(q22;q22) RUNX1-RUNX1T1
inv(16)
(p13.1q22) CBFB-MYH11
t(15;17)
(q24;q21) PML-RARA
inv(3)
(q21.3q26,2) RPN1-EVI1
t(6;9)
(p23;q34.1) DEK-NUP214
t(9;11)
(p21.3;q23.3) MLLT3-KMT2A
t(1;22)
(p13.3;q13.3) RBM15-MKL1
RARA variants
t(11;17)(q13;q21)
t(5;17)(q35;q21)
t(11;17)(q23;q21) ZBTB16
CEBPA
19q13.3
PTPN11
12q24
2-4% of AMLs
FLT3
13q12
cKIT
4q12
RUNX1
21q22.3
WT1
11p13. Involved in apoptosis, differentiation and proliferation of haematopoietic progenitor cells
TET2
4q24. ?poor ?no effect
IDH 1
2q33.3
Prognosis unclear
DNMT3A
2p23. Poor prognosis
NPM1
5q35.1
Good prognosis
IDH2
15q26.1
Prognosis unclear
t(2;8)
(p11;q24) IGK-MYC
t(8;14)
(q24;q32) IGH-MYC
t(8;22)
(q24;q11) MYC-IGL
t(14;18)
(q32;q21) IGH-BCL2
Rare variants of BCL2 rearrangements with IGK or IGL
t(11;14)
(q13;q32) IGH-CCND1
t(11;18)
(q21;q21) BIRC3-MALT1
Also get IGH-MALT1
t(2;5)
Anaplastic large cell lymphoma
(p23;q35)
Variant - t(1;2)(q25;p23)
t(9;14)
(p13;q32) PAX5-IGH
t(11;22)
FLI1-EWSR1
q24;q12
t(21;22)
ERG-EWSR1
q22;q12
t(1;13)
PAX7-FOXO1A
(p36;q14)
ARMS
t(2;13)
PAX3-FOXO1A
(q35;q14)
ARMS
IGF2
Overexpression in ERMS
11p15.5
WT1
Wilms tumour
11p13
RB1
13q14
Rhabdomyosarcoma
MYCN
2p24.1
t(11;22)
(p13;q12) EWSR1-WT1
Desmoplastic small round cell tumour (differential partner from Ewing sarcoma)
IGH-MAF
t(14;16)(q32;q23)
Poor prognosis
IGH-MAFB
t(14;20)(q32;q12) Poor/very poor
IGH-FGFR3/MMSET
t(4;14)(p16.3;q32) Poor
IGH-CCND3
t(6;14)(p21;q32) Good
TP53
17p13
Prognosis of SF3B1 in CLL
High risk
Prognosis of NOTCH1 in CLL
High risk
Prognosis of ATM loss/mut in CLL
High risk
Prognosis of TP53 loss/mut
Very high risk
Prognosis of BIRC3 mut in CLL
Very high risk
Prognosis of loss of 13q in CLL
Low risk
Prognosis of unmutated IGHV in CLL
Inferior outcome when compared to patients with mutated IGHV
20% of CLLs have IGH rearrangements, for example?
t(14;18)
t(2;14)
t(11;14)
t(14;19)
All have poorer prognosis apart from t(14;18)
Genetics abns in medulloblastoma (brain tumour near cerebellum)
GOOD: WNT signalling disruption e.g. CTNNB1 mut
INTERMEDIATE: MYCN amp
POOR: MYC amp, i(17q)
Genetic abns in oligodendrioglioma
Loss of 1p
Gain of 19q
Mutations in IDH1 and 2, TP53
Genetic abns in glioblastoma
7p gain (EGFR) loss of 9p (CDKN2A) loss of 10q (PTEN) loss of 13q (RB1) amp of MDM2
Glioblastoma type 1
TP53 inactivation
Glioblastoma type 2
EGFR amp
Essential thromobocythaemia
50% JAK2V617F
3-4% MPL muts in exon 10
CALR in 60-80%
Chronic eosinophilic leukaemia
FIP1L1-PDGFRA (cryptic deletion at 4q14)
PDGFRB (various)
FGFR1 (various)
Mastocytosis
KIT mutations
Primary myelofibrosis
50% JAK2V617F
der(6)t(1;6)
CALR 60-80%
MPL 4-8%
Polcythaemia vera
> 95% have JAK2V617F
PDGFRB rearrangements
t(5;12)(q33;p13) ETV6
t(5;14) TRIP11
t(5;7) HIP1
FGFR1 rearrangements
t(8;13) ZMYM2
t(8;9) CEP110
t(6;8) FGFR1OP1
Do not respond to TKIs (unlike PDGFRA and B)