TY - JOUR A1 - Almeida Lopes, Bruno A1 - Meyer, Claus A1 - Conceição Barbosa, Thayana A1 - Zur Stadt, Udo A1 - Horstmann, Martin A1 - Venn, Nicola C. A1 - Heatley, Susan A1 - White, Deborah L. A1 - Sutton, Rosemary A1 - Pombo-de-Oliveira, Maria S. A1 - Marschalek, Rolf A1 - Emerenciano, Mariana T1 - COBL is a novel hotspot for IKZF1 deletions in childhood acute lymphoblastic leukemia T2 - OncoTarget N2 - IKZF1 deletion (ΔIKZF1) is an important predictor of relapse in childhood B-cell precursor acute lymphoblastic leukemia. Because of its clinical importance, we previously mapped breakpoints of intragenic deletions and developed a multiplex PCR assay to detect recurrent intragenic ΔIKZF1. Since the multiplex PCR was not able to detect complete deletions (IKZF1 Δ1-8), which account for ~30% of all ΔIKZF1, we aimed at investigating the genomic scenery of IKZF1 Δ1-8. Six samples of cases with IKZF1 Δ1-8 were analyzed by microarray assay, which identified monosomy 7, isochromosome 7q, and large interstitial deletions presenting breakpoints within COBL gene. Then, we established a multiplex ligation-probe amplification (MLPA) assay and screened copy number alterations within chromosome 7 in 43 diagnostic samples with IKZF1 Δ1-8. Our results revealed that monosomy and large interstitial deletions within chromosome 7 are the main causes of IKZF1 Δ1-8. Detailed analysis using long distance inverse PCR showed that six patients (16%) had large interstitial deletions starting within intronic regions of COBL at diagnosis, which is ~611 Kb downstream of IKZF1, suggesting that COBL is a hotspot for ΔIKZF1. We also investigated a series of 25 intragenic deletions (Δ2–8, Δ3–8 or Δ4–8) and 24 relapsed samples, and found one IKZF1-COBL tail-to-tail fusion, thus supporting that COBL is a novel hotspot for ΔIKZF1. Finally, using RIC score methodology, we show that breakpoint sequences of IKZF1 Δ1-8 are not analog to RAG-recognition sites, suggesting a different mechanism of error promotion than that suggested for intragenic ΔIKZF1. KW - acute lymphoblastic leukemia KW - COBL KW - IKZF1 KW - RAG KW - relapse Y1 - 2016 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45553 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-455538 SN - 1949-2553 N1 - All site content, except where otherwise noted, is licensed under a Creative Commons Attribution 3.0 License. VL - 7 IS - 33 SP - 53064 EP - 53073 PB - Impact Journals LLC CY - [s. l.] ER -