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Genetic and epigenetic characterization of a discordant kmt2a/aff1-rearranged infant monozygotic twin pair

Title: Genetic and epigenetic characterization of a discordant kmt2a/aff1-rearranged infant monozygotic twin pair
Authors: Russo A.; Viberti C.; Mareschi K.; Casalone E.; Guarrera S.; Birolo G.; Cazzaniga G.; Corral L.; Trentin L.; Basso G.; Fagioli F.; Matullo G.
Contributors: Russo A.; Viberti C.; Mareschi K.; Casalone E.; Guarrera S.; Birolo G.; Cazzaniga G.; Corral L.; Trentin L.; Basso G.; Fagioli F.; Matullo G.
Publication Year: 2021
Collection: Università degli studi di Torino: AperTo (Archivio Istituzionale ad Accesso Aperto)
Subject Terms: Acute lymphoblastic leukemia; DNA methylation; Exome; NRAS; RNA sequencing
Description: The KMT2A/AFF1 rearrangement is associated with an unfavorable prognosis in infant acute lymphocytic leukemia (ALL). Discordant ALL in monozygotic twins is uncommon and represents an attractive resource to evaluate intrauterine environment–genetic interplay in ALL. Mutational and epigenetic profiles were characterized for a discordant KMT2A/AFF1-rearranged infant monozy-gotic twin pair and their parents, and they were compared to three independent KMT2A/AFF1-positive ALL infants, in which the DNA methylation and gene expression profiles were investigated. A de novo Q61H NRAS mutation was detected in the affected twin at diagnosis and backtracked in both twins at birth. The KMT2A/AFF1 rearrangement was absent at birth in both twins. Genetic analyses conducted at birth gave more insights into the timing of the mutation hit. We identified correlations between DNA methylation and gene expression changes for 32 genes in the three independent affected versus remitted patients. The strongest correlations were observed for the RAB32, PDK4, CXCL3, RANBP17, and MACROD2 genes. This epigenetic signature could be a putative target for the development of novel epigenetic-based therapies and could help in explaining the molecular mechanisms characterizing ALL infants with KMT2A/AFF1 fusions.
Document Type: article in journal/newspaper
Language: English
Relation: volume:22; issue:18; firstpage:9740; lastpage:9740; numberofpages:1; journal:INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES; http://hdl.handle.net/2318/1802179; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85114649889
DOI: 10.3390/ijms22189740
Availability: http://hdl.handle.net/2318/1802179; https://doi.org/10.3390/ijms22189740
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.F9A37220
Database: BASE