cryptic

神秘
  • 文章类型: Journal Article
    蚊子是医学上重要的昆虫,准确的物种识别对于理解媒介生物学至关重要,形成成功的病媒控制程序的基石。由于形态相似的物种,很难进行鉴定。机翼形态计量学可以提供一种简单的,快,以及对物种进行分类的准确方法,并将其用作区分其隐蔽同源物之间的媒介物种的方法。每个样本共使用227只蚊子和20个地标,我们证明了机翼形态计量学在区分共生库蚊(Culex)vishnui群和库蚊(Lophoceraomia)亚属中出现的两组物种中的实用性,以及探索了整个栖息地白纹伊蚊机翼形状的种群水平变化。对细胞色素氧化酶亚基I(COI)基因区域进行测序以验证形态和形态计量学鉴定。ProcrustesANOVA回归和基于机翼形状的CVA反映出所有物种的机翼地标显着不同,和留一法交叉验证显示两个库蚊组的总体高准确度>97%。机翼形态计量学揭示了白纹伊蚊的种群水平变化,但交叉验证准确性较低。总的来说,我们表明,翼地貌分析能够解决共生发生的神秘库蚊物种(包括矢量),并且是可靠识别蚊子的强大工具。
    Mosquitoes are medically important insects, and accurate species identification is crucial to understanding vector biology, forming the cornerstone of successful vector control programs. Identification is difficult owing to morphologically similar species. Wing morphometrics can provide a simple, fast, and accurate way to classify species, and using it as a method to differentiate vector species among its cryptic congeners has been underexplored. Using a total of 227 mosquitoes and 20 landmarks per specimen, we demonstrated the utility of wing morphometrics in differentiating species two groups occurring in sympatry - Culex (Culex) vishnui group and Culex (Lophoceraomyia) subgenus, as well as explored population-level variation in the wing shape of Aedes albopictus across habitats. Cytochrome oxidase subunit I (COI) gene region was sequenced to validate the morphological and morphometric identification. Procrustes ANOVA regression and CVA based on wing shape reflected that the wing landmarks across all species differed significantly, and leave-one-out cross validation revealed an overall high accuracy of >97% for the two Culex groups. Wing morphometrics uncovered population-level variation within Aedes albopictus, but cross validation accuracy was low. Overall, we show that wing geomorphometric analysis is able to resolve cryptic Culex species (including vectors) occurring sympatrically, and is a robust tool for identifying mosquitoes reliably.
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  • 文章类型: Journal Article
    室间隔缺损(VSD)被认为是最常见的先天性心脏病(CHD)之一。占所有心脏畸形的40%,并在个别患者和家庭中以孤立的CHD以及其他心脏和心外先天性畸形发生。VSD的遗传病因复杂且异常异质性。据报道,染色体异常,例如非整倍性和结构变异以及各种基因中的罕见点突变与这种心脏缺陷有关。这包括具有已知遗传原因的明确定义的综合征(例如,DiGeorge综合征和Holt-Oram综合征)以及迄今为止尚未定义的以非特异性症状为特征的综合征形式。编码心脏转录因子的基因突变(例如,NKX2-5和GATA4)和信号分子(例如,CFC1)在VSD病例中最常见。此外,新的高分辨率方法,如比较基因组杂交,能够发现大量不同的拷贝数变异,导致通常包含多个基因的染色体区域的增加或丢失,VSD患者。在这一章中,我们将描述在VSD患者中观察到的广泛遗传异质性,并考虑该领域的最新进展.
    Ventricular septal defects (VSDs) are recognized as one of the commonest congenital heart diseases (CHD), accounting for up to 40% of all cardiac malformations, and occur as isolated CHDs as well as together with other cardiac and extracardiac congenital malformations in individual patients and families. The genetic etiology of VSD is complex and extraordinarily heterogeneous. Chromosomal abnormalities such as aneuploidy and structural variations as well as rare point mutations in various genes have been reported to be associated with this cardiac defect. This includes both well-defined syndromes with known genetic cause (e.g., DiGeorge syndrome and Holt-Oram syndrome) and so far undefined syndromic forms characterized by unspecific symptoms. Mutations in genes encoding cardiac transcription factors (e.g., NKX2-5 and GATA4) and signaling molecules (e.g., CFC1) have been most frequently found in VSD cases. Moreover, new high-resolution methods such as comparative genomic hybridization enabled the discovery of a high number of different copy number variations, leading to gain or loss of chromosomal regions often containing multiple genes, in patients with VSD. In this chapter, we will describe the broad genetic heterogeneity observed in VSD patients considering recent advances in this field.
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  • 文章类型: Case Reports
    急性早幼粒细胞白血病(APL)很少由PLZF::RARα融合基因引起。虽然PLZF::RARα融合的APL患者通常表现出不同的血液学症状,髓样肉瘤(MS)作为初始表现很少出现。
    一名61岁的患者被转诊至我院,有6个月的腰背痛和行走困难的病史。在这次录取之前,在另一家医院进行的脊柱磁共振成像(MRI)显示,左髂骨和横跨胸部的椎体(T11-T12)有多个异常信号,腰椎(L1-L4),和骶骨(S1/S3)区。这导致了原因不明的骨肿瘤的临时诊断。一入场,全血细胞计数(CBC)测试和外周血涂片显示单核细胞计数略有增加。脊髓和骨髓(BM)活检的免疫组织化学染色显示CD117,髓过氧化物酶(MPO)的阳性表达,和溶菌酶.BM抽吸物显示早幼粒细胞百分比显着升高(21%),其形态特征是圆形核和高颗粒细胞质。BM抽吸物的多参数流式细胞术显示,母细胞对CD13,CD33,CD117和MPO呈阳性。通过染色体分析的综合应用,荧光原位杂交(FISH),逆转录聚合酶链反应(RT-PCR),和Sanger测序,确定患者具有正常核型和罕见的隐匿性PLZF::RARα融合基因,确认APL的诊断。
    在本研究中,我们报告了1例罕见APL患者的临床特征和结局,其特征是隐匿性PLZF::RARα融合和脊髓髓样肉瘤(MS)为首发症状.我们的研究不仅为APL临床表现的异质性提供了有价值的见解,而且强调了及时考虑APL和MS之间的潜在联系以确保及时诊断和个性化治疗的迫切需要。
    UNASSIGNED: Acute promyelocytic leukemia (APL) is rarely caused by the PLZF::RARα fusion gene. While APL patients with PLZF::RARα fusion commonly exhibit diverse hematologic symptoms, the presentation of myeloid sarcoma (MS) as an initial manifestation is infrequent.
    UNASSIGNED: A 61-year-old patient was referred to our hospital with 6-month history of low back pain and difficulty walking. Before this admission, spine magnetic resonance imaging (MRI) conducted at another hospital revealed multiple abnormal signals in the left iliac bone and vertebral bodies spanning the thoracic (T11-T12), lumbar (L1-L4), and sacral (S1/S3) regions. This led to a provisional diagnosis of bone tumors with an unknown cause. On admission, complete blood count (CBC) test and peripheral blood smear revealed a slightly increased counts of monocytes. Immunohistochemical staining of both spinal and bone marrow (BM) biopsy revealed positive expression for CD117, myeloperoxidase (MPO), and lysozyme. BM aspirate showed a significant elevation in the percentage of promyelocytes (21%), which were morphologically characterized by round nuclei and hypergranular cytoplasm. Multiparameter flow cytometry of BM aspirate revealed that blasts were positive for CD13, CD33, CD117, and MPO. Through the integrated application of chromosome analysis, fluorescence in situ hybridization (FISH), reverse transcriptase polymerase chain reaction (RT-PCR), and Sanger sequencing, it was determined that the patient possessed a normal karyotype and a rare cryptic PLZF::RARα fusion gene, confirming the diagnosis of APL.
    UNASSIGNED: In the present study, we report the clinical features and outcome of a rare APL patient characterized by a cryptic PLZF::RARα fusion and spinal myeloid sarcoma (MS) as the initial presenting symptom. Our study not only offers valuable insights into the heterogeneity of APL clinical manifestations but also emphasizes the crucial need to promptly consider the potential link between APL and MS for ensuring a timely diagnosis and personalized treatments.
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  • 文章类型: Journal Article
    Ctenostomes是一组裸眼苔藓虫,具有未钙化的几丁质体壁,骨骼字符。因此,物种识别具有挑战性,它们的系统学仍然知之甚少,当他们表现出一种石器时代(无聊)的生活方式时,更是如此。目前,最近有四个石器时代的苔藓虫家族,它们生活在软体动物壳等矿化基质中。特别是,Silén穿刺科,1946年受到了相当多的关注,它对唇瓣造口术或闭口术的系统亲和力一直存在争议。穿甲的物种定界仍然很困难,由于高度的殖民和变焦可塑性。因此,一种额外的分子方法对于解开泛素的系统至关重要,它们的系统发育位置和物种多样性。因此,我们对线粒体(mt)基因组和27种ctenostome物种的两个核标记进行了测序,其中包括9种penetrantiids。我们的系统发育支持Penetrantiidae作为单系类群,作为姐妹分类单元放置在其余的ctenostopes旁边,类蛛形纲和类根。无聊的Terebriporidaed\'Orbigny家族,1847年以前被认为是囊虫,但我们的结果表明有蛛网膜的亲和力.我们的数据间接地支持了Ctenostome,就像cheilostomes在其中筑巢一样。Multiporata进化枝也得到了很好的支持,包括前victorelloid属Sundanella。总之,这项研究为ctenostome系统学提供了新的见解,协助物种划界,并有助于我们对苔藓动物生命树的理解。
    Ctenostomes are a group of gymnolaemate bryozoans with an uncalcified chitinous body wall having few external, skeletal characters. Hence, species identification is challenging and their systematics remain poorly understood, even more so when they exhibit an endolithic (boring) lifestyle. Currently, there are four Recent families of endolithic bryozoans that live inside mineralized substrates like mollusk shells. In particular, Penetrantiidae Silén, 1946 has received considerable attention and its systematic affinity to either cheilostomes or ctenostomes has been debated. Species delimitation of penetrantiids remains difficult, owing to a high degree of colonial and zooidal plasticity. Consequently, an additional molecular approach is essential to unravel the systematics of penetrantiids, their phylogenetic placement and their species diversity. We therefore sequenced the mitochondrial (mt) genomes and two nuclear markers of 27 ctenostome species including nine penetrantiids. Our phylogeny supports the Penetrantiidae as a monophyletic group placed as sister taxon to the remaining ctenostomes alongside paludicellids, arachnidioids and terebriporids. The boring family Terebriporidae d\'Orbigny, 1847 were previously considered to be among vesicularioids, but our results suggest an arachnidioid affinity instead. Ctenostome paraphyly is supported by our data, as the cheilostomes nest within them. A Multiporata clade is also well supported, including the former victorelloid genus Sundanella. Altogether, this study provides new insights into ctenostome systematics, assists with species delimitation and contributes to our understanding of the bryozoan tree of life.
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  • 文章类型: Journal Article
    潮间带衍生的黄曲霉菌株的基因组测序显示其产生次生代谢产物的巨大潜力。为了激活黄曲霉的隐蔽化合物,全球监管机构FlLaeA被淘汰,导致ΔflLaeA突变体中两个NRPS样生物合成基因簇的表达大幅上调。随着ΔflLaeA菌株的大规模发酵,五种化合物,包括两种先前未描述的哌嗪衍生物氟酰胺A和B(1和2),连同三个已知的化合物(3-5),通过LC-MS引导分离获得。通过光谱分析和电子圆二色性(ECD)计算阐明了新化合物,并在生物信息学分析和13C同位素标记证据的偏向上提出了生物合成途径。这是通过使全球调节因子LaeA失活而获得隐匿性真菌次级代谢产物的第一份报告,并且可能提供一种通过这种遗传操作发现新的次级代谢产物的新方法。
    Genome sequencing on an intertidal zone-derived Aspergillus flavipes strain revealed its great potential to produce secondary metabolites. To activate the cryptic compounds of A. flavipes, the global regulator flLaeA was knocked out, leading to substantial up-regulation of the expression of two NRPS-like biosynthetic gene clusters in the ΔflLaeA mutant. With a scaled-up fermentation of the ΔflLaeA strain, five compounds, including two previously undescribed piperazine derivatives flavipamides A and B (1 and 2), along with three known compounds (3-5), were obtained by LC-MS guided isolation. The new compounds were elucidated by spectroscopic analysis and electronic circular dichroism (ECD) calculations, and the biosynthetic pathway was proposed on the bias of bioinformatic analysis and 13C isotope labeling evidence. This is the first report to access cryptic fungi secondary metabolites by inactivating global regulator LaeA and may provide a new approach to discovering new secondary metabolites by such genetic manipulation.
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  • 文章类型: Journal Article
    质粒是染色体外遗传元件,通常编码健身增强特征。然而,许多细菌携带的“神秘”质粒不能赋予明确的有益功能。我们鉴定了一个这样的隐秘质粒,pBI143在工业化的肠道微生物群中无处不在,是crAssphage的14倍,目前被确立为人类肠道中最丰富的染色体外遗传元件。pBI143中的大多数突变积累在数千个宏基因组的特定位置,表明较强的净化选择。PBI143在大多数个体中是单克隆的,可能是由于最初获得的版本的优先级影响,往往从一个人的母亲。pBI143可以在拟杆菌之间转移,虽然它似乎不会影响体内细菌宿主的适应性,它可以暂时获得额外的遗传内容。我们确定了pBI143的重要实际应用,包括其在识别人类粪便污染中的用途以及其作为跟踪人类结肠炎症状态的替代方法的潜力。
    Plasmids are extrachromosomal genetic elements that often encode fitness-enhancing features. However, many bacteria carry \"cryptic\" plasmids that do not confer clear beneficial functions. We identified one such cryptic plasmid, pBI143, which is ubiquitous across industrialized gut microbiomes and is 14 times as numerous as crAssphage, currently established as the most abundant extrachromosomal genetic element in the human gut. The majority of mutations in pBI143 accumulate in specific positions across thousands of metagenomes, indicating strong purifying selection. pBI143 is monoclonal in most individuals, likely due to the priority effect of the version first acquired, often from one\'s mother. pBI143 can transfer between Bacteroidales, and although it does not appear to impact bacterial host fitness in vivo, it can transiently acquire additional genetic content. We identified important practical applications of pBI143, including its use in identifying human fecal contamination and its potential as an alternative approach to track human colonic inflammatory states.
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  • 文章类型: Journal Article
    西部或沙漠的红蝙蝠,Lasiurusfrantzii,是一种神秘的食虫动物,分布在从墨西哥南部到中美洲再到巴拿马的新热带地区。Frantzii一直被认为是红蝙蝠的一个亚种,Lasiurusblossevillii,但最近根据遗传信息,它被提升到全物种状态。在这里,我们提供了哥伦比亚安第斯地区存在L.frantzii的证据,确认该物种在南美的存在;新纪录,从3836ma.s.l.,也是该物种已知的最高海拔。我们建议L.frantzii可能在哥伦比亚的跨安第斯地区广泛分布,厄瓜多尔,委内瑞拉,也许还有秘鲁和玻利维亚。然而,由于L.frantzi分布的不确定性,有必要对其他形态特征进行审查和探索以鉴定该物种。
    The western or desert red bat, Lasiurusfrantzii, is a cryptic insectivore species distributed in the Neotropics from Mexico south through Central America to Panama. L.frantzii was long considered a subspecies of the red bat, Lasiurusblossevillii, but recently it was elevated to full-species status based on genetic information. Here we present evidence of the presence of L.frantzii in the Andean Region of Colombia, confirming the species\' presence in South America; the new record, from 3836 m a.s.l., is also the highest elevation known for the species. We suggest that L.frantzii might be widely distributed in trans-Andean areas of Colombia, Ecuador, Venezuela, and perhaps Peru and Bolivia. However, a review and exploration of additional morphological traits to identify the species are necessary because of the uncertainty of the distribution of L.frantzii.
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  • 文章类型: Journal Article
    背景:中央密歇根大学(CMU)自2021年以来参加了全州范围的SARS-CoV-2废水监测计划。从校园内和9个为大都市和农村社区提供服务的校外污水处理厂收集了废水样本。使用液滴数字PCR定量SARS-CoV-2基因组拷贝,并将结果报告给卫生部门。
    结果:一个农村,校外站点始终产生更高浓度的SARS-CoV-2基因组拷贝。对来自该站点的样品进行了测序,并主要包含从2021年秋季到2023年夏季检测到的Alpha变体谱系B.1.1.7的衍生物。对重建基因的突变分析显示,随着时间的推移,Alpha变异谱系序列存在差异,包括SpikeRBD和NTD中的许多突变。
    结论:我们讨论了慢性SARS-CoV-2感染积累促进长期感染的适应性突变的可能性。这项研究表明,由于相对缺乏污染序列,小型废水处理厂可以提高罕见事件的分辨率,并促进病毒基因组的重建。
    BACKGROUND: Central Michigan University (CMU) participated in a state-wide SARS-CoV-2 wastewater monitoring program since 2021. Wastewater samples were collected from on-campus sites and nine off-campus wastewater treatment plants servicing small metropolitan and rural communities. SARS-CoV-2 genome copies were quantified using droplet digital PCR and results were reported to the health department.
    RESULTS: One rural, off-campus site consistently produced higher concentrations of SARS-CoV-2 genome copies. Samples from this site were sequenced and contained predominately a derivative of Alpha variant lineage B.1.1.7, detected from fall 2021 through summer 2023. Mutational analysis of reconstructed genes revealed divergence from the Alpha variant lineage sequence over time, including numerous mutations  in the Spike RBD and NTD.
    CONCLUSIONS: We discuss the possibility that a chronic SARS-CoV-2 infection accumulated adaptive mutations that promoted long-term infection. This study reveals that small wastewater treatment plants can enhance resolution of rare events and facilitate reconstruction of viral genomes due to the relative lack of contaminating sequences.
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  • 文章类型: Journal Article
    对于大多数陆地无脊椎动物来说,影响种群结构和连通性的因素是未知的,但对于了解干扰的影响以及确定生物多样性和当地特有性的准确水平都特别感兴趣。这项研究的主要目的是确定陆生蜗牛的遗传分化和当代基因流动的历史模式,Austrochloritiskosciuszkoensis(Shea&O.L.Griffiths,2010).蜗牛是在维多利亚州的布法罗山和高山国家公园收集的,为了了解该物种的种群在连续栖息地内和相邻栖息地之间是如何连接的,但独立的环境。利用线粒体DNA(mtDNA)和单核苷酸多态性(SNP)数据,人口结构的程度是在站点内部和站点之间确定的。在布法罗山和高山蜗牛之间发现了非常高的遗传差异,没有证据表明这两个地区之间存在遗传交换,表明物种形成可能发生在两个地区之间。我们对结合的mtDNA和nDNA(从SNP产生)数据的分析揭示了遗传多样性的模式,这与长期隔离和有限的连通性的历史是一致的。这段历史可能与过去数十万年来气候变化的周期有关,其中有,在某种程度上,造成了澳大利亚森林的破碎。在这两个地区,不同种群之间的基因流动极其有限,这表明这些陆地蜗牛在现有景观障碍上的扩散能力非常有限,尤其是在布法罗山:这里,彼此相距仅5公里的种群是遗传分化的。在此数据中检测到的明显的遗传差异和明显降低的扩散能力解释了在30-50km半径内可能存在至少两个先前未命名的隐匿性Austrochloritis物种,并强调需要更加集中的努力来了解陆地无脊椎动物的种群结构和基因流动。
    The factors that influence population structure and connectivity are unknown for most terrestrial invertebrates but are of particular interest both for understanding the impacts of disturbance and for determining accurate levels of biodiversity and local endemism. The main objective of this study was to determine the historical patterns of genetic differentiation and contemporary gene flow in the terrestrial snail, Austrochloritis kosciuszkoensis (Shea & O. L. Griffiths, 2010). Snails were collected in the Mt Buffalo and Alpine National Parks in Victoria, in a bid to understand how populations of this species are connected both within continuous habitat and between adjacent, yet separate environments. Utilising both mitochondrial DNA (mtDNA) and single nucleotide polymorphism (SNP) data, the degree of population structure was determined within and between sites. Very high levels of genetic divergence were found between the Mt Buffalo and Alpine snails, with no evidence for genetic exchange detected between the two regions, indicating speciation has possibly occurred between the two regions. Our analyses of the combined mtDNA and nDNA (generated from SNPs) data have revealed patterns of genetic diversity that are consistent with a history of long-term isolation and limited connectivity. This history may be related to past cycles of changes to the climate over hundreds of thousands of years, which have, in part, caused the fragmentation of Australian forests. Within both regions, extremely limited gene flow between separate populations suggests that these land snails have very limited dispersal capabilities across existing landscape barriers, especially at Mt Buffalo: here, populations only 5 km apart from each other are genetically differentiated. The distinct genetic divergences and clearly reduced dispersal ability detected in this data explain the likely existence of at least two previously unnamed cryptic Austrochloritis species within a 30-50 km radius, and highlight the need for more concentrated efforts to understand population structure and gene flow in terrestrial invertebrates.
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  • 文章类型: Case Reports
    背景:慢性髓性白血病(CML)是特征最明确的人类恶性肿瘤之一。大多数患者在9号和22号染色体之间具有细胞遗传学可见的易位,该易位会产生病理性BCR::ABL1融合基因。衍生染色体22(“费城”或Ph染色体)通常带有编码组成型活性ABL1激酶结构域的融合基因。一小部分患者没有可见的易位。历史上,这些费城染色体阴性的患者导致CML和其他骨髓增殖性肿瘤之间的诊断混淆;现在已经确定BCR::ABL1融合基因可以通过ABL1序列的亚显微镜染色体内插入BCR而产生,或者,很少,BCR进入ABL1。通过G带染色体分析[核型]无法检测到由隐蔽插入产生的融合基因,但始终可以使用荧光原位杂交(FISH)和/或定性逆转录酶PCR进行检测。
    方法:一名43岁女性于2007年出现疑似CML;然而,同期的黄金标准实验室调查,G带染色体分析和FISH,都是阴性的。当时可用的逆转录酶定量PCR(RT-qPCR)测定法,能够检测常见的BCR::ABL1转录本(e13a2/e14a2),也是负面的。在2009年的审查中,新推荐的逆转录酶多重PCR(能够检测所有BCR::ABL1转录本,包括非典型转录本)随后检测到e19a2融合。然后患者对酪氨酸激酶抑制剂疗法有反应。相比之下,具有三种市售探针的两种样品的FISH研究始终保持阴性。回顾性全基因组测序,作为10万个基因组计划的一部分,现在发现患者的BCR::ABL1融合基因是通过将122kb的ABL1序列插入BCR中而产生的。
    结论:我们介绍了一名疑似慢性髓性白血病的患者,尽管使用了同期的金标准方法,但在诊断时,其遗传检查最初是阴性的。这是FISH阴性的第一份报告,BCR::ABL1阳性CML表明,即使在对最了解的人类恶性肿瘤之一进行了60年的研究之后,全基因组测序可以在CML中产生新的诊断结果.
    Chronic myeloid leukaemia (CML) is one of the most well characterised human malignancies. Most patients have a cytogenetically visible translocation between chromosomes 9 and 22 which generates the pathognomonic BCR::ABL1 fusion gene. The derivative chromosome 22 (\'Philadelphia\' or Ph chromosome) usually harbours the fusion gene encoding a constitutively active ABL1 kinase domain. A small subset of patients have no visible translocation. Historically, these \'Philadelphia chromosome negative\' patients caused diagnostic confusion between CML and other myeloproliferative neoplasms; it is now well established that the BCR::ABL1 fusion gene can be generated via submicroscopic intrachromosomal insertion of ABL1 sequence into BCR, or, more rarely, of BCR into ABL1. The fusion genes arising from cryptic insertions are not detectable via G-banded chromosome analysis [karyotype] but can nevertheless always be detected using fluorescence in situ hybridisation (FISH) and/or qualitative reverse transcriptase PCR.
    A 43-year-old female presented with suspected CML in 2007; however, contemporaneous gold standard laboratory investigations, G-banded chromosome analysis and FISH, were both negative. The reverse transcriptase quantitative PCR (RT-qPCR) assay available at the time, which was capable of detecting the common BCR::ABL1 transcripts (e13a2/e14a2), was also negative. Upon review in 2009, the newly recommended reverse transcriptase multiplex PCR (capable of detecting all BCR::ABL1 transcripts including the atypical ones) subsequently detected an e19a2 fusion. The patient then responded to tyrosine kinase inhibitor therapy. In contrast, FISH studies of both samples with three commercially available probes remained consistently negative. Retrospective whole genome sequencing, undertaken as part of the 100,000 Genomes Project, has now revealed that the patient\'s BCR::ABL1 fusion gene arose via a uniquely small insertion of 122 kb ABL1 sequences into BCR.
    We present a patient with suspected chronic myeloid leukaemia whose genetic investigations were originally negative at the time of diagnosis despite the use of contemporaneous gold standard methods. This is the first report of a FISH-negative, BCR::ABL1 positive CML which demonstrates that, even after sixty years of research into one of the most well understood human malignancies, whole genome sequencing can yield novel diagnostic findings in CML.
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