TY - JOUR TI - An adult patient with early Pre-B acute lymphoblastic leukemia with t(12;17)(p13;q21)/ZNF384-TAF15 AU - Georgakopoulos, N. AU - Diamantopoulos, P. AU - Micci, F. AU - Giannakopoulou, N. AU - Zervakis, K. AU - Dimitrakopoulou, A. AU - Viniou, N.-A. JO - In vivo (Athens, Greece) PY - 2018 VL - 32 TODO - 5 SP - 1241-1245 PB - International Institute of Anticancer Research SN - null TODO - 10.21873/invivo.11371 TODO - CD123 antigen; CD19 antigen; CD34 antigen; CD79a antigen; common acute lymphoblastic leukemia antigen; DNA binding protein; HLA DR antigen; lactate dehydrogenase; meropenem; microsomal aminopeptidase; protein; RNA binding protein; taf15 protein; tdt protein; unclassified drug; uric acid; vancomycin; zinc finger protein; zinc finger protein 384; biological marker; oncoprotein; TAF15 protein, human; TATA binding protein associated factor; transactivator protein; ZNF384 protein, human, acute lymphoblastic leukemia; adult; Article; autosome; B cell leukemia; blood culture; blood smear; bone marrow biopsy; case report; cerebrospinal fluid analysis; chromosome 14p; chromosome aberration; chromosome analysis; chromosome G band; chromosome translocation; clinical article; clinical examination; early cancer; febrile neutropenia; fever; gene fusion; gene rearrangement; Gram negative sepsis; human; karyotype 46,XY; kidney injury; lactate dehydrogenase blood level; leukemogenesis; leukocytosis; malaise; male; medical history; metaphase; metaphase chromosome; middle aged; molecular pathology; normochromic normocytic anemia; rhabdomyolysis; septic shock; thrombocytopenia; uric acid blood level; urine culture; acute lymphoblastic leukemia; blood cell count; chromosome 12; chromosome 17; chromosome banding pattern; fluorescence in situ hybridization; gene translocation; genetics; immunophenotyping, Biomarkers; Blood Cell Count; Chromosome Banding; Chromosomes, Human, Pair 12; Chromosomes, Human, Pair 17; Humans; Immunophenotyping; In Situ Hybridization, Fluorescence; Male; Middle Aged; Oncogene Proteins, Fusion; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma; TATA-Binding Protein Associated Factors; Trans-Activators; Translocation, Genetic TODO - This is a case report of a 46-year-old man diagnosed with early pre-B acute lymphoblastic leukemia (ALL), bearing the translocation t(12;17)(p13;q21) as the sole chromosomal abnormality. This is a rare chromosomal abnormality that has been reported in approximately 25 cases worldwide. FISH analysis revealed a rearrangement of ZNF384 (12p13) and TAF15 (17q12) genes, which is usually associated with a pre-B ALL phenotype with coexpression of the myeloid markers CD13 and/or CD33. ZNF384 encodes a zinc finger protein, which acts as a transcription factor, regulating the expression of several matrix metalloproteinases and TAF15 belongs to the FET (FUS, EWS, and TAF15) family, consisting of RNA and DNA-binding proteins. Unlike most of the cases where CD10 expression was absent or weak, in our case CD10 was highly expressed. The prognostic significance of ZNF384/TAF15 fusion is not very clear since several reports support a generally good prognosis, while others support a poor clinical outcome. Our patient was treated with the German multicenter ALL (GMALL) protocol for B-ALL, but experienced a fulminant gram-negative sepsis and eventually died during induction therapy. © 2018 Institute of Electrical and Electronics Engineers Inc. All rights reserved. ER -