title: Insertional events as well as translocations may arise during aberrant immunoglobulin switch recombination in a patient with multiple myeloma.
abstract: The majority of patients with multiple myeloma have translocations involving the immunoglobulin heavy chain switch regions on chromosome 14q32 and a promiscuous range of partner chromosomes. We describe a patient with an insertion of 132 bp of chromosome 22q12 sequence into the 5' region flanking S(mu) on chromosome 14q32. The 132 bp region from chromosome 22q12 contains the whole of exon 3 from a novel gene of unknown function in man. The significance of such insertional events remains unclear. The description of insertional events occurring as a result of abnormal switch recombination suggests that, in myeloma, dysregulation of oncogenes may occur by a mechanism other than chromosomal translocation.
authors.affiliation: Academic Unit of Haematology and Oncology, Department of Haematology, The General Infirmary at Leeds, UK.
authors.forename: G
authors.initials: G
authors.lastname: Pratt
authors.forename: J A
authors.initials: JA
authors.lastname: Fenton
authors.forename: F E
authors.initials: FE
authors.lastname: Davies
authors.forename: A C
authors.initials: AC
authors.lastname: Rawstron
authors.forename: S J
authors.initials: SJ
authors.lastname: Richards
authors.forename: J E
authors.initials: JE
authors.lastname: Collins
authors.forename: R G
authors.initials: RG
authors.lastname: Owen
authors.forename: A S
authors.initials: AS
authors.lastname: Jack
authors.forename: G M
authors.initials: GM
authors.lastname: Smith
authors.forename: G J
authors.initials: GJ
authors.lastname: Morgan
mesh_terms: D001483:Base Sequence; D002883:Chromosomes, Human, Pair 14; D002892:Chromosomes, Human, Pair 22; D017931:DNA Primers / Q000235:genetics; D005803:Genes, Immunoglobulin; D006801:Humans; D007134:Immunoglobulin Switch Region; D008969:Molecular Sequence Data; D009101:Multiple Myeloma / Q000235:genetics*; D016254:Mutagenesis, Insertional; D016133:Polymerase Chain Reaction / Q000379:methods; D014178:Translocation, Genetic
chemical_list: D017931:DNA Primers