Chromosomal abnormalities in tumours were recognized at the end of the
last century but their significance has only recently become clear. D
istinct translocations in leukaemias and in solid tumours lead to the
activation of proto-oncogene products or, more commonly, creation of t
umour-specific fusion proteins. The proteins in both categories are of
ten transcription factors and thus disruption of transcriptional contr
ol plays a major role in the aetiology of cancer. Fusion proteins form
ed after chromosomal translocations are common in a range of tumour ty
pes; these are unique tumour antigens and are therefore potential targ
ets for therapy design.