Acute promyelocytic leukemia (APL) is associated with a t(15;17) trans
location that creates the promyelocyte-retinoic acid receptor alpha (P
ML-RARalpha) fusion gene. Immunohistochemistry demonstrates that PML i
s a part of a novel macromolecular organelle (including at least three
other nuclear proteins) referred to as PML oncogenic domains (PODs).
In APL cells, the POD is disrupted into a microparticulate pattern as
a consequence of the expression of the PML-RAR oncoprotein. RA treatme
nt of APL cells triggers a reorganization of PML to generate normal-ap
pearing PODs. We propose that PML-RAR is a dominant negative oncoprote
in that exerts its putative leukomogenic effect by inhibiting assembly
of the POD. According to this proposal, not only is the POD a novel s
tructure, but it can be ascribed an imputed function such that its dis
ruption leads to altered myeloid maturation; this may represent a nove
l oncogenic target.