RAS POINT MUTATIONS OCCUR IN ACUTE MYELOID-LEUKEMIA WITH ILLEGITIMATET-CELL RECEPTOR DELTA-GENE REARRANGEMENT

Mutations in the ras proto-oncogenes are the most frequently observed molecular alteration in acute myeloid leukemia (AML). Whether ras muta tions occur as late or relatively early events in the multistep proces s of myeloid transformation, remains an open question. We previously d escribed illegitimate T-cell receptor (TCR)-delta gene rearrangements in a subset of AML. These recombinations were detected in 9 out of 100 de novo AML cases. Southern blot analysis suggested the presence of t hese recombinations in the vast majority of AML cells and thus could b e used as clonal markers. In order to more accurately define the role of ras proto-oncogene mutations in the multistep process of malignant transformation in myeloid leukemias, we performed single strand confor mation polymorphism (SSCP) assays, slot blot and direct sequencing ana lysis on these nine cases with illegitimate TCR delta gene rearrangeme nts. Ras proto-oncogene mutations were found in three of nine cases. I nterestingly, SSCP, slot blot and sequencing suggested the presence of the respective mutations in most of the leukemic cells. Thus, ras mut ations presumably occurred early in the process of transformation in t hese three cases.