We have used Southern blotting and fluorescence in situ hybridization
(FISH) to define the breakpoints of a reciprocal translocation, t(10;1
2)(q24;p13), acquired as a secondary abnormality in a patient with Phi
ladelphia chromosome positive chronic myeloid leukemia (CML) in transf
ormation. A YAC clone that spanned the breakpoint at 12p13 was identif
ied; this YAC included the CDKN1B gene but did not include ETV6. Neith
er ETV6 nor CDKN1B was rearranged, as determined by FISH and Southern
blotting; however, a small deletion encompassing the translocated CDKN
1B allele was detected. Analysis of two candidate genes at 10q24, HOX1
1 and NFKB2 suggested that they are not involved in this translocation
. The preliminary mapping of breakpoints in this case demonstrated tha
t they are different from an apparently identical translocation identi
fied previously in a patient with myelodysplastic syndrome. The identi
fication of the split YAC and small deletion should enable a more focu
sed search for a gene or genes that may contribute to progression from
chronic phase to blast crisis in CML. (C) 1997 Wiley-Liss, Inc.