Chromosomal aberrations and inactivation of tumour suppressor genes are fre
quent in acute leukaemia. To determine whether the FHIT gene is involved in
the development of leukaemia, we examined the FHIT transcript in 65 leukae
mia cell lines, 5 fresh acute leukaemia patients at diagnosis and in comple
te remission, normal peripheral blood lymphocytes obtained from 14 healthy
volunteers and Epstein-Barr (EB) virus transformed 5 B-cell lines (EB-lines
), using nested reverse transcription-polymerase chain reaction and direct
sequencing. The transcripts were classified into 4 patterns: pattern I reve
aled the normal transcripts only, pattern II the altered transcripts in add
ition to the normal transcripts, pattern III the altered transcripts withou
t the normal transcripts and pattern IV an absence of normal and altered FH
IT transcripts. Nineteen cell lines were classified as pattern I, 32 as pat
tern II, 2 as pattern III and 12 as pattern IV. The frequency of loss of FH
IT expression (pattern III or IV) varied in each type of leukaemia cell lin
e; the order ranked from the highest incidence was acute myeloid leukaemia
(AML), T-cell acute lymphoblastic leukaemia (T-ALL), B-precursor ALL, B-ALL
, and chronic myeloid leukaemia (CML). No genomic rearrangement was found i
n any samples examined. All of 5 patients showed same pattern II FHIT trans
cripts at 2 different stages of the disease. All normal peripheral blood ly
mphocytes and EB-lines were classified as pattern I or II. Our results sugg
ested that patterns III and IV of FHIT transcripts might be associated with
the development of a subset of leukaemia, while pattern II which has so fa
r been reported as an aberrant transcript in varieties of malignant tumours
might not be associated with leukaemogenesis. (C) 1999 Wiley-Liss, Inc.