Nonrandom aberrations of chromosome 7 have been described in various h
ematopoietic disorders. We describe here two unrelated families with t
he same constitutional inversion of chromosome 7 [inv(7)(q11.2q22)]. T
he probands in both families had acute leukemia and cytogenetic analys
is revealed that the inversion was the sole cytogenetic abnormality in
the bone marrow at diagnosis, There is a history of hematologic disea
ses in one of these families that included a son who is a carrier of t
his constitutional inversion. The distal inversion breakpoint lies wit
hin the common region of chromosome loss identified in some myeloid di
seases. These observations raise the possibility that this inherited c
hromosome rearrangement could result in a mutation of a tumor suppress
or gene and possibly represent a predisposing event for the developmen
t of leukemia in these individuals. (C) Elsevier Science Inc., 1997.