Fanconi anaemia (FR) is an autosomal recessive disease strongly predisposin
g to bone marrow failure and acute myeloid leukaemia (AML). Four FA genes,
corresponding to complementation groups A, C, F and G, have been cloned, bu
t the molecular functions of the corresponding proteins are unknown, The hi
gh risk of AML in FA patients suggests that the 'FA pathway' helps to preve
nt AML in non-FA individuals, We examined 10 AML tell lines, as well as pri
mary cells from 15 AML patients representing the French-American-British su
bclasses M1-M5a, for possible deficiencies in the 'FA pathway', Cellular ly
sates were analysed for the presence of the FA proteins FANCA, FANCC, FANCF
and FANCC, as well as the complexes reported to be formed between these pr
oteins, using immunoprecipitation and Western blot analysis. Aberrant prote
in profiles were observed in five of the 10 cell lines and in 11 of the 15
primary AML samples. Aberrations, that included absence or reduced presence
of FA proteins and/or their complexes, were noted in the subclasses M1-M4,
but not in M5a (n = 3), Our results suggest that a significant proportion
of general AML is characterized by a disturbance of the 'FA pathway' that m
ay represent an early event in the development of this type of leukaemia.