(a) Three chimeric chromosomes formed by parts of chromosomes 3, 4 and 12 and the primary hallmark MCL translocation t(11;14). These rearrangements were identified by SMUFIN and all were experimentally verified by PCR. (b) A representative 24-color multicolor-FISH (mFISH) karyogram (top) that shows an unbalanced karyotype, with the t(11;14)(q13;q32) (BKP 10 and 11), a centromeric deletion of 17p, and several rearrangements between chromosomes 3, 4 and 12, all of them consistent with the breakpoints identified by SMUFIN. Bottom image shows a metaphase hybridized with whole-chromosome painting (WCP) 4 (green) and 12 (orange) probes showing four derivative chromosomes with material of these two chromosomes. Combination of mFISH and WCP analysis confirmed the presence of two different derivative chromosomes der(3)t(3;4;12), one der(12)t(3;4;12), and identified a fourth, der(4)t(4;12), which is not detectable by SMUFIN owing to the centromeric location of the breakpoint in chromosome 4. Scale bar, 10 μm. (c) Genes affected by chromoplexy—a reciprocal fusion of two genes (ANK2, in green and SOX5, in red) and a truncated chromatin remodeler (ARID2). Coding and noncoding exons are displayed as taller and shorter boxes, respectively.
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