4;14 – IGH/FGFR3

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IGH/FGFR3 translocation, t(4;14)(p16;q32)

The t(4;14) translocation is associated with upregulation of the fibroblast growth factor receptor 3 (FGFR3) and the myeloma SET domain protein. This reciprocal translocation is a common alteration in multiple myeloma (MM) not often detected by classic cytogenetics, because of the telomeric location of the regions involved. Patients with t(4;14) demonstrate an overall poor prognosis that is only partially mitigated by the use of the novel agents bortezomib and lenalidomide.

References

  • Kalff A, Spencer A. (2012) Blood Cancer Journal. 2(9):e89-.
  • Fonseca R, et al. (2009) Leukemia. 23(12):2210-21.
  • Anderson KC, et al. (2009) J Natl Compr Canc Netw. 7(9)908-42.
  • Avet-Loiseau H, et al. (2007) Blood. 109(8):3489-95.