Philip Morris
Chromosome Translocations and Human Cancer
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- Author
- Croce, C.M.
- Klein, G.
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- 2023234446/2023234895/Philip Morris: Witnesses C.R.W.
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- 2023234557-4559 the Face of Aids Today - Much Effort, Little Progress
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- 2023234562-4569 Epstein-Barr Virus, Infectious Mononucleosis, Burkitt's Lymphoma and Nasopharyngeal Carcinoma
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Chromosome Translocations
and Human Cancer
Chromosomes in a cell of the immune system sometimes "trade"
segments ofDNA. T'his process can activate cancer-cacrsing genes
6y placing them neargenetic sequences that enhance their acti vity
vt ry human cell contains ont:o-
E genes, genes that have the poten-
tial to cause cancer. These genes
apparently carry out normal functions
until a malignant change takes place.
What is it that changes the oncogene
from a normal part of the cell's genetic
machinery into a source of cancerous,
or neoplastic, transformationT.
In the past decade several different
mechanisms by which an oncogene
may be activated have been discovered
(aee "A Molecular Basis of Cancer,"
by Robert A. Weinberg; Scttxrunc
AmEtuc,w, November, 1983). Some-
times an oncogene is activated by a
"point mutation"; a small segment of
the gene is altered' by radiation or a
chemical carcinogen. Another, way an
oncogene can be activated is through
°amplification," in which the oncogene
is somehow replicated many times so
that several active copies of it are pres-
ent in the same cell. When this hap-
pens, the gene may be expressed at an
inappropriately high level; in other
words, the cell may make too much of
the protein encoded by the gene. Even
a protein that is necessary for the prop-
er functioning of the cell' may have
cancerous effects when it is produced
in large quantities (see "The Proteins
of Oncogenes," by'Tony Hunter; Set-
Fxtitic Ata>attcA>v, August, 198dJ.
An oncogene could also be activat-
ed by incorporation into a retrovirus
(a virus whose genetic material is made
of RNA rather than DNA). When a
retrovirus infects an animal cell, it un
pick up from the cell an unactivated
oncogene, which becomes part of the
genetic complement of the retrovirus
and its progeny. This process some-
times activates the oncogene, and so
subsequent infection by that strain of
retroviTus can induce a neoplastic
transformation in a different cell. At
present it is not clear wtuC role these
54
by Carlo M. Croce and George Klein
mechanisms of activation play in the
development of human tttmors, since
few human tumors carry an oncogene
activated in any of these ways.
Our work and the work of other in-
vestigators has shown there is yet an-
other mechanism that can activate an
oacogene. This mechanism operates in
some cancers of cells in the immune
system called B, cells. The primary
function of a B cell is to produce anti-
bodies (immtmoglobulins), the mole-
cules that recognize and bind to the
"nonself," or foreign, molecules called
antigens. The genes that encode the
production of antibodies must be ex-
pressed at a high level for the B cell to
fulfill its function properly. Genetic se-
quences within the genes that encode
antibody production increase the ac-
tivity of such genes in B cells. If a re-
arrangement of the B cell's chromo-
somes (rodlike strands of DNA that
contain the cell's genes) somehow jux-
taposed such a sequence with an onco-
gene, then expression of the oncogene
would be enhanced. Malignant trans-
formation would seemingly become a
primary part of that cell's function.
We have found that such rearrange-
ments do indeed occur in Burkitt's
lymphoma, an extremely fast-grow-
ing malignancy of the immune system.
The rearrangements result from recip-
rocal translocations between two of
the B cell's chromosomes: a segment
of each chromosome breaks off and
moves to the end of the other chromo-
some [scr lllusnation on page 36]. In
most of these translocations an onco-
gene moves into a position near one of
the sequences that enhances antibody
production; less often the oncogene re-
mains in place and the enhancing se-
quence shifts.
We came on this mechanism in the
course of research begun in the late
1970's to identify, the chromosomes
that contain the genes responsible for
antibody production. Once we had
mapped the locations of these genes,
we noticed they lay on precisely the
same chromosomes that were already
known to be yianslooated in Burkitt's
lymphoma cells. Our later reaearch
showed that the two segments of genet-
ic material that translocate between
chromosomes contain, respectively; an
oncogene and a gene encoding part of
the antibody molecule..
r
In order to discover which chromo-
somes contain the genetic infor-
mation that codes for antibody pro-
duction, one of us (Croce) and his
associates employed an experimental
technique involving hybrids between
mouse and' human somatic cells (body
cells rather than eggs or sperm).
Hybrid cells are produced' by mixing
mouse and human B cells in a medi-
ttm containing a chemical' or viral fu-
sion factor, which joins some mouse
and human cells. The resulting hybrids
contain both human and mouse chro-
mosomes. Each hybrid cell of this type
may lose some human chromosomes
during cell division (although it retains
its entire complement of mouse chro-
mosomes), and so as the cells divide
and multiply successive generations
have fewer human chromosomes; af-
ter many generations each of the hy-
brid cells will have only a few human
chromosomes.
To determine which chromosomes
hold the genes coding for parts of the
antibody molecule, we examined sev-
eral panels of such cells. Any cell pro-
ducing a part of the molecule must
have contained one of the necessary
chromosomes. We were able to deter-
mine which chromosomes hold the
genes for any particular part, of the
antibody molecule by noting which
human chromosomes were always
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'present in cells producing that part but
absent in any cells not producing it.
The antibody molecule is made up
of four protein chains; the chains link
in two identical pairs to form a Y
shape [aoe ill4srrarion on page 37]. The
longer chain in each pair is called
the heavy chain, and the shorter one is
called the light chain. Each chain con-
sists of two characteristic regions: the
"variable" region and the "constant"'
region. The variable region recognizes
and binds to antigens; the constant re-
gion specifies the task to be performed
by the antibody (called its effector
function)', after it has encountered and
bound an antigen. There are many dif-
In 1979 one of us (Croce) and' his
associates found that hybrid cells con.
taining human chromosome 14 were
the only ones to produce human heavy
chains. Apparently the genes coding
for production of heavy chains lie on
chromosome 14. Using similar ex-
perimental techniques Jan Erikson,
Joanne Martinis and one o[ us (Croce)
found in 1981 that chromosome 22
encodes the light chains bearing the
lambda constant region. In 1982 O.
Wesley McBride and his associates at
the National Cancer Institute and Ter-
ence H. Rabbitts and his collaborators
at the Medical Research Council's
Laboratory of Molecular Biology in
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ferent types of variable region, be-
cause antibodies are highly selective:
each binds to only one specific anti-
gen. In contrast, only two types of
constant region occur in light chains
(called kappa and lambda respective-
ly) and only 10 types of constant re-
gion occur in heavy chains. Thus anti-
bodies to different antigens may well
perform the same task. Each mature B
cell can produce only one type of anti-
body, and the cell's chromosomes con-
tain DNA coding for the variable and
constant regions specific to that anti-
body [see "The Genetics of Antibody
Diversity: by Philip Leder; Saixxt'tFtt:
As.tetur.iuv, May, 1982).
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CHItOM©3OKU from a Yrbrid of mome aad aaaun cel4 i.-
ctude humae (peJt) and mome (dark) chromo.omea 0.e of the t»-
maa clromasomm (arror-) 5ac usd ersoae a tsamlocatlos: a.aYmest
or one ted t,as broken oQ .ad' bas been replaced by a aelmeat tros
another chromosome. 'rranslocat{oas caa acti.ate o.coaeas (sess
that nme eaecer) by placing tt.e. ear eaea.cen, seaetle w
que.eem that Iacrea.e actlrity .t eertais other aess oa the nmt
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cbrommoae. Dec.me hybrid cetin Qo.taf..ome, Mt.ot at4 of 6e
Yama" seaettc eospkme.t, they eam be med to determi.e the chra
mosomen encoding abomau prodoct: aay hamaa product prod.ced
by a edl eo.talelea jrsCo.e \amas cAromosome smt be prod.ced
by that cire.o.ome'lle aattwn med such hybrid cdY to Mertlfy
the ckromoeoms e.ataid.= cerhfl o.coaess .ad to et.da the d-
Iecri of .arios ttamloeatloar on t!e regulatlon of tt.e.e o.coae.a

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Cambridge found that chromosome 2
encodes the light chains carrying the
kappa coostant regiom
Theae results fitted neatly with.rttrk
that had been done a decade ear-
lier on chromosome translocations.
In 1972 George Manolov and Yanka
Manolova, working at the University
of Lund in Sweden, found an irregular-
ity in the chromosomes of many cells
that were affected' by malignant Burk-
ia's lymphoma: one of the chromo-
somes in the 14th pair (a human so-
matic cell has 23 distinct pairs of chro-
mosomes) was elongated. Noting that
one section of the chromosome, called
the q arm, was abnormally long, the
Manolovs called the unusual chromo-
some 14q+.
Subsequently Lore Zech, in collabo-
ration with one of us (Klein) at the Ka-
rolinska institute, found that the 14q+
chromosome is the result of a recipro-
cal translocation: it forms when an
end segment of a chromosome in the
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eighth pair breaks off and joins chro-
mosome 14. A segment of chromo-
some 14 makes the opposite transition
and joins the end of chromosome 8.
The rearranged eighth chromosome is
called 8q-, because it has a foreshort-
ened q arm. More recently other work-
ers found that two other chromosome
translocations may occur in Burkitt's
lymphoma cells. Both involve chro-
mosome 8; in one kind of translocation
(occurring in approximately 16 per-
cent of the cases of Burkitt's lympho-
ma) the reciprocal shift is between
chromosomes 8 and 22. In approxi-
mately 9 percent of the cases the trans-
location involves chromosomes 2 and
8. Three of the chromosomes affected
by these traaslocations, chromosomes
2, 14 and 22, are involved in the pro-
duction of antibodies.
The association between Burkitt's
lymphoma and antibody production
soon proved to be closer. One of us
(Croce) and Erikson at the Wistar In-
stitute of Anatomy and Biology and
E~ C)
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CHRO6AOSOME 14 D1HObAO''OME
RECIPROCAL TRANSLOCATION Detwees clromowmes t(rad) a" 14 (trum) eaeses
moat Iasta.ces of aarldttc tymphoma, a maL{aeascy o[ B cells is the Sumaa immme q!s-
tem. A segmeat from tae e.a of chromosome i brealts off (a) a.d movs to chromosome 14
(!k T!e reverse traacbcatioa m.rs a eagme.t from chromosome 14 to chromosome g.
B>ach reeiprocy er.aalootioa Vbct a. o.eoaene from chromosome a.ear a aeae on elrs
masome 14:tlat asaatly eodm for productioa of pnt of t!e antibody motecole. A mecka.-
iam that eahaaees rroduetton of a.ttsadis ts aoemat B eetts the. actl.atee the o.cosese.
i5
JanetFinan and Peter C. Nowell of the
University of Pennsylvania School of
Medicine found that the point at which
chromosome 14 breaks during the
translocation .rith chromosome 8 is
situated precisely within the section of
chromosome 14 that encodes the im-
munogiobulin heavy chain. For these
experiments we once again used hy-
brids between mouse and human cells;
in this case we used cells from the
mouse immune system that had been
uansfotvted by a type of cancer called
a plasmacytoma. Each hybrid cell con-
tained, in addition to the mouse genet-
ic complement, at least one chromo-
some from a human Burkitt's lympho-
ma ceU.
As we had expected, hybrid cells
with the normal chromosome 14: (the
chromosome of the 14th pa'tr that had
not been affected by the translocation))
possessed genes for antibody produc-
tion; those with the normal chromo-
some 8 did not [ice !!lusrrarion on page
191. On the other hand, hybrids with
a chromosome 14 that had been in-
volved in a translocation (the 14q
chromosome) contained the genes for
the constant regions of heavy chains
but not for the variable regions. Chro-
moaome 8 that had taken part in the
translocation contained the genes for
the variable regions. These results are
evidence that chromosome 14 breaks
between the genes coding for the vari
able and constant regions of the heavy
chain, and that the genes coding for the'
variable region move to chromosome
8. The heavy-chain locus (the part
of chromosome 14 that encodes the
heavy chain) is thus directly involved
in one of the translocations that is
characteristic of Burkitt's lymphoma.
A this point it was clear the mecha-
nism of Burkitt's lymphoma was
somehow related to the genes that
code for the production of antibodies;
our next clues to the nature of the rela-
tion carne from studies of oncogenes.
Because Burkitt's lymphoma affects,
the B cells, we were particularly inter-
ested in an oncogene designated c-myc.
a human oncogene closely related to
the oncogene v-myc, which causes a B-
cell lymphoma in chickens that have
been infected with avian myelocyta
matosis virus.
In collaboration with Riccardo Dal-
la-Favera and Robert C. Gallo of: the
National Caneer Institute, we used the
close relation between human and avi-
an myc genes to construct a probe that
would identify hybrid cells containing
the human c-myc oncogenc. Our probe
was a radioactively labeled segment of
human DNA whose genetic sequence
was very similar to that of the v-myc
oncogene.

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To tell whether a hybrid cell con-
tained the human c-mXc gene, we used
an enzyme to cut the cell's genetic ma-
terial into small segments; we then
separated the segments by sise, using
a process called gel electrophoresis.
Next we exposed the DNA to a so-
lution containing radioactive probe
DNA. Both the cellular DNA and the
probe had been "denatured"; that is,
in each case the two complementary
strand's of DNA that make up that
molecule's double-helix shape had
been separated. Because the o-myc
probe and the human e-myc gene are
nearly identical, the libekd strands of
probe c-myc "hybridized" with the cel-
lular c-myc: that is, single strands of
probe DNA joined to complementary
strands of cellular DNA. When we
washed away the solution of probe
DNA, any probe that had hybridized
was left behind. After this washing
process any cell whose genetic materi-
al had hybridized with the radioactive
probe could be discerned by a specific
radioactive band that appeared on the
filter paper holding the sorted DNA.
We used the probe to examine a pan-
el'. of mouse-human hybrid cells in or-
der to determine the chromosotnal lo-
cation of the human c-my!r gene. We
first examined hybrid cells with nor-
mal human chromosomes and found
that human chromosome 8 was pres-
ent in all cells containing the human
c-myc oncogene and absent in those
without it; we concluded that the c-ma+c
oncogene lies on chromosome 8.
Next we examined hybrid cells that
contained the translocated chromo-
somes 8 and 14, derived from unions
between mouse cells and human Burk-
itt's lymphoma cells. We observed that
the c-myconcogene resides in the small
uarnent of chromosome 8 that consis-
tentty translocates to chromosome 14
in Burkitt's lymphoma cells containing
the translocation between chromo-
somes 8 and 14. This result indicated
that translocations involving the e-myc
oncogene play a fundamental role in
development of Burkitt's lymphoma.
Interestingly, similar specific ehro-
mosomal translocations have afso
been observed in mouse plasmacyto-
mas by Shinsuke Ohno, Francis Wie-
ner and Jack Spira, working at the
Karolinska Institute with one of us
(Klein) in collaboration with Michael
Potter and his associates at the Na-
tional Cancer Institute. Their study
found that malignant antibody-pro-
ducing cells of mice carried a charac-
teristic translocation between chromo-
some 15 and the mouse t:hromosomes
that have either the heavy-chain genes
or the genes for the light-chain kappa
region (mouse chromosomes 12 and
6 respectively). Thcse results suggest
A1VTiSODY MOLECULL ea.das eI two Ye.tleal g.ks .f geot.ir eWs jstad te tero
a sflit V' at+ap. la ..ei pi tasre are a iaa.y claL aa4 a liNt eYda, a.i .aeb eWe
ks a.attalle eegior ar4 a eosu.t eegloa. Moa eaw .t Iiaetdtt's b.phora are em.i
by a traa.loeatJe..[ as e.co{e.a to 1\e ge.eek toer ..cealag the r.a.y etnh. fMha
esa.r arn ea.wi by traasbeaqos iiv.l+tag g..Y tK 1!e llgit-eYia coastaa eegio.a
ed that immunoglobulin genes have a
role in mouse plasmacytomas.
Lter experiments done by one of us
(Croce), Dalla-Favera and Gallo,
in collaboration with Stuart A. Aaron-
son of the National Cancer Institute
and Philip Leder of the Harvard Medi-
cal School, showed that the c-myc on-
cogene translocated to chromosome
14 in human Burkitt's lymphoma may
be arranged in several ways.
The oncogent consists of three ex-
ons (DNA segments that are tran-
scribed to make messenger RNA, or
mRNA, during the process of eitpres-
sion as proteins) broken up by two in-
trons (segments consisting of DNA
that is not transcribed into mRNA and
is thus not expressed as protein). The
structure of the oncogene was analyzed
by Dalla-Favera and Gallo and their
associates and by Rosemary Watt.
Giovanni Rovera and one of us (C?o-
ce) at the Wistar Institute. In some
Burkitt's lymphoma translocations the
breaking point on chromosome 8 is
"upstream" of the entire c-myc onco-
gene and all three exons of the gene
are translocated to chromosome 14;
in other cases, however, the breaking
point is 'downstream"'of the first exon
and only the second and third exons
are translocated [m Jllusrrerion m
page 60]. In this case the oncogene is
attached "head to head"' with one of the
heavy-chain genes on chromosome
14; that is, the translocated segment
of DNA from chromosome 8 runs
in a direction opposite to that of
the DNA from chromosome 14.
Other experiments have shown that
a similar rearrangement occurs in
translocations underlying mouse plas-
macytomas. These studies were first
carried out by Michael D. Cole and
his associates at the St. Louis Uni-
versity Medical Center, and later by
Leder, by one of us (Croce) in col-
laboration with Kenneth B. Marcu of
the State University of New York at
Stony Brook and by Jerry Adams and
Suzanne Cory of the Walter and Eliza
Hall Institute of Medical Research in
Melbourne. In mouse plasmacytomas
the c-myc oncogene is rearranged head
to head with an immunoglobutin
heavy-chain gene. It is not yet clear,
however, whether the oncogene is
tranzlocated to the heavy-chain locus
or whether it remains on mouse chro-
mosome 15 while the heavy-citain lo-
cus is translocated near it.
Iin spite of the several possible chro-
mosome rearratt8ements in cells of
human Burkitt's lymphoma, we found
that the protein produced by the c-mrc
gene was qualitatively the same. Spe-
cifically we found that the first c-myc
exon does not code for a protein; pro-
tein synthesis begins at the second'
exon. Therefore it was not the rear-
rangements of the c-myr gene during
translocation that had activated its on-
cogenic qualities; the cancerous effect
of translocation is not due to some al-
teration within the gene.
If the c-myc product is the same in
57
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normal cells and in Burkitt's lym-
phoma cells, what is the oncogen-
ic consequence of the chromosome
translocation in Burkitt's lymphoma7
Perhaps the translocation somehow
causes the tmyc gene product, small
quantities of which may be necessary
for the cell's fuaction, to be expressed
at abnormally high levels.
In other words, it is possible the
translocation enables the c-myc gene to
evade the methanisms that normally
control its expression. If this is the
ease, there should be a di5erlnce be-
tween the levels of expression of the
translocated gene and the normal c-
myc oncogene in the same cell. Cells
with the 14q chromosome should
have elevated levels of c-nqr mRNA,
the genetic material that represents
an intermediate step between the pres-
ence of a gene on a chromosome
and its expression as a protein. Cells
with- normal chromosome 8 should
have low levels of c~myrc mRNA.
W tth that possibility in mind Kazu-
ko Nishikura and our associates
at the Wistar Institute undertook fur-
ther experiments with hybrids of hu-
man cells and mouse plasrnacytomas..
Using a method that enabled us to dis-
tinguish human c-mXr mRNA trans-
cripts from mouse c-mrc mRNA, we
found that the c-myc gene on the
14q chromosome is expressed at high
levels; the c-reyc gene on normal
ehromosome 8 is relatively sikntin the
same kind of plasmacytouoa ceII.
In parallel experiments we intro-
duced a e-+eyc gene on normal chro-
mosome 8 into mouse plasmacytoma
cells. The gene had' come from non-
cancerous human B ceAs. We found
that this gene, which had been ex-
pressed (albeit at low levels) in normal'
human B cells, was shut off completely
in mouse plasmacytoma cells. Adams
and Cory found in other studies that
the untranslocated mouse c-myc gene
in mouse plastnacytoma cells ianot ex-
pressed. Thus whereas the normal (un-
translocated) o-myrgene is reptestxd' in
the background of a mouse platanacy-
toma cell, a c-myc oncogene that is
translocated to the heavy-chain locus
on chromosome 14 somehow escapes
the mechanisms that normally controll
transcription.
We also examined c-myc mRNA
transcripts from Burkitt's lymphoma
cells carrying a variant tratuJocation.
In these cells the first exon of the c-myc
gene remains on chromosome 8 and
the other two exons are re.rranged
head to head with the genes on chro-
mosome 14. (Each of these cells had a
normal eighth chromosome in addi-
tion to the translocated chromosome.)
In these cases it is relatively easy to tell
the difference between mRNA of the
translocated gene and that of the gene
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A 11
TRANSLOCATED CHROMOSOMES of . EurkHt3 tympeow cell dttiet is NesaN
trom their oatraaslocsted coaaterpatts. la tt+fs cell oae of the cdromosomes 1s t!e e!=fta
pyfr tus ..deraoae a tr.nslootlos witb a chromosome from the 14th patr. The truittotat-
ad earomoaome a h.s bew atroetesed oad the traostocated et.romowme 14 te.gtbead.
from normal chromosome 8: the trans-
located gene has been partially re-
arranged and hence its mRNA tran-
scripts will be different. In such cells
Abbas ar-Rushdi'and our other collab-
ontcrsobsetved high levels of mRNA
from the translocated o-m,1r gene but
not from the normal c-myc gent.
Yltese results indicate the c-myc on-
cogena becomes deregulated as a re-
sult of proximity to genes that code for
antibodies. This conclusion is strength-
ened by observations concerning two
translocatiotts occurring in Burkitt's
lymphoma that do not involve chro-
mosome 14. One of tltese transloca-
tions is between chromosome 8 and
tfirotnosome 22, the chromosome that
contains genes encoding light chains of
the lambda type. The other is between
chromosome 8 and chromosome 2,
the chromosome that contains genes
encoding kappa light chains. In, both
of these transiocations, as one of us
(Croce) showed, in collaboration with
Nowell and with Gilbert Lenoir of the
International Agencyfior Research on
Cancer in Lyons,,the c-myc gene re-
mains on chromosome 8, where it is
joined by a sequence that encodes anti-
body production (in one case by the
lambda light-ehain locus and in the
other by the kappa locus). Either trans-
location can activate the oncogene by
making it unresponsive to the mecha-
nisms that normally control expres-
sion. Apparently the c-myc oncogene
does not have to move in order for it
to be expressed at elevated levels.
What is responsible for the deregu-
lation of the c-myc oncogene tak-
ing part in these translocations? An ex-
peritnental' observation suggests an an-
swer: the translocated c-myc oncogene
of Burkitt's lytnphoma is repressed in
hybrid cells that are based on mouse
6lbrobl'asts (cells of connective tissue),
whereas it is expressed at high levels in
hybrids based on plasmacytoma cells
(mal*tattt antibody-producing cr)is).
It appears the translocation has an on-
cogenic effect only in a cell that pro-
dttas antibodies, one in which the
ehromosomal regions that are neces-
sary for antibody production are par-
ticularly active.
Such chromosomal regions contain
a type of genetic sequence called an
enhancer. Enhancers are sequences of
DNA that seem to increase the levels
of transcription of: certain other: genes
on the same chromosome; they are a
recent discovery and little is known
about how they function. Workers in
the laboratories of Kathryn L. Calame
of the University of ~ California at Los
Angeles, of Walter Shaffner of the
University of Zurich~ and' of' Susumu
53

Tonegawa of the Massachusetts Insti-
tute of Technology have found there
are enhancing sequences within the
segment of DNA that codes for one
type of immunoglobulin heavy-chain
constant region. Recent studies at the
Wistar Institute suggest the presence
of additional enhancers in the heavy-
chain locus. In addition David Balti-
more and his associates at M.I.T. have
found enhancing sequences within the
chromosomal regions encoding the
light-chain kappa constant region.
These findings suggest a possible
mechanism for Burkitt's lymphoma:
chromosome transi'ocationa within a B
ceU place a c-myc oncogene in juxta-
position to enhancers; the enhancers
are capable of activating transcription
over considerable distances. The c-nryc
gene is then expressed' in the same way
that immunoglobulin genes are ex-
pressed in a normal' B cell. lnn sense
the expression of the c-myc oncogene
becomes a part of the cell's specialized
function.
~ecent results indicate this mecha-
1~ nism of oncogettesis may be re-
sponsible for many other malignancies
involving cells of the human immune
system. Jorge J. Yunis of the Universi-
ty of Minnesota Medical School has
developed a new method of banding,
or staining, chromosomes that makes
possible a highly precise detection of
specific chromosomal changes in ma-
lignant cells. His applications of this
technique suggest definite ehromoso-
mal changes mark the majority of B-
cell malignancies. Translocations be-
tween chromosome 14 and segments
of either chromosome I 1 or chromo-
some 18 are common in B-cell lym-
phomas in adults, in human chronic B-
: y:.3 in multiple myel'o-
ma. This observation, combined with
our knowledge of the role of the im-
munoglobulin heavy-chain locus on
chromosome 14 in Burkitt's lympho-
ma, indicates human oncogenes may
lie on chromosomes 11 and 18; this
conjecture is supported by work done
by Yoshihide Tsujunoto at the Wistar
Institute in collaboration with Yunis
and Nowell. We have found that the
breaking points in these translocations
were consistently clustered in short
segments of chromosome I1 or 18;
in addition the breaking points always
lie in front of the segment of chromo-
some 14 that encodes the constant re-
gion of the heavy chain. We have pro-
posed ttte designations bcl-1 and bc!-2
(B-cel: lymphoma/leukemia I and 2)
for the two putative oncogenes on
chromosomes 11 and 18.
Observations made in the study of
Burkitt's lymphoma open two new
major areas for investigation. First,
there is the matter of enhancers. What
are the precise sequences of DNA
that make up an enhancer, and how
does the enhancer increase the level
of transcription of certain genes? The
other area opened for investigation
concerns the c-myr oncogene. What
u the function of the c-nqrr gene in a
normal cell, and why should the ex-
pression of e-eryc at elevated levels
cause malignancy?
In addition to these new areas of re-
search, our work suggests new experi-
mental approaches to the study of B-
cell neoplasms. Many of these malig-
nancies involve the translocation of an
HUMAN BURKflTS
LYMPHOMA CErl
NYBRID tEttS
unknown oncogene to the heavy-chain
locus on chromosome 14. The heavy-
c?tain locus is relatively well known,
and there are nucleic acid probes that
make it possible for an investigator to
study segments of DNA close to it.
Since translocations tend to bring the
otlcogene into close proximity with the
heavythain locus, such probes will
provide investigators with the tools to
identify, isolate and characterize genes
connected with the majority of human ,
bcelil cancers. In this way knowledge
of the genetics of antibody production
would yield knowledge of the genetic
structure of newly isolated oncogenes.
Work with chromosome vansloca-
IFt1SbN FAC1oR
MOUSE
PtA56A/1CYTt7/AA
CEU
1
fREA1CIN6' lOIiVT an tra.etoaatt.g chromosome 14 tle...kW the regio: that eac.ir
the a.tlbody heavy cWa, r Ws est.eine.t.howet Ah..a. Durtittl lyspWom+e ed,
c..taint.a !Wh aor.at ad tnrfscated caro.e.o.. a a.d 14, wr r.ee4 with a r.~.
ptae.acrt..a eetl (a wceeo.s celt .f the .o.ee temoe syae.)6 Each hybrid ceY ef
tal.d e.e af the ctrroeoaoem from the h.aaa ce4 Hybrid celr coaai.iq .ora.d clro-
.oeoee a( i./), grod.ced .e a.tlbody. Calls wlta .ora.ai chromosome 14 (peax) trod.ced.
the astlbody \dq ctr.h. 'lle chromosome 14 i..otrd in the traaetoeatlou co.tai.d
aeas toe orty the cooetut regloar of the ba+y cital.., .ad the ta.ot.d chromosome I
co.tal.ed aes tar the bea.y-cL.L .arialNe redca Appvestb ta the pocan a[ tr.rts
eatba chromosome 14 brealu dir.ctb tsstweem locd e.codiq co.etaat ad +ari.6le r.ab..

tions may also lead to new methods of
diagnosing and characoeri=ing cancers
of the immune system. The chromoso-
mal breaking points, for example, clus-
ter within short segments of DNA in
B-cell' malignancies that exhibit the
translocations between chromosomes
11 and 14 or between chromosomes 14
and 18. It should therefore be possible
to develop DNA probes that are spe-
cific to these small segments. A tissue
sample could, then be taken from the
affected area of a patient, and the
DNA probes could be used to deter-
mine precisely which kind of chromo-
E
lAANSIOCATED GMIOMOSOMES
a
b
E
t:AYC ONCOGENE
CHROMOSOME w
pHi#OtAOSOME 14
CMROMOSOrtAE ti
VARIETy OF TRANSLOCA77ONS na oa.e Evkkt's tympt+o-
ma In the eommo.est ese (a) aD three e=om (seqoewces or DNA
th.t may e.eode rroteies) of the c-reyc o.cogeee .o.e from tiro-
mosome a to a secttoa e( elpomoeome 14 that le .dlace.t to the
ges e.codloN tbe coastaat regioa of the astibody Ee.ry dain
Ahera.Hvety (a1, chromosome a eaa break at the irst btros (ses-
me.t of ".o.seese" DNA, wt,lcb in mot tra.roibed bto m1tNIA)
somal rearrangement is responsible
for the malignancy.
Very recent results indicate that the
leasons learned from B-cell malignan-
cies may also be applicable to malig-
nancies of Tcxlls, the other major con-
stituent of the immune system. One of
us (CYoce), in collaboration with Ro-
vera and with Mark M. Davis of Stan-
ford University, has found that the
gene for the alpha chain of the T-cell
receptor lies within the region of chro-
rnosome 14 that is involved in some
translocations characteristic of certain
cancers affecting T cells.
: CHpOMOS0alE3
GENES ENCODING NEAVY-CMAIN
CONSTANT REGION
Our studies of tM mechanism un-
derlying Burkitt's lymphoma thus
have implications beyond this one dis-
ease. The translocations in Burkitt's
lymphoma seem to provide a model
for the majority of human B-cell can-
cers (and perhaps for T-cell cancers as
well)L In addition knowledge of the
translocation mechanism will provide
powerful experimental tools not only
for the study of other cancers but also
for the study of the mechanisms that
control genetic expression during the
normal development and' function of
the human immune system.
GENES ENCODING MEAVYCHAM
YARUIBLE REGION
C-M)C
r
ElCt7t+11' EXON'II EXON III
CNROM06OME a
GMYC
EXON 11 EXON NI
cxtROMOSOMe e
a( the o.coae.q I. w`tcE caee oaty two e:ons moee to cbromosome
14. I. otl;er posible te.sloc.tloes the c-myc oscogroe rem.les
on ekromoeome i wt.tle gens encodio= t6e cooetaot' reaion of the
a.tlbody tlabt chain joi. It. 1o o.e such case (c) geaes tlat code
for eo.etast rea{os oI the '9.meda^ type are tnedonted from
chromosome 22; aeoes trom chromosome 2, wlicb eecode "kappa"
eostaat retio.s, ea. .tco tdu part tn sucb a traasloe.tioo (d).
11 60
