Review Article

Acute Myeloid Leukemia with the t(8;21) Translocation: Clinical Consequences and Biological Implications

Table 2

Molecular structure of the t(8;21) fusion protein, the origin of various domains, and the localization of important molecular interactions.

OriginDomain (alternative nomenclature)Molecular interactions

N-terminal

AML1RuntDNA binding
Binding to CBFβ with formation of heterodimers
Binding of other transcriptional regulators

RUNX1T1-derived domainsNHR1 (eTAFH)Interacts with the nuclear hormone receptor corepressor
Interaction with the activation domain of E-proteins (E2A and HEB)
NHR2 (HHR)Mediates oligomerization with itself or other ETO molecules
Interacts with the corepressors Sin3, Gfi1, and histone deacetylases 1 and 3
NHR3 (Nervy)Interacts with the regulatory subunit of type II cAMP-dependent protein kinase
This domain together with the NHR4 domain is absent in the leukemogenic AE9a splice variant that naturally occurs in primary human AML cells with t(8;21)
NHR4 (MYND)N-CoR and the silencing mediator of retinoid and thyroid hormone receptor (SMRT); these are associated with HDACs
SON, an RNA/DNA-binding protein
This domain is absent in the leukemogenic AE9a splice variant

C-Terminal