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Genetics of Acute Myeloid Leukemia - A Paradigm Shift.

It was the spring of 1972 when Janet Rowley noticed that a patient with acute myeloid leukemia (AML) had abnormalities in his chromosomes. She went on to publish her findings in 1973 [1]. Chromosomes 8 and 21 appeared to have some interchange [2]. The bottom of chromosome 21 had broken off and moved to the bottom of chromosome 8, and the bottom of that chromosome 8 had moved to the bottom of that chromosome 21 – an apparently reciprocal exchange, we now know as t(8;21) (q22;q22). Since then many genetic changes have been discovered in patients with AML.