It has been known for 30 years that the corresponding gene fusion plays an important role in tumorigenesis. Fusion genes can contribute to tumor formation because fusion genes can produce much more active abnormal protein than non-fusion genes. Often, fusion genes are
oncogenes that cause
cancer; these include
BCR-ABL, TEL-AML1 (
ALL with t(12 ; 21)), AML1-ETO (
M2 AML with t(8 ; 21)), and
TMPRSS2-
ERG with an interstitial deletion on
chromosome 21, often occurring in prostate cancer. In the case of TMPRSS2-ERG, by disrupting androgen receptor (AR) signaling and inhibiting AR expression by oncogenic ETS transcription factor, the fusion product regulates the prostate cancer. Most fusion genes are found from
hematological cancers,
sarcomas, and
prostate cancer.
BCAM-AKT2 is a fusion gene that is specific and unique to high-grade
serous ovarian cancer. Oncogenic fusion genes may lead to a gene product with a new or different function from the two fusion partners. Alternatively, a proto-oncogene is fused to a strong
promoter, and thereby the oncogenic function is set to function by an
upregulation caused by the strong promoter of the upstream fusion partner. The latter is common in
lymphomas, where oncogenes are juxtaposed to the promoters of the
immunoglobulin genes. Oncogenic
fusion transcripts may also be caused by
trans-splicing or
read-through events. Since chromosomal translocations play such a significant role in neoplasia, a specialized database of chromosomal aberrations and gene fusions in cancer has been created. This database is called Mitelman Database of Chromosome Aberrations and Gene Fusions in Cancer. ==Diagnostics==