Among infant leukemias, MLL-AF4 is the most frequent translocation and results in an aggressive disease with a very early onset (<1 year of age), characterized by a pro-B acute lymphoblastic leukemia (ALL) phenotype or, in some cases, biphenotypic leukemia (Sanjuan-Pla et al., 2015). The gene discussed is KMT2A; the disease is acute lymphoblastic leukemia.