Chromosomal Translocations in B Cell Lymphomas

Author(s):  
Marco Fangazio ◽  
Laura Pasqualucci ◽  
Riccardo Dalla-Favera
Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 161-161
Author(s):  
Christiane Pott ◽  
Heiko Trautmann ◽  
Lana Harder ◽  
Michael Kneba ◽  
Reiner Siebert ◽  
...  

Abstract Somatically mutated IGVH regions are a hallmark of germinal center (GC) B-cells. Moreover, aberrant somatic hypermutation (SHM) of oncogenes, like changes in the 5′ non-coding region of the BCL6 gene occurring in 75% of DLBCL, are a mechanism of oncogene activation independently of chromosomal translocations. Large scale mutational screening using DHPLC and direct sequencing was applied to determine the somatic hypermutation status of clonal IGVH as well as several oncogenes like BCL6 and MYC in a series of more than 250 aggressive B-cell lymphomas included in the Deutsche Krebshilfe funded network “Molecular Mechanisms in Malignant Lymphoma”. Mutation patterns were correlated with the results of molecular cytogenetic analyses. MYC breakpoints detected by FISH clearly differentiated two groups of aggressive B-NHL with significantly different VH mutation status. MYC-positive lymphomas by FISH carried VH genes with a mutation frequency significantly lower compared to aggressive lymphomas lacking these features (median 4.8% vs.11.,0%, p<0.0001). Similarly, the mutation frequency of BCL6 was significantly lower in MYC-positive than in MYC-negative lymphomas (median 0.13% vs 0.25% p=0,020). We observed a bias in VH gene usage in both groups with an overrepresentation of VH4 (40% in both groups) and VH3 gene (24% in MYC-positive, 40% in MYC-negative). The group of MYC-positive lymphomas was heterogeneous with regard to the pattern of chromosomal aberrations. (IGH, MYC, BCL2, BCL6, MALT1 and REL loci). Lymphomas with IG-MYC fusion lacking breakpoints in BCL2, BCL6, MALT1 or REL loci as well as non-MYC associated IGH translocations displayed a median IGVH mutation frequency of 4,8% vs. 12,2% in those cases with additional chromosomal translocations (p=0.0060). Molecular classification of aggressive B-cell lymphomas according to MYC breakpoints distinguishes subgroups with significant differences in the VH and BCL6 mutation frequencies.


1993 ◽  
Vol 90 (11) ◽  
pp. 5262-5266 ◽  
Author(s):  
B. W. Baron ◽  
G. Nucifora ◽  
N. McCabe ◽  
R. Espinosa ◽  
M. M. Le Beau ◽  
...  

Oncogene ◽  
2001 ◽  
Vol 20 (40) ◽  
pp. 5580-5594 ◽  
Author(s):  
Ralf Küppers ◽  
Riccardo Dalla-Favera

Blood ◽  
2008 ◽  
Vol 112 (11) ◽  
pp. 296-296
Author(s):  
Erich Piovan ◽  
Masumichi Saito ◽  
Katia Basso ◽  
Urban Novak ◽  
Qiong Shen ◽  
...  

Abstract The human proto-oncogene BCL6 encodes a BTB/POZ-zinc finger transcriptional repressor that is required for germinal centre (GC) development and is expressed in the majority of normal GC B cells and in the majority of B cell lymphoma (B-NHL), including follicular lymphoma (FL) and a subset of diffuse large B cell lymphomas (DLBCLs). Deregulation of BCL6, by chromosomal translocation or somatic hypermutation, is implicated in the pathogenesis of B-NHL. The precise function of BCL6 in GC development and lymphomagenesis is still unclear also due to the very few direct BCL6 target genes that have been identified. In order to identify physiologically relevant BCL6 direct target genes, we used a novel approach combining high-throughput biochemical (ChIP-on-chip), bioinformatics (ARACNe) (Basso et al., Nature Genetics, 2005) and gene expression profile analysis (Klein et al., Proc. Natl. Acad. Sci., 2004) of normal GC B cells. The results (see abstract by Saito et al.) have identified a core of bona fide target genes whose promoter is bound by BCL6, whose transcription is dynamically linked to BCL6, and whose expression is down-regulated in GC B cells. Among the genes meeting these stringent criteria, we found BCL2, encoding the anti-apoptotic molecule whose expression is deregulated by chromosomal translocations or gene amplification in the majority of FL and in a subset of DLBCL. Further investigations showed that BCL6 represses BCL2 transcription by binding specific DNA sites within the BCL2 promoter region. Suppression of BCL6 expression via specific siRNAs leads to increased levels of BCL2, and, conversely, constitutive BCL6 expression prevents B cell receptor (BCR)-induced upregulation of BCL2 in B cells. Consistent with a physiological role for BCL6- mediated BCL2 suppression, immunohistochemical analysis shows that BCL2 expression is absent in GC B cells where BCL6 is highly expressed. Notably, the comparative analysis of BCL6 and BCL2 expression in B-NHL cell lines showed a conserved inverse correlation between BCL6 and BCL2 levels in cell lines carrying a normal BCL2 locus. However, cell lines carrying chromosomal translocations or amplifications affecting the BCL2 gene displayed the pathologic co-expression of both proteins, suggesting that the alterations affecting the BCL2 locus prevent BCL6-mediated suppression. These results indicate that one critical role of BCL6 is the modulation of antiapoptotic function in GC B cells via BCL2 transcriptional repression, suggesting a mechanism by which B cells may die in the GC if not rescued by BCR and CD40 engagement, both of which downregulate BCL6 while inducing BCL2 expression. Alterations of the BCL2 locus may contribute to lymphomagenesis by making the gene resistant to suppression by BCL6, and therefore allowing B cells to avoid apoptosis in the absence of antigen- and T-cell-mediated rescue.


2020 ◽  
Author(s):  
Barbara Vannata ◽  
Anna Vanazzi ◽  
Mara Negri ◽  
Sarah Jayne Liptrott ◽  
Anna Amalia Bartosek ◽  
...  

2007 ◽  
Vol 148 (36) ◽  
pp. 1713-1716
Author(s):  
Róbert Jaskó ◽  
Endre Horváth ◽  
Anna Szilágyi ◽  
Áron Altorjay

A cutan lymphomák a non-Hodgkin-lymphomák közé tartozó megbetegedések. Időben felállított diagnózis és adekvát kezelés mellett a betegség prognózisa kifejezetten jónak mondható. A korrekt diagnózishoz azonban rögös út vezet, számos bőrgyógyászati kórkép jelent ugyanis differenciáldiagnosztikai problémát. Esetismertetés: A szerzők egy 53 éves nőbeteg kórtörténetét ismertetik, aki válltájékon elhelyezkedő bőrelváltozás miatt került bőrgyógyászati kivizsgálásra. Mycosis gyanúja miatt konzervatív kezelést kezdtek. Ennek eredménytelenségét követően sebészi excisio történt. A posztoperatív szövettani vizsgálat cutan B-sejtes lymphomát igazolt. Megbeszélés: A cutan B-sejtes lymphomák a non-Hodgkin-lymphomák azon csoportjába tartoznak, ahol a malignus proliferatio primeren a bőrben keletkezik, és a betegség diagnózisát követő 6 hónapon belül nem lehet extracutan érintettséget kimutatni. A nemzetközi szakirodalomban számos tanulmánnyal találkozunk, mely a betegség tüneteinek észlelése és a diagnózis felállítása között eltelt hosszú időtartamról számol be. Ez a differenciáldiagnosztikai problémák jelentőségére hívja fel a figyelmet. A primer cutan lymphomák kezelése során meg kell határozni az elváltozás típusát, a betegség cutan kiterjedését, illetve az extracutan érintettséget. E vizsgálatok eredményeit elemezve állítható fel a terápiás terv. Esetünk az irodalmi adatokkal összhangban jól példázza, hogy az in toto sebészi kimetszés a korrekt diagnózis felállításán túl még napjainkban is terápiás alternatívát jelenthet.


2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Takashi Matsushita ◽  
Tomoyasu Kumano ◽  
Kazuhiko Takehara

Primary cutaneous follicle center lymphoma (PCFCL) accounts for the majority of primary cutaneous B-cell lymphomas. We report a 60-year-old womanwith PCFCL. She had a red nodule (25 × 25 mm) on the right side of the lower jaw. She was diagnosed with PCFCL by skin biopsy. And then, she was treated with radiation therapy (total 30.6 Gy), which completely eliminated the nodule. Our case suggests that radiation therapy may be a first choice for PCFCL patients with a solitary lesion or localized lesions.    


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