scholarly journals VH gene analysis of hairy cell leukemia reveals a homogeneous mutation status and suggests its marginal zone B-cell origin

Leukemia ◽  
2004 ◽  
Vol 18 (10) ◽  
pp. 1729-1732 ◽  
Author(s):  
V Vanhentenrijk ◽  
A Tierens ◽  
I Wlodarska ◽  
G Verhoef ◽  
C D Wolf-Peeters
2020 ◽  
pp. 29-33
Author(s):  
Alyona Polishchuk ◽  
Michael Zavelevich ◽  
Daniil Gluzman

The cytological and immunocytochemical features of the lymphocytes with villous morphology in peripheral blood and bone marrow in some B-lymphoproliferative disorders were studied. The diagnosis of hairy cell leukemia, a hairy cell leukemia variant, splenic marginal zone lymphoma and splenic diffuse red pulp small B-cell lymphoma was ascertained in accordance with the new revision of the WHO classification (2016). The neoplastic cells of hairy cell leukemia were determined by the presence of high tartrate resistant acid phosphatase (TRAP) activity. Cell surface expression of CD19, CD20 and CD21 antigens was detected. Also, the expression of CD25, CD103 and CD200, and in some cases cyclin D1, was found out. CD5, CD10 and CD23 were not detected. The immunophenotype of cells in splenic marginal zone lymphoma with villous processes also corresponded to the mature B cells. The expression of CD19, CD20 and CD21 was observed in all cases, CD11c – in 50% of patients, CD25 or CD5 – in 10% of patients. In 80% of patients, the pathologic cells did not show TRAP activity. In the bone marrow and peripheral blood cells of patients with diffuse red pulp lymphoma, TRAP activity was not detected. An immunophenotype in the hairy cell leukemia variant was different from those of classic HCL (CD19+CD20+CD22+CD103+CD11c+CD5–CD10–CD23–). Characterized immunophenotypical markers, which have differential diagnostic values in several forms of lymphoid tumors of B cell origin, will be important for the choice of treatment methods and prognosis


2016 ◽  
Vol 11 (1) ◽  
pp. 34-36 ◽  
Author(s):  
I. A. Yakutik ◽  
L. S. Al’-Radi ◽  
H. L. Julhakyan ◽  
B. V. Biderman ◽  
A. B. Sudarikov

Cureus ◽  
2021 ◽  
Author(s):  
Yeshanew Teklie ◽  
Stephen Bell ◽  
Precious Idogun ◽  
Madhavi Venigalla

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 3467-3467
Author(s):  
Sarah L Hockley ◽  
Alison Morilla ◽  
Andrew Wotherspoon ◽  
Brian A Walker ◽  
Nicholas J Dickens ◽  
...  

Abstract Abstract 3467 Poster Board III-355 Hairy cell leukemia (HCL) is an uncommon B-cell malignancy that shares some features with a variant form, HCL-variant, and splenic marginal zone lymphoma (SMZL). The distinction between these disorders can be difficult, but correct diagnosis is important for patient management and clinical outcome. The recent WHO classification has recognized SMZL as a distinct entity and HCL-variant was included in a provisional category of unclassifiable splenic lymphomas involving the splenic red pulp that also includes splenic diffuse red pulp small B-cell lymphoma (SDSL). The molecular features of these disorders are still largely uncharacterized and genomic studies have been limited due to their rarity. We have used Affymetrix gene expression microarrays to compare the transcription profiles of 31 HCL, 24 HCL-variant, 44 SMZL and 5 cases of SDSL with the aim of elucidating the relationships between these disorders and to identify novel potential therapeutic and disease-specific diagnostic targets. Total RNA was extracted from PBMC samples enriched for tumor cells (median 89%, range 70-98%) and the expression of approximately 18,000 genes was interrogated using the Affymetrix Human Exon 1.0 ST Array. Data were normalized and analyzed using Partek Genomics Suite® and differentially expressed transcripts between the disorders were identified by ANOVA. Unsupervised hierarchical clustering revealed disease-related patterns within the transcription profiles. Strikingly, the HCL-variant, SMZL and SDSL profiles clustered together and separately from those of typical HCL. Using a false discovery rate threshold of <0.001 and an expression fold-change >2 we identified 366 transcripts that distinguished HCL from HCL-variant, SMZL and SDSL. Using these same criteria, and even those less stringent, we could not identify a gene expression signature that could distinguish between HCL-variant, SMZL and SDSL. Biological interpretation of the data revealed many of the differentially expressed transcripts linked to immune response and signal transduction processes, including key oncogenes and tumor suppressor genes. Transcripts with higher expression in HCL-variant, SMZL and SDSL relative to HCL were associated with lymphocyte activation and proliferation, NFκB signaling and integrin signaling. Conversely, transcripts with higher expression in HCL relative to HCL-variant, SMZL and SDSL, comprised amongst others, pathways of antigen processing, MAP kinase signaling, JAK-STAT signaling, and FLT3 signaling. Comparison of the transcription signatures of HCL, HCL-variant and SMZL provides insight into their relationships and for the first time provides strong evidence that HCL-variant and SDSL may be variant forms of SMZL and that HCL remains as a distinct disease entity characterized by different signaling pathways. These data further strengthen our previous observation that showed that the immunoglobulin heavy chain gene (IGH) repertoire of HCL-variant is more similar to SMZL than to HCL and that, in contrast to HCL, both HCL-variant and SMZL contain subsets of cases with unmutated IGHV. Interestingly, the expression profiles of both HCL-variant and SMZL could not be discriminated based on their IGHV mutation status. We are currently performing further analyses of these data, including comparison with the expression profiles of normal B cells, with the aim of gaining further insight into the clonal history and the normal B-cell counterpart of these disorders. Disclosures No relevant conflicts of interest to declare.


Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 4959-4959
Author(s):  
April Chiu ◽  
Weifeng Xu ◽  
Bing He ◽  
Paul Santini ◽  
Stacey R. Dillon ◽  
...  

Abstract Introduction. Hairy cell leukemia (HCL) is a rare chronic B cell lymphoproliferative disorder characterized by massive infiltration of the spleen by cells displaying a unique “hairy” morphology and surface phenotype. The ontogeny of hairy cells (HCs) and the mechanism underlying their accumulation in the spleen remain elusive. Growing evidence indicates that B cell-activating factor of the TNF family (BAFF) and a proliferation-inducing ligand (APRIL) play important roles in malignant B cells. BAFF and APRIL are usually produced by myeloid cells and engage three receptors on B cells known as transmembrane activator and calcium modulator and cyclophylin ligand interactor (TACI), B cell maturation antigen (BCMA), and BAFF receptor (BAFF-R). APRIL binding to TACI and BCMA is reinforced by cell-anchored and matrix-associated heparan-sulphate proteoglycans (HSPGs). In this study we verified the role of BAFF and APRIL in HCL. Methods. Splenic tissue sections and B cells from 5 healthy donors and 5 HCL patients were analyzed for expression of BAFF, APRIL, TACI, BCMA, BAFF-R and other molecules through immunohistochemistry, immunofluorescence, flow cytometry, immunoblotting and quantitative real-time RT-PCR. HCs were also cultured with umbilical vein or splenic endothelial cells in the presence or absence of BAFF and APRIL inhibitors, including soluble TACI-Ig decoy receptor, small interfering RNAs (siRNAs) and HSPG-modifying agents, such as heparinitase. HC proliferation, survival and signaling as induced by recombinant BAFF or APRIL were evaluated through standard assays. Results. We found that splenic sinusoids surrounding HCs were comprised of endothelial cells expressing APRIL and, to a lesser extent, BAFF. Endothelial cells up-regulated BAFF and APRIL upon exposure to HC-derived cytokines, including TNF-α. Unlike naïve, germinal center, memory and plasmacytoid B cells but similar to splenic marginal zone B cells, HCs expressed high levels of TACI, BCMA, BAFF-R and HSPGs together with CD1c, CD11c, CD27, CD83, CD123, endocytic receptors, and carbohydrate receptors. Preliminary data indicated that endothelial cells stimulated HCs through a mechanism involving BAFF, APRIL and HSPGs as pretreatment of endothelial cells with BAFF and APRIL small interfering RNAs or heparinitase attenuated the growth and survival of HCs in co-cultures. TACI-Ig, which binds to and neutralizes BAFF and APRIL, had a similar inhibitory effect. Conversely, BAFF, APRIL as well as TACI, BCMA or BAFF-R cross-linking stimulated HC growth. This stimulation was associated with NF-κB activation as well as up-regulation of various pro-survival and growth-inducing intracellular proteins. Conclusions. The present findings suggest that HCs may derive from a splenic marginal zone B cell precursor. In addition, our studies indicate that splenic sinusoids form a BAFF-APRIL-HSPG-rich niche that promotes HC expansion via TACI, BCMA and BAFF-R. Finally, our data suggest that blocking BAFF and APRIL through TACI-Ig, siRNAs and HSPG-modifying agents could have therapeutic value in HCL.


Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 2428-2428
Author(s):  
Mikhail Roshal ◽  
Sindhu Cherian

Abstract Abstract 2428 Hairy cell leukemia is usually an indolent clonal proliferation of mature B cells involving blood, bone marrow, and spleen and is often characterized by progressive cytopenias. Patients with HCL have been observed to be at increased risk for a subset non-hematopoietic and hematopoietic neoplasms in some, but not all epidemiologic studies. The reason for such an increase is not entirely clear and has been postulated to be either due to immunosuppressive therapy that is used to treat HCL, an immunosuppressive effect of HCL itself, and/or to the intrinsic cancer susceptibility of the HCL patients. The finding of an increased cancer burden of HCL patients at diagnosis and lack of consistent association with any specific therapy is somewhat supportive of the last explanation. Aside from the epidemiologic studies, reports of second hematologic malignancies in patients with HCL are mostly contained in case reports and series containing very few HCL patients. To our knowledge no large systematic studies of additional clonal hematopoietic proliferations that can be detected in routine clinical specimen in patients with hairy cell leukemia have been performed. We identified 115 patients with hairy cell leukemia documented by flow cytometry in our institution between the years of 2004 and 2010. To qualify for the study the case had to have a clonal mature B cell population with expression of the canonical hairy cell leukemia antigens CD25, CD11c and CD103 on a population with increased side scatter. Immunophenotypic variants lacking one or more of these antigens were excluded to avoid sample contamination with HCL-variant and marginal zone lymphoma. Whenever possible correlation with clinical and morphologic evaluation was also performed. Of those patients 12 (10.4%) had one or more additional clonal hematopoietic proliferations identified either at diagnosis or in a subsequent sample. 7/12 patients had both neoplastic proliferations present at the time of diagnosis while the remaining 5 patients developed the second neoplasm after an established history of hairy cell leukemia. Compared to patients without additional neoplasms, the patients with additional clonal populations were older (average age 66 (47–85) vs. 56 (27–95) year old, p<0.01, two tailed t test). Compared to younger patients, HCL patients over age 60 had a significantly increased probability of having a second hematopoietic neoplasm (20% vs. 5.3%, OR 3.8, p<0.001, two tailed Chi-squared test). The majority 8/12 had another B cell neoplasm while the remainder had evidence of a plasma cell neoplasm. Two patients had coincident chronic lymphocytic leukemia (CLL) with an additional five patients presenting with a monoclonal B lymphocytosis (MBL) having a CLL like immunophenotype. One patient developed mantle cell lymphoma. One patient had three additional neoplastic populations which included a clonal B cell population negative for CD5, CD10, CD11c, or CD103, most consistent with either a marginal zone lymphoma or a lymphoplasmacytic lymphoma, a small clonal plasma cell population suggestive of monoclonal gammopathy of undetermined significance, and an MBL population with a CLL like immunophenotype. Five patients had a plasma cell neoplasm (three with clinical diagnosis of multiple myeloma). We have also identified a clear case of bi-clonal hairy cell leukemia that to our knowledge has only been reported once in the literature and never using contemporary diagnostic criteria. Our study demonstrates that additional clonal hematopoietic proliferations associated with HCL are common. Increased vigilance for coincident hematopoietic neoplasms may be warranted particularly in older patients with this disease. Disclosures: No relevant conflicts of interest to declare.


1988 ◽  
Vol 42 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Yukihiro Tokumine ◽  
Etsuko Ueda ◽  
Hiroyasu Ogawa ◽  
Haruo Sugiyama ◽  
Masafumi Taniwaki ◽  
...  

Author(s):  
Ahmad Ahmadzadeh ◽  
Saeid Shahrabi ◽  
Kaveh Jaseb ◽  
Fatemeh Norozi ◽  
Mohammad Shahjahani ◽  
...  

BRAF is a serine/threonine kinase with a regulatory role in the mitogen-activated protein kinase (MAPK) signaling pathway. A mutation in the RAF gene, especially in BRAF protein, leads to an increased stimulation of this cascade, causing uncontrolled cell division and development of malignancy. Several mutations have been observed in the gene coding for this protein in a variety of human malignancies, including hairy cell leukemia (HCL). BRAF V600E is the most common mutation reported in exon15 of BRAF, which is observed in almost all cases of classic HCL, but it is negative in other B-cell malignancies, including the HCL variant. Therefore it can be used as a marker to differentiate between these B-cell disorders. We also discuss the interaction between miRNAs and signaling pathways, including MAPK, in HCL. When this mutation is present, the use of BRAF protein inhibitors may represent an effective treatment. In this review we have evaluated the role of the mutation of the BRAF gene in the pathogenesis and progression of HCL.


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