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Prepublished online as a Blood First Edition Paper on May 29, 2003; DOI 10.1182/blood-2002-12-3630.

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2002-12-3630v1
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Blood, 1 September 2003, Vol. 102, No. 5, pp. 1872-1876

NEOPLASIA
Brief report

Intronic BCL-6 mutations are preferentially targeted to the translocated allele in t(3;14)(q27;q32) non-Hodgkin B-cell lymphoma

Fabrice Jardin, Christian Bastard, Nathalie Contentin, Françoise Parmentier, Jean-Michel Picquenot, Hervé Tilly, Freda K. Stevenson, and Surinder S. Sahota

From the Department of Haematology, Centre Henri Becquerel, Rouen, France; EMI 9906-IRFMP no. 23, Centre Henri Becquerel, Rouen, France; and the Molecular Immunology Group, Tenovus laboratory, Southampton University Hospitals, Southampton, United Kingdom.

Translocations and somatic mutations are common genetic alterations of the BCL-6 gene on chromosome 3q27 in B-cell lymphoma, with implications for lymphomagenesis. The 2 events may have linked origins and can influence juxtaposed loci. To evaluate this further, we compared mutations occurring within the major mutation cluster region of the translocated and untranslocated BCL-6 alleles in 7 t(3;14)(q27;14q32) lymphomas. In 6 of 7 cases, the translocated allele revealed significantly higher mutations (mean, 5.8 x 102 bp1) than did the untranslocated allele (mean, 5.3 x 103 bp1; P < .01). The increase mapped to der(14q32), which retains the BCL-6 promoter and is transcriptionally active, as revealed by fusion transcripts and ongoing somatic mutations, absent in the der(3q27) region. These results indicate that enhanced mutational activity at the translocated allele may be a consequence of loss of cis regulatory elements or gain of IgH enhancer elements. Junctional sequences indicate translocation origins from earlier BCL-6 mutations and switch recombinase events.


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