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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4952-4963.
Prepublished online as a Blood First Edition Paper on February 6, 2007; DOI 10.1182/blood-2006-10-055145.


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NEOPLASIA

The gene expression profile of nodal peripheral T-cell lymphoma demonstrates a molecular link between angioimmunoblastic T-cell lymphoma (AITL) and follicular helper T (TFH) cells

Laurence de Leval1, David S. Rickman2, Caroline Thielen1, Aurélien de Reynies2, Yen-Lin Huang3,5, Georges Delsol6, Laurence Lamant6, Karen Leroy3,4,5, Josette Brière7, Thierry Molina8, Françoise Berger9, Christian Gisselbrecht10, Luc Xerri11, and Philippe Gaulard3,4,5

1 Pathology, Centre Hospitalo-Universitaire (CHU) Sart-Tilman, University of Liège, Belgium; 2 Ligue Contre le Cancer, Paris, France; 3 Institut National de la Santé et de la Recherche Médicale (Inserm), Unité 617, Créteil, France; 4 Assistance Publique–Hôpitaux de Paris (AP-HP), Groupe hospitalier Henri Mondor, Département de Pathologie, Créteil, France; 5 Université Paris 12, Faculté de médecine, Institut Mondor de médecine moléculaire, Créteil, France; 6 Pathology, CHU Purpan, Toulouse, France; 7 Pathology, Hôpital Saint-Louis, Paris, France; 8 Pathology, Hôtel-Dieu, Paris, France; 9 Pathology, Centre Hospitalier Lyon Sud, Pierre Benite, France; 10 Hematology, Hôpital Saint-Louis, Paris, France; 11 Pathology, Institut Paoli Calmettes, Marseille, France

The molecular alterations underlying the pathogenesis of angioimmunoblastic T-cell lymphoma (AITL) and peripheral T-cell lymphoma, unspecified (PTCL-u) are largely unknown. In order to characterize the ontogeny and molecular differences between both entities, a series of AITLs (n = 18) and PTCLs-u (n = 16) was analyzed using gene expression profiling. Unsupervised clustering correlated with the pathological classification and with CD30 expression in PTCL-u. The molecular profile of AITLs was characterized by a strong microenvironment imprint (overexpression of B-cell– and follicular dendritic cell–related genes, chemokines, and genes related to extracellular matrix and vascular biology), and overexpression of several genes characteristic of normal follicular helper T (TFH) cells (CXCL13, BCL6, PDCD1, CD40L, NFATC1). By gene set enrichment analysis, the AITL molecular signature was significantly enriched in published TFH-specific genes. The enrichment was higher for sorted AITL cells than for tissue samples. Overexpression of several TFH genes was validated by immunohistochemistry in AITLs. A few cases with molecular TFH-like features were identified among CD30 PTCLs-u. Our findings strongly support that TFH cells represent the normal counterpart of AITL, and suggest that the AITL spectrum may be wider than suspected, as a subset of CD30 PTCLs-u may derive from or be related to AITL.


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