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Blood, 15 January 2002, Vol. 99, No. 2, pp. 716-718

BRIEF REPORT

Follicular lymphoma with a novel t(14;18) breakpoint involving the immunoglobulin heavy chain switch mu region indicates an origin from germinal center B cells

James A. L. Fenton, Jan-Willem Vaandrager, Wilhelmina M. Aarts, Richard J. Bende, Karel Heering, Martin van Dijk, Gareth Morgan, Carel J. M. van Noesel, Ed Schuuring, and Philip M. Kluin

From the Department of Pathology, Leiden University Medical Center, The Netherlands; Department of Haematology, University of Leeds, United Kingdom; Department of Pathology, University of Amsterdam, The Netherlands; Departments of Internal Medicine and Clinical Pathology, Groene Hart Hospital, Gouda, The Netherlands.

With the use of DNA-fiber fluorescent in situ hybridization, a BCL2 protein positive follicular lymphoma with a novel BCL2 breakpoint involving the immunoglobulin heavy chain (IGH) switch mu (Sµ) region instead of the JH or DH gene segments was identified. Sequence analysis showed that the genomic breakpoint is localized between the Sµ region of the IGH complex and the first intron of BCL2. Reverse-transcriptase polymerase chain reaction showed expression of a unique hybrid IGH-BCL2 transcript involving the transcription initiation site Iµ. Sequence analysis of the VH region of the functional nontranslocated IGH allele showed multiple shared somatic mutations but also a high intraclonal variation (53 differences in 15 clones), compatible with the lymphoma cells staying in or re-entering the germinal center. This is the first example of a t(14;18) translocation that results from an illegitimate IGH class-switch recombination during the germinal center B-cell stage.

© 2002 by The American Society of Hematology.
 

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