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Blood, 15 February 2002, Vol. 99, No. 4, pp. 1381-1387
NEOPLASIA
Classical Hodgkin lymphoma is characterized by recurrent copy
number gains of the short arm of chromosome 2
Stefan Joos,
Christiane K. Menz,
Gunnar Wrobel,
Reiner Siebert,
Stefan Gesk,
Sibylle Ohl,
Gunhild Mechtersheimer,
Lorenz Trümper,
Peter Möller,
Peter Lichter, and
Thomas F. E. Barth
From Deutsches Krebsforschungszentrum, Abteilung
Organisation komplexer Genome, Heidelberg, Germany; Abteilung für
Pathologie des Universitätsklinikums Ulm, Germany; Institut
für Humangenetik, Universitätsklinikum Kiel, Germany;
Pathologisches Institut der Universität Heidelberg, Germany; and
Abteilung Innere Medizin, Klinikum der Georg-August-Universität,
Göttingen, Germany.
Hodgkin- and Reed-Sternberg (HRS) cells microdissected from 41 classical Hodgkin lymphomas (cHL) of 40 patients comprising 8 lymphocyte-rich (cHL-LR), 16 nodular sclerosis (cHL-NS), 15 mixed-cellularity (cHL-MC), and 2 lymphocyte-depletion (cHL-LD) subtypes were analyzed by comparative genomic hybridization for recurrently imbalanced chromosomal subregions. Chromosomal gains most
frequently involved chromosome 2p (54%), 12q (37%), 17p (27%), 9p
and 16p (24% each), and 17q and 20q (20% each), whereas losses primarily affected chromosome 13q (22%). Using fluorescence in situ
hybridization, amplification of the REL oncogene was
demonstrated within a distinct 2p15-p16 amplicon. The high frequency of
2p overrepresentations including REL, particularly in
cHL-NS (88%), suggests that an alternative mechanism of constitutive
activation of nuclear factor NF- B is a hallmark of HRS cells.
Hierarchical cluster analysis of chromosomal imbalances revealed a
closer relationship among cHL-NS than other subtypes. Furthermore,
there is a tendency for different subtypes of cHL-MC tumors
characterized by different ages at the time of tumor onset and gain of
chromosome 17p. The imbalance pattern of cHL subtypes suggests that
different molecular pathways are activated, with REL or
other genes on chromosomal band 2p15-p16 playing a fundamental role in
the pathogenesis of classical Hodgkin lymphoma.

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