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Blood, 1 April 2002, Vol. 99, No. 7, pp. 2285-2290
PLENARY PAPER
The t(14;18) defines a unique subset of diffuse large B-cell
lymphoma with a germinal center B-cell gene expression profile
James Z. Huang,
Warren G. Sanger,
Timothy C. Greiner,
Louis M. Staudt,
Dennis D. Weisenburger,
Diane L. Pickering,
James C. Lynch,
James O. Armitage,
Roger A. Warnke,
Ash A. Alizadeh,
Izidore S. Lossos,
Ronald Levy, and
Wing C. Chan
From the Departments of Pathology and Microbiology, The
Munroe-Meyer Institute for Genetics and Rehabilitation, Preventive and
Social Medicine and Internal Medicine, University of Nebraska Medical
Center, Omaha; Metabolism Branch, Division of Clinical Sciences,
National Cancer Institute, National Institutes of Health, Bethesda, MD;
and Departments of Pathology, Biochemistry, and Medicine, Stanford
University Medical Center, Stanford, CA.
Recently we have identified subgroups of de novo primary diffuse
large B-cell lymphoma (DLBCL) based on complementary DNA microarray-generated gene expression profiles. To correlate the gene
expression profiles with cytogenetic abnormalities in these DLBCLs, we
examined the occurrence of the t(14;18)(q32;q21) in the 2 distinctive
subgroups of DLBCL: one with the germinal center B-cell gene expression
signature and the other with the activated B cell-like gene expression
signature. The t(14;18) was detected in 7 of 35 cases (20%). All 7 t(14;18)-positive cases had a germinal center B-cell gene expression
profile, representing 35% of the cases in this subgroup, and 6 of
these 7 cases had very similar gene expression profiles. The expression
of bcl-2 and bcl-6 proteins was not significantly different between the
t(14;18)-positive and -negative cases, whereas CD10 was detected only
in the group with the germinal center B-cell expression profile, and
CD10 was most frequently expressed in the t(14;18)-positive cases. This study supports the validity of subdividing DLBCL into 2 major subgroups
by gene expression profiling, with the t(14;18) being an important
event in the pathogenesis of a subset of DLBCL arising from germinal
center B cells. CD10 protein expression is useful in identifying cases
of DLBCL with a germinal center B-cell gene expression profile and is
often expressed in cases with the t(14;18).

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