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Prepublished online as a Blood First Edition Paper on January 16, 2003; DOI 10.1182/blood-2002-10-3090.
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Blood, 15 May 2003, Vol. 101, No. 10, pp. 4115-4121
NEOPLASIA
Gene expression profile analysis of AIDS-related primary effusion
lymphoma (PEL) suggests a plasmablastic derivation and identifies
PEL-specific transcripts
Ulf Klein,
Annunziata Gloghini,
Gianluca Gaidano,
Amy Chadburn,
Ethel Cesarman,
Riccardo Dalla-Favera, and
Antonino Carbone
From the Institute for Cancer Genetics, and the
Departments of Pathology and Genetics and Development, Columbia
University, New York, NY; Division of Pathology, Centro di Riferimento
Oncologico, National Cancer Institute, Aviano, Italy;
Hematology Unit, Division of Internal Medicine, Department of Medical
Sciences and Interdisciplinary Research Center on Autoimmune Diseases
(IRCAD), Amedeo Avogadro University of Eastern Piedmont, Novara,
Italy; and Department of Pathology, Weill Medical College
of Cornell University, New York, NY.
AIDS-related primary effusion lymphoma (PEL) is an HIV-associated
malignancy characterized by the ability of the tumor cells to
specifically home in the serous body cavities. Here we used gene
expression profile analysis (about 12 000 genes) to further define the
phenotype of PEL and to investigate the lymphoma relationship to normal
B cells and to other tumor subtypes, including non-Hodgkin lymphomas
(NHLs) of immunocompetent hosts and AIDS-associated NHL (AIDS-NHL). The
results showed that PEL displayed a common gene expression profile that
is clearly distinct from all NHLs of immunocompetent hosts and AIDS-NHL
subtypes and, in contrast to those, is not related to germinal center
(GC) or memory B cells. The gene expression profile of PEL was defined
as plasmablastic because it showed features of both
immunoblasts identified by Epstein-Barr virus (EBV)-transformed
lymphoblastoid cell lines and AIDS immunoblastic lymphoma, and plasma
cells, as defined by multiple myeloma cell lines. Finally, our results
identify a set of genes specifically expressed in PEL tumor cells.
Their expression was validated at the protein level, suggesting their potential pathogenetic and clinical significance.

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