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Prepublished online as a Blood First Edition Paper on April 10, 2003; DOI 10.1182/blood-2002-11-3574.
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Blood, 1 August 2003, Vol. 102, No. 3, pp. 1042-1050
NEOPLASIA
Mycosis fungoides shows concurrent deregulation of multiple genes involved in the TNF signaling pathway: an expression profile study
Lorraine Tracey,
Raquel Villuendas,
Ana Maria Dotor,
Inmaculada Spiteri,
Pablo Ortiz,
Juan F. García,
Jose Luis Rodríguez Peralto,
Mark Lawler, and
Miguel A. Piris
From the Centro Nacional de Investigaciones Oncológicas, Molecular Pathology Program, Madrid, Spain; the Pathology Department, Hospital Universitario de Getafe, Madrid, Spain; the Department of Hematology and the Institute for Molecular Medicine, St James Hospital, Dublin, Ireland; and the Dermatology and Pathology Department, Hospital 12 de Octubre, Madrid, Spain, representing the Cooperative Cutaneous Lymphoma Group of Madrid
Mycosis fungoides (MF) is the most frequent type of cutaneous T-cell lymphoma, whose diagnosis and study is hampered by its morphologic similarity to inflammatory dermatoses (ID) and the low proportion of tumoral cells, which often account for only 5% to 10% of the total tissue cells. cDNA microarray studies using the CNIO OncoChip of 29 MF and 11 ID cases revealed a signature of 27 genes implicated in the tumorigenesis of MF, including tumor necrosis factor receptor (TNFR)dependent apoptosis regulators, STAT4, CD40L, and other oncogenes and apoptosis inhibitors. Subsequently a 6-gene prediction model was constructed that is capable of distinguishing MF and ID cases with unprecedented accuracy. This model correctly predicted the class of 97% of cases in a blind test validation using 24 MF patients with low clinical stages. Unsupervised hierarchic clustering has revealed 2 major subclasses of MF, one of which tends to include more aggressive-type MF cases including tumoral MF forms. Furthermore, signatures associated with abnormal immunophenotype (11 genes) and tumor stage disease (5 genes) were identified.

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