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Prepublished online as a Blood First Edition Paper on September 12, 2002; DOI 10.1182/blood-2002-05-1592.

Submitted May 29, 2002
Accepted August 21, 2002
Frequent occurrence of BCL6 rearrangements in nodular lymphocyte predominance Hodgkin's lymphoma but not in classical Hodgkin's lymphoma
Iwona Wlodarska, Peet Nooyen, Brigitte Maes, Jose I Martin-Subero, Reiner Siebert, Patrick Pauwels, Chris De Wolf-Peeters, and Anne Hagemeijer*
Center for Human Genetics, Catholic University of Leuven, Leuven, Belgium
Department of Pathology, Stichting PAMM, Eindhoven, The Netherlands
Division for Morphology and Molecular Pathology, Catholic University of Leuven, Leuven, Belgium
Institute of Human Genetics, University Hospital Kiel, Kiel, Germany
* Corresponding author; email: anne.hagemeijer{at}med.kuleuven.ac.be.
We studied the genomic status of BCL6 in 23 cases of nodular lymphocyte predominance Hodgkin's lymphoma (NLPHL) and 40 cases of classical Hodgkin's lymphoma (cHL) using dual color interphase-FISH. The BCL6 rearrangement was identified in 48% of NLPHL cases and not detected in cHL cases. As a confirmation, sequential or simultaneous IHC/FISH using CD20 or BCL6 antibodies and BCL6 DNA probes was performed in 8 NLPHL cases. The BCL6-associated translocations, t(3;22)(q27;q11), t(3;7)(q27;p12), and the most probable t(3;9)(q27;p13) were identified in 3 cases. A consistent expression of BCL6 protein in popcorn cells with the highest number of intensely stained cells in cases with a genomic BCL6 rearrangement was shown by immunohistochemistry. In summary, presented findings support the hypothesis of germinal center B cell derived-origin of NLPHL, indicate a significant role of BCL6 in pathogenesis of NLPHL, and provide further evidence of the genetic diversity underlying pathogenesis of NLPHL and cHL.

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