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Prepublished online as a Blood First Edition Paper on January 2, 2003; DOI 10.1182/blood-2002-08-2577.

Submitted August 22, 2002
Accepted December 23, 2002
Gains of 2p involving the REL locus correlate with nuclear c-Rel protein accumulation in neoplastic cells of classical Hodgkin's lymphoma
Thomas F E Barth*, Jose I Martin-Subero, Stefan Joos, Christiane K Menz, Cornelia Hasel, Gunhild Mechtersheimer, Reza M Parwaresch, Peter Lichter, Reiner Siebert, and Peter Moeller
Institut fuer Pathologie, Universitaet Ulm, Ulm, Germany
Institut fuer Humangenetik, Universitaetsklinikum Kiel, Kiel, Germany
Abteilung Organisation komplexer Genome, Deutsches Krebsforschungszentrum, Heidelberg, Germany
Institut fuer Pathologie, Universitaet Heidelberg, Heidelberg, Germany
Institut fuer Haematopathologie, Universitaetsklinikum Kiel, Kiel, Germany
* Corresponding author; email: thomas.barth{at}medizin.uni-ulm.de.
Structural aberrations of the short arm of chromosome 2 mostly resulting in gain of 2p13~16 have recently been described as being highly recurrent in Hodgkin/Reed-Sternberg (HRS) cells of classical Hodgkin's lymphoma (cHL). As these gains consistently lead to increased copy numbers of the REL oncogene locus, we investigated the expression of the c-Rel protein in a series of 30 cHL cases with known genomic REL status as determined by comparative genomic hybridization and interphase cytogenetics. Expression of the c-Rel protein was investigated in 26 biopsies by immunohistochemistry. Distinct patterns were observed in HRS cells with no staining, cytoplasmic, and/or nuclear staining for c-Rel. All 13 samples with additional copies of the REL locus displayed nuclear staining for c-Rel while 13 cHL lacking 2p gains displayed a significantly lower proportion or complete absence of HRS cells with nuclear c-Rel expression. Detailed analysis using combined immunophenotyping and interphase cytogenetics of individual HRS cells demonstrated that REL gains correlated with the presence of nuclear c-Rel staining. Additionally, in two cHL with translocation breakpoints in 2p13~16, nuclear staining of c-Rel was observed, in one of them with a staining pattern indicative of a truncated c-Rel protein. The correlation between structural aberrations involving the REL locus and nuclear c-Rel accumulation in HRS cells qualifies REL as a target gene of the frequent gains in 2p in cHL. The data suggest that REL aberrations are a genetic mechanism contributing to constitutive NF- B/Rel activation in cHL.

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