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Prepublished online as a Blood First Edition Paper on December 19, 2002; DOI 10.1182/blood-2002-11-3387.

Submitted November 8, 2002
Accepted November 28, 2002
Mutations of the BCL-6 proto-oncogene disrupt its negative autoregulation in diffuse large B-cell lymphoma
Laura Pasqualucci, Anna Migliazza, Katia Basso, Jane Houldsworth, R S K Chaganti, and Riccardo Dalla-Favera*
Institute for Cancer Genetics, Columbia University, New York, NY, USA
Laboratory of Cancer Genetics and the Department of Medicine, Memorial Sloan-Kettering Cancer Cente, New York, NY, USA
* Corresponding author; email: rd10{at}columbia.edu.
The BCL6 proto-oncogene encodes a transcriptional repressor whose expression is deregulated by chromosomal translocations in ~40% of diffuse large B-cell lymphoma (DLBCL). The BCL6 regulatory sequences are also targeted by somatic hypermutation in germinal center (GC) B-cells as well as in a fraction of all GC-derived lymphomas. However, the functional consequences of these mutations are not known. Here we report that a subset of mutations specifically associated with DLBCL cause deregulated BCL6 transcription. These mutations affect two adjacent BCL6 binding sites located within the first non-coding exon of the gene and prevent BCL6 from binding its own promoter, thereby disrupting its negative autoregulatory circuit. These alterations were found in ~16% of DLBCL cases devoid of chromosomal translocations involving the BCL6 locus, but not in normal GC B-cells. This study establishes a novel mechanism for BCL6 deregulation and reveals a broader involvement of this gene in DLBCL pathogenesis.

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