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Prepublished online as a Blood First Edition Paper on July 3, 2003; DOI 10.1182/blood-2003-05-1383.

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Submitted May 2, 2003
Accepted December 31, 1969

VH mutation status and VDJ rearrangement structure in mantle cell lymphoma: correlation with genomic aberrations, clinical characteristics, and outcome

Dirk Kienle, Alexander Kroeber, Tiemo Katzenberger, German Ott, Elke Leupolt, Thomas F E Barth, Peter Moeller, Axel Benner, Annett Habermann, Hans Konrad Mueller-Hermelink, Martin Bentz, Peter Lichter, Hartmut Doehner, and Stephan Stilgenbauer*

Department of Internal Medicine III, University of Ulm, Ulm, Germany
Department of Pathology, University of Wuerzburg, Wuerzburg, Germany
Department of Pathology, University of Ulm, Ulm, Germany
Department of Biostatistics, DKFZ, Heidelberg, Germany
Department of Molecular Genetics, DKFZ, Heidelberg, Germany

* Corresponding author; email: stephan.stilgenbauer{at}medizin.uni-ulm.de.

The immunoglobulin variable heavy chain gene (VH) mutation status and the VDJ rearrangement structure was analyzed in 141 mantle cell lymphoma (MCL) cases and correlated with biological and clinical characteristics. 29% of the MCL displayed mutated VH using a 98% germline homology cut-off. There were striking differences between the VH mutation subgroups with respect to the usage of specific V genes. Rearrangements involving V4-34 and V3-21 were almost exclusively unmutated, whereas rearrangements using V4-59 and V3-23 were typically mutated. There was a significant association of mutated VH with shorter CDR3 lengths and the usage of JH4b. V3-21 and V4-59 were involved in highly characteristic rearrangements implicating that antigen specificity may be involved in MCL development. There was no evidence for isotype switch recombination or Bcl-6 expression in any MCL. ZAP70 expression was not different in VH mutated or unmutated MCL. While the deletions 11q- and 17p- showed a balanced distribution, an overrepresentation was observed for the trisomies +3q, +8q, and tetraploidy in the VH unmutated and +12q in the VH mutated subgroup. Clinically, mutated VH was associated with a higher rate of complete remission, but there was no correlation between VH mutation status and other clinical characteristics or overall survival.


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