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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1869-1875.
Prepublished online as a Blood First Edition Paper on October 30, 2003; DOI 10.1182/blood-2003-05-1465.

Submitted May 20, 2003
Accepted October 20, 2003
Primary diffuse large B-cell lymphomas of the central nervous system are targeted by aberrant somatic hypermutation
Manuel Montesinos-Rongen, Dirk Van Roost, Carlo Schaller, Otmar D Wiestler, and Martina Deckert*
Department of Neuropathology, University of Cologne, Cologne, Germany
Department of Neuropathology, University of Bonn, Bonn, Germany
Department of Neurosurgery, University of Bonn, Bonn, Germany
* Corresponding author; email: neuropatho{at}uni-koeln.de.
We have addressed the question whether aberrant ongoing hypermutation can be detected in the proto-oncogenes PIM1, c-MYC, RhoH/TTF, PAX5, and the tumor suppressor gene CD95 in PCNSL derived from immunocompetent, HIV-negative patients. Nine of 10 PCNSL analyzed harbored somatic mutations in the PIM1, c- MYC, RhoH/TTF, and PAX5 genes, but not in the CD95 gene, with eight tumors carrying alterations in at least two of these genes. Furthermore, ongoing aberrant mutation was evidenced in a subset of primary CNS lymphomas (PCNSL) (2/3). While the majority of the mutations corresponded to base pair substitutions, deletions were also present. The mean mutation frequency for these genes was approximately 60-fold lower compared to the values obtained for Ig genes in PCNSL. They were increased 2- to 5-fold compared to extracerebral DLBCL. In summary, our data demonstrate aberrant somatic hypermutations at high frequency in the PIM1, PAX5, RhoH/TTF, and c-MYC genes in the majority of PCNSL. These findings may indicate a pathogenic role for aberrant somatic hypermutation in PCNSL development. In contrast, although mutations were detected in exon 9 of the CD95 gene, the lack of mutations in the 5' region provides no evidence for the CD95 gene as a target for aberrant somatic mutation.

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