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Blood, 15 July 2004, Vol. 104, No. 2, pp. 543-549.
Prepublished online as a Blood First Edition Paper on March 25, 2004; DOI 10.1182/blood-2003-10-3545.
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Submitted October 16, 2003
Accepted March 13, 2004
Constitutive STAT6 activation in primary mediastinal large B cell lymphoma
Chrystelle Guiter, Isabelle Dusanter-Fourt, Christiane Copie-Bergman, Marie-Laure Boulland, Sabine le Gouvello, Philippe Gaulard, Karen Leroy, and Flavia Castellano*
Pathologie, U617, INSERM, Universite Paris XII, Hopital Henri Mondor, Creteil, France
Hematologie, U567 INSERM/CNRS UMR 8104, Hopital Cochin, Paris, France
Immunologie Biologique, U581, INSERM, Hopital Henri Mondor, Creteil, France
* Corresponding author; email: Flavia.Castellano{at}im3.inserm.fr.
Primary Mediastinal Large B-cell Lymphoma (PMBL), currently recognized as a Diffuse Large B-cell Lymphoma (DLBCL) subtype, shows increased expression of interleukin 4 (IL-4)/13 (IL-13) signaling effectors and targets, suggesting constitutive activation of these pathways. We therefore investigated the functional state of the Signal Transducer and Activator of Transcription 6 (STAT6), mediating IL-4/IL-13 transcriptional effects. Constitutive STAT6 phosphorylation and DNA-binding activity were detected in PMBL, but not DLBCL cell lines. Moreover, immunohistochemical analysis revealed nuclear P-STAT6 in 8/11 PMBL, compared to 1/10 DLBCL primary tumors (p= 0.01). IL-4 and IL-13 transcripts were absent in PMBL cell lines and expressed at low levels in tumors, indicating that, contrary to classical Hodgkin Lymphoma (cHL), STAT6 activation is not due to an autocrine IL-4/IL-13 secretion. We demonstrated an amplification of the JAK2 gene in 2/6 PMBL cases, and showed higher JAK2 mRNA levels in PMBL compared to DLBCL (p= 0.005). The JAK2 kinase was constitutively phosphorylated in the PMBL MedB1 cell line. MedB1 treatment with JAK2 inhibitor AG490 partially decreased STAT6 phosphorylation, suggesting that JAK2 is partially involved in STAT6 activation in these cells. Our findings highlight phoshorylated STAT6 as a characteristic distinguishing PMBL from DLBCL, but a common feature to PMBL and cHL, supporting the hypothesis of common pathogenic events in these two lymphomas.

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