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Blood, 1 November 2004, Vol. 104, No. 9, pp. 2933-2935.
Prepublished online as a Blood First Edition Paper on July 6, 2004; DOI 10.1182/blood-2004-03-1209.
Previous Article | Next Article 
Submitted March 31, 2004
Accepted June 7, 2004
Strong Expression of FOXP1 Identifies a Distinct Subset of Diffuse Large B-Cell Lymphoma Patients with Poor Outcome
Sharon L Barrans*, James A Fenton, Alison Banham, Roger G Owen, and Andrew S Jack
HMDS, Academic Unit of Haematology and Oncology, Leeds General Infirmary, Leeds, United Kingdom
Nuffield Department of Clinical Laboratory Sciences, LRF Immunodiagnostics Unit, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
* Corresponding author; email: sharonb{at}hmds.org.uk.
FOXP1 (Forkhead box-P1) is a winged-helix transcription factor that is differentially expressed in resting and activated B cells. FOXP1 expression has been demonstrated in a subset of diffuse large B-cell lymphomas (DLBCL), and is more common in the non-germinal centre (GC), activated B-cell type; however its prognostic significance is uncertain.
We have analysed presentation lymph nodes from 126 nodal DLBCLs, previously classified according to their GC and BCL2 status, for FOXP1 protein expression using standard immunocytochemistry. Uniform high FOXP1 expression was demonstrated in 23/126 cases of DLBCL. This high level of expression was almost exclusively confined to cases that lacked a GC phenotype, expressed MUM-1 and BCL2 in the absence of a t(14;18), and identified a group of patients with a particularly poor outcome within this already poor prognostic group. The data presented suggests that high FOXP1 expression is an independent prognostic factor in DLBCL.

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