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Blood, 1 June 2005, Vol. 105, No. 11, pp. 4445-4454.
Prepublished online as a Blood First Edition Paper on February 17, 2005; DOI 10.1182/blood-2004-10-3907.
Previous Article | Next Article 
Submitted October 21, 2004
Accepted January 14, 2005
Mantle cell lymphoma genotypes identified with CGH to BAC microarrays define a leukemic subgroup of disease and predict patient outcome
Fanny Rubio-Moscardo, Joan Climent, Reiner Siebert, Miguel A Piris, Jose I Martin-Subero, Inga Nielander, Javier Garcia-Conde, Martin J Dyer, Maria J Terol, Daniel Pinkel, and Jose A Martinez-Climent*
Department of Hematology and Medical Oncology, Hospital Clinico, University of Valencia, Valencia, Spain; Division of Oncology, Center for Applied Medical Research CIMA, University of Navarra, Pamploma, Spain
Institute of Human Genetics, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
Molecular Pathology Program, CNIO, Madrid, Spain
Department of Hematology and Medical Oncology, Hospital Clinico, University of Valencia, Valencia, Spain
MRC Toxicology Unit, University of Leicester, Leicester, United Kingdom
Cancer Research Institute, University of California San Francisco, San Francisco, CA, USA
* Corresponding author; email: jamcliment{at}unav.es.
To identify recurrent genomic changes in mantle cell lymphoma (MCL), we used high-resolution CGH to BAC microarrays in 68 patients and 9 MCL-derived cell lines. Array-CGH defined a MCL genomic signature distinct from other B-cell lymphomas, including deletions of 1p21 and 11q22.3-ATM gene with coincident 10p12-BMI1 gene amplification and 10p14 deletion, along with a previously unidentified loss within 9q21-q22. Specific genomic alterations were associated with different subgroups of disease. Notably, 11 patients with leukemic MCL showed a different genomic profile to nodal cases, including 8p21.3 deletion at TRAIL receptor gene cluster (55 vs. 19%;p=0.01) and gain of 8q24.1 at MYC locus (46 vs. 14%;p=0.015). Additionally, leukemic MCL exhibited frequent IGVH mutation (64 vs. 21%;p=0.009) with preferential VH4-39 use (36 vs. 4%;p=0.005) and followed a more indolent clinical course. Blastoid variants, increased number of genomic gains, and deletions of P16/INK4a and TP53 genes correlated with poorer outcomes, whilst 1p21 loss was associated with prolonged survival (p=0.02). In multivariate analysis, deletion of 9q21-q22 was the strongest predictor for inferior survival (HR:6;CI:2,3-15,7). Our study highlights the genomic profile as a predictor for clinical outcome, and suggests that "genome scanning" of chromosomes 1p21, 9q21-q22, 9p21.3-P16/INK4a and 17p13.1-TP53 may be clinically useful in MCL.

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