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Blood, 15 August 2005, Vol. 106, No. 4, pp. 1392-1399.
Prepublished online as a Blood First Edition Paper on May 3, 2005; DOI 10.1182/blood-2004-12-4901.


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Submitted December 30, 2004
Accepted April 20, 2005

NF{kappa}B activity, function and target gene signatures in primary mediastinal large B-cell lymphoma and diffuse large B-cell lymphoma subtypes

Friedrich Feuerhake, Jeffery L Kutok, Stefano Monti, Wen Chen, Ann S LaCasce, Giorgio Cattoretti, Paul Kurtin, Geraldine S Pinkus, Laurence de Leval, Nancy L Harris, Kerry J Savage, Donna Neuberg, Thomas M Habermann, Riccardo Dalla-Favera, Todd R Golub, Jon C Aster, and Margaret A Shipp*

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA
Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
The Broad Institute, Cambridge, MA, USA
Institute for Cancer Genetics, Columbia University, New York, NY, USA
Department of Pathology, Mayo Clinic, Rochester, MN, USA
Department of Pathology, Massachusetts General Hospital, Boston, MA, USA
Department of Biostatistics, Dana-Farber Cancer Institute, Boston, MA, USA
Division of Hematology and Department of Medicine, Mayo Clinic, Rochester, MN, USA
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Department of Pediatric Oncology, Dana-Farber Cancer Institute and Howard Hughes Medical Institute, Boston, MA, USA

* Corresponding author; email: margaret_shipp{at}dfci.harvard.edu.

Primary mediastinal large B-cell lymphoma (MLBCL) shares important clinical and molecular features with classical Hodgkin lymphoma, including nuclear localization of the c-REL NF{kappa}B subunit in a pilot series. Herein, we analyzed c-REL subcellular location in additional primary MLBCLs and characterized NF{kappa}B activity and function in a MLBCL cell line. The new primary MLBCLs had prominent c-REL nuclear staining and the MLBCL cell line exhibited high levels of NF{kappa}B binding activity. MLBCL cells expressing a super-repressor form of I{kappa}B{alpha} had a markedly higher rate of apoptosis, implicating constitutive NF{kappa}B activity in MLBCL cell survival. The transcriptional profiles of newly diagnosed primary MLBCLs and DLBCLs were then used to characterize the NF{kappa}B target gene signatures of MLBCL and specific DLBCL subtypes. MLBCLs expressed increased levels of NF{kappa}B targets that promote cell survival and favor anti-apoptotic TNF{alpha} signaling. In contrast, "ABC-like" DLBCLs had a more restricted, potentially developmentally regulated, NF{kappa}B target gene signature. Of interest, the newly characterized "Host Response" DLBCL subtype had a robust NF{kappa}B target gene signature which partially overlapped that of primary MLBCL. In this large series of primary MLBCLs and DLBCLs, NF{kappa}B activation was not associated with amplification of the c-REL locus, suggesting alternative pathogenetic mechanisms.


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