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Blood, 15 June 2002, Vol. 99, No. 12, pp. 4554-4561
NEOPLASIA
Evidence for distinct pathomechanisms in B-cell chronic
lymphocytic leukemia and mantle cell lymphoma by quantitative
expression analysis of cell cycle and apoptosis-associated
genes
Christian Korz,
Armin Pscherer,
Axel Benner,
Daniel Mertens,
Claudia Schaffner,
Elke Leupolt,
Hartmut Döhner,
Stephan Stilgenbauer, and
Peter Lichter
From Abteilung Molekulare Genetik and Zentrale Einheit
Biostatistik, Deutsches Krebsforschungszentrum, Heidelberg, and
Abteilung Innere Medizin III, Universität Ulm, Germany.
The B-cell lymphoproliferative malignancies B-cell chronic
lymphocytic leukemia (B-CLL) and mantle cell lymphoma (MCL) share characteristics, including overlapping chromosomal aberrations with
deletions on chromosome bands 13q14, 11q23, 17p13, and 6q21 and gains
on chromosome bands 3q26, 12q13, and 8q24. To elucidate the biochemical
processes involved in the pathogenesis of B-CLL and MCL, we analyzed
the expression level of a set of genes that play central roles in
apoptotic or cell proliferation pathways and of candidate genes from
frequently altered genomic regions, namely ATM, BAX,
BCL2, CCND1, CCND3, CDK2,
CDK4, CDKN1A, CDKN1B, E2F1, ETV5, MYC, RB1,
SELL, TFDP2, TNFSF10, and
TP53. Performing real-time quantitative reverse transcription
polymerase chain reaction in a panel of patients with MCL and B-CLL and
control samples, significant overexpression and underexpression was
observed for most of these genes. Statistical analysis of the
expression data revealed the combination of CCND1 and CDK4 as the best
classifier concerning separation of both lymphoma types. Overexpression
in these malignancies suggests ETV5 as a new candidate for a pathogenic factor in B-cell lymphomas. Characteristic deregulation of multiple genes analyzed in this study could be combined in a comprehensive picture of 2 distinctive pathomechanisms in B-CLL and MCL. In B-CLL,
the expression parameters are in strong favor of protection of the
malignant cells from apoptosis but did not provide evidence for
promoting cell cycle. In contrast, in MCL the impairment of apoptosis
induction seems to play a minor role, whereas most expression data
indicate an enhancement of cell proliferation.

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