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Blood, 1 July 2007, Vol. 110, No. 1, pp. 339-344.
Prepublished online as a Blood First Edition Paper on March 22, 2007; DOI 10.1182/blood-2006-09-049189.


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Submitted September 28, 2006
Accepted March 16, 2007

Rituximab plus CHOP (R-CHOP) overcomes PRDM1-associated resistance to chemotherapy in patients with diffuse large B-cell lymphoma

Yan-Yan Liu, Christophe Leboeuf, Jing-Yi Shi, Jun-Min Li, Li Wang, Yang Shen, Jose-Francisco Garcia, Zhi-Xiang Shen, Zhu Chen, Anne Janin, Sai-Juan Chen, and Wei-Li Zhao*

State Key Laboratory of Medical Genomics, Shanghai Institute of Hematology, Shanghai, China
INSERM U728, Universite Paris VII, Institut d'Hematologie, Paris, France
The Monoclonal Antibodies Unit, Biotechnology Program; Spanish National Cancer Center (CNIO), Madrid, Spain

* Corresponding author; email: weili_zhao_sih{at}yahoo.com.

The positive regulatory domain I (PRDM1) is a master regulator in the differentiation of mature B lymphocytes to plasma cells. It has two isoforms, PRDM1{alpha} and PRDM1{beta}, and is regulated by NF-{kappa}B. PRDM1 protein expression was recently demonstrated in a subset of diffuse large B-cell lymphoma (DLBCL) with aggressive behavior, a type of lymphoma for which rituximab associated with chemotherapy (R-CHOP) is now widely indicated. Using laser microdissection combined with RT-PCR amplification, PRDM1 gene expression was assessed in 82 DLBCL patients. The results showed that both PRDM1{alpha} and PRDM1{beta} transcripts were expressed in microdissected lymphoma cells only in the non-GCB subtype of DLBCL. PRDM1{beta} gene expression was correlated with short survival time in the non-GCB patients treated with CHOP, but not with R-CHOP. In vitro, B-lymphoma cells resistant to chemotherapy expressed PRDM1{beta}. Rituximab suppressed PRDM1{beta} expression, which was concomitant with NF-{kappa}B inactivation. The value of PRDM1{beta} expression as a prognostic marker in non-GCB DLBCL might thus be considered. This study confirms the efficiency of rituximab on DLBCL, and allows a better understanding of one of its biological actions.


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